结合岑鹤龄温病思想浅析卫气营血辨证

Discussion on the Clinical Insufficiency of Wei Qi Ying Xue Syndrome Differentiation by Reference to Cen Heling Warmed Disease Thought

卫气营血辨证是清代医家叶天士提出的温热病诊治纲领,能提示温热病的进展规律及疾病严重程度,但长期以来诸多医家视其为邪气病位的变易,而忽视疾病发展过程中的正邪相争。岭南名医岑鹤龄认为营、血之证临床表现及治法多有重复,均与病邪入血有关,同时他参考疾病发展过程中的正邪变化,提出犯卫、在气、入血、伤阴、亡阳的温热病辨证纲领,一定程度上弥补卫气营血辨证之临证不足,有一定的临床指导意义。

Wei Qi Ying Xue syndrome differentiation as warmed disease diagnosis and treatment guiding principle is raised by Qing Ye Tianshi,which could manifest disease＇s progress regularity and severity. But for a long time many doctors view this as disease-bit shift,while ignoring the struggle between vital energy and pathogenic factor during the disease development. Lingnan doctor Cen Heling believed there was a lot of clinical manifestation repetition between Ying and Xue,which was all related with pathogenic factor into blood. Then he proposed ＂invasive Wei in the Qi Into the Xue damage Yin Yang＇s death＂ as warmed disease syndrome differentiation guiding principle according to the changes between vital energy and pathogenic factor in disease develop- ment. This principle compensates Wei Qi Ying Xue clinical insufficiency,and has a certain clinical guiding significance.