透邪法在温病中的临床应用

Application of therapy of outthrusting pathogen for warm diseases

祛邪是治疗温病的第一要义,而透邪是祛邪的一种重要方法,贯穿于温病的整个治疗体系,体现了温病的治疗特点。通过理论阐述,明确了广义透邪和狭义透邪的含义,从温邪性质、发病类型、病邪传变等方面探讨了透邪法的作用机理;将透邪法分为宣透法、清透法、凉透法、养透法4类,分别阐述了各类透邪法的作用本质,明确了各类方法的适应证及适应病;通过病案分析,对透邪法的临床应用进行举例,详细阐明了透邪法在临床应用中的思路和方法,表明了透邪法在临床应用的重要价值。透邪法对各类温病的病程转归及预后都有积极而重要的作用,能够有效地指导温病的临床治疗。

Expelling pathogen is the top principle in the treatment of warm diseases, and outthrusting pathogen is an important one, which embodies the characteristics of treatment of warm diseases and is applied throughout the whole therapeutic system. The paper defined the generalized and specific meanings of outthrusting pathogen through theory elaboration, and discussed the mechanism of the therapy of oatthrusting pathogen from the nature, types and development of warm pathogen. The therapy of outthrusting pathogen was divided into four types including method of outthrusting by diffusion, method of outthrusting by clearing, method of outthrusting by cooling and method of outthrusting by nourishing, and their nature, indications and complicating diseases were stated. Through the case analysis and examples offering in clinic, the authors elaborated the clinical thinking, approaches and values of the therapy of outthrusting pathogen. The therapy plays an important role in the development and prognosis of different warm diseases, and can guide the treatment of warm diseases.