中医内科急症概论(上)

An Outline of TCM Internal Emergency (I)

论述了急症的基本特点为大实大虚 ,邪正消长多变 ;多脏同病 ,但有主次先后 ;多病同证 ,但又同中有异。急症的病机要点为 :①内外合邪 ,因果夹杂 ;②病理因素责之风火 (热 )痰瘀 ,常可转化并见 ;③邪盛酿毒 ,有外受、内生之别 ;④邪实机闭是急症阴竭阳脱、气血消亡的基础 ;⑤病性多实 ,但常虚实夹杂 ;⑥病机之间的演变转化 ,可致多证相关。

The main features of emergency cases are extreme excess and deficiency and changeable growth and decline of anti pathogenic factors and pathogenic factors, simultaneous occurrence of diseases of multiple internal organs and multiple diseases with the same manifestations. The pathogenesis of emergency cases lies in the presence of pathogenic factors both in the exterior and interior with cause and effect mixed up. The pathogenic factors include wind fire (heat) and stagnation of phlegm, which may transform into each other. The hyperactive pathogenic factors may be from external or internal sources. The excess of pathogenic factors is the basis of exhaustion of both yin and yang and decline of qi and blood. Emergency cases are often excess in nature, which may be accompanied by deficiency. The transformation between pathogeneses may lead to the occurrence of multiple related syndromes.