大青龙汤证及其作用机理研究

A Research on the Mechanism Daqinglong Decoction

回顾临床运用大青龙汤的经验,心得体会有三:一、立法处方前要有清晰的病因病机认知,即该"里热、烦躁、无汗"是缘由于表寒过甚、皮毛闭塞、阳气郁闭于内而不能外达;二、要有温热病截断扭转的急诊意识,用药要不失时机,但要中病即止;三、要有坚定的中医辨证立场,千万别受西医"炎症、重症感染"的思维所干预,只要认证准确,就要胸有成竹地走自己的辨证施治思路。用大青龙汤,注重的是"寒邪外束,郁热内聚"的主证和病机特点,临床并非拘于"脉浮紧,发热恶寒,身疼痛,不汗出而烦躁"等原文字眼。如是,对流感、肺炎、败血症、风湿热证、脑炎等多种病证,只要病机符合,均有较好疗效。

This paper introduces the clinical experience of Daqinglong Decoction.The clinical experience can be listed as follows： Firstly,we should carefully investigate the etiology before giving the prescription,which means that we should be fully aware that the symptoms such as fever,sweatless are caused by the mechanism that ＂Hanxiewaishu,Yureneiju＂.Secondly,we should regard epidemic febrile disaster with warm-heat type as a kind of emergency,and give treatment and medication in time.Meanwhile,we should stop using medicine when the symptoms disappear.Thirdly,we should be determined to support syndrome differentiation of Chinese medicine,and not be interfered by the views of Western medicines like infection.The treatment of Daqinglong Decoction puts stress on the etiology that ＂Hanxiewaishu,Yureneiju＂.The clinical treatment do not totally focus on the symptoms such as soft and rapid pulse,body ache and high fever.Furthermore,Daqinglong Decoction is also effective to the treatment of flu,pneumonia,sepsis and encephalitis.