清热养阴法治疗外感高热卫气同病87例临床观察

Heat-removing and Yin-nourishing Method for the Exopathic Pyrexia at Both Wei and Qi Phases: A Report of 87 Cases

为探讨外感高热症的病理特点及治法，采用清热养阴法（口服梅翁冲剂和静滴生脉注射液）对８７例外感高热卫气同病患者进行临床观察，并与８１例西药头孢唑啉对照组进行比较。结果：治疗组的总有效率为８９．７％，优于对照组的７２．８％，经统计学处理差异有显著性（Ｐ＜０．０５）；治疗后两组体温均有下降（均Ｐ＜０．０１），但治疗组退热效果优于对照组（Ｐ＜０．０５）；治疗后两组外周血白细胞和嗜中性粒细胞均有下降，但两组比较差异无显著性（Ｐ＞０．０５）。认为：热病伤阴是外感高热症的基本病理变化，清热养阴法是贯穿热病的基本治法。

To explore the pathological characteristics of exopathic pyrexia(EP) and the therapy, 87 cases of EP at both Wei and Qi phases were treated by heat-removing and Yin-nourishing method as the treatment group, 81 with intravenous injection of cefazolin as the control group. The results showed that the total effective rates were 89.7% and 72.8% in the treatment group and the control group respectively,the differences being significant (P< 0.05); body temperature decreased in both groups(P< 0.01); the numbers of white blood cells and neutrophils lowered in the two groups,the differences being not significant(P> 0.05). It is suggested that the consumption of Yin is the principal pathological characteristics of EP,and heat_removing and Yin-nourishing method is the basic therapy during the treatment.