关于中暑病机的临床研究

A Clinical Research on the Pathology of Sunstroke

本文在探讨叶天士“夏暑发自阳明”理论渊源的同时,通过对44例重症中暑的临床观察,认为脾胃虚弱,痰湿内盛是中暑发生的主要内因;暑伤阳明,内陷营血是中暑发展的病理机转;健脾益胃是中暑防治扭转截断的有效环节;中暑病位在脾胃。动物实验表明:脾虚动物最易中暑;健脾益胃中药组动物中暑发生率、死亡率明显低于对照组(p<0.01),其作用机理与增强肾上腺皮质功能有关。

Dr. Ye Tianshi's theory of 'Sunstroke originates from Yangming Channels' had been explored by the clinical observations of 44 cases of severe Sunstroke in this article, The internal caustive factors of it are considered as deficiency of spleen and stomach and accumulation of phlegmdamp; the pathological changes of it are of which summer heat injures Yangming channels and then sinks into Ying and Blood phases; the effective treatment principle for prevention and treatment of it is strengthening spleen and stomach; the diseased area is in spleen and stomach. An experiment on animal had been showed that the animal with deficiency of spleen was apt to be affected by Sunstroke. The Sunstroke morbidty and mortality of the group treated with Chinese herbs for strengthening spleen and stomach were inferior to that of control group (p<0.01).Its mechanism was related to increased adrenal cortex.