用朴素辩证法诠释甘温除大热及临床举例

With The Simple Dialectic Interpretation of Amylose Except for Example Hotand Clinical

目的从朴素唯物主义辩证法以及临床实际病例探讨甘温除大热的实际意义.方法：以现实生活中现象来解释甘温除大热的理论,并结合现代医学测量人体的体温定高热来分析中医辨证与西医辨病的本质区别,以实际病例说明中医所指的大热含义.结果：中医所指的甘温除大热含义广泛,他除了涵盖患者体温39℃以上高热外,还包括患者自我感觉发生的高热,烦躁,但实际体温并不高,这种现象常见于下焦湿热上蒸所致或胸中烦热、甚者汗出者（被西医诊断为精神病等）,在临床上确实常见.结论：综合分析认为,中医所指的“大热”可分为广义和狭义两种含义.广义是指：即体温在39℃以上或患者自感高热烦躁而体温并不高;狭义是指：体温39℃以上的实际体温.两者有本质的区别.

Objective Discussion of dialectics and practical clinical case warming instead of practical significance of the heat from the naive materialism. Method：In real life toexplain the phenomenon of amylose except hot theory, combined with modern medical measurement of human body temperature to the analysis of TCM syndrome differentiation andWestern medicine differentiate essential difference between disease set high fever, to the actual case to illustrate the meaning of Chinese medicine refers to the hot. Results ：Chinesemedicine refers to the amylose except hot meaning widely, he covers the body temperature of patients above 39oC high fever, also include high fever, the patient feels occurrenceirritability, but the actual temperature is not high, this kind of phenomenon is common in lower Jiao damp heat and steam induced or chest Fanre, even sweating （who were Westerndiagnosis of mental disease etc.）, were common in the clinic. Conclusion： Comprehensive analysis, Chinese medicine refers to the ＂hot＂ can be divided into broad sense and narrowsense two kinds of meanings. Generalized refers to： body temperature at 39 oC or patients with high fever irritability and self body temperature is not high; the narrow sense refers to： theactual body temperature above 39 ℃. Both have essential differences.