摘要
热症是临床常见的表现为发热、口渴、舌红脉数、便秘、小便黄、烦躁汗出等的一类综合症状,主要表现为发热。本文从外感和内伤两方面论述形成热症的原因,分析其病机。一般情况下,疾病的本质和表现的征象多是相符的,热证见热症,但反过来出现某些热症时,疾病的病机不一定是热证,热症与热证有联系也有区别,并非连锁。在临床诊病辨证中,医者若不详实地进行疾病资料提取,不熟练运用四诊,容易被表面的热象所误导,将热症与热证混淆,出现辨证错误,疗效不佳。在临床上,需要透过表面现象看本质,抓住疾病的病机,对于认识疾病的性质和指导治疗有重要意义。
Febrile symptoms is a common clinical manifestation of fever,thirst,red tongue pulse number,constipation,yellow urine,irritability sweating and other symptoms,mainly manifested as fever.This article discusses the causes of febrile symptoms from two aspects of external sensation and internal injury,and analyzes its pathogenesis.Normally,the sign that the essence of the disease and expression is consistent more,hot card sees febrile disease,but conversely,when appearing certain febrile disease,the pathogenesis of the disease is febrile disease of heat card and febrile card to have connection to also have distinction,not be chain.In the clinical diagnosis of disease dialectics,if the doctor does not know the field for disease data extraction,not skilled use of the four methods of diagnosis,easy to be misled by the surface of the febrile symptoms,febrile symptoms and heat syndrome confusion,there is a dialectical error,the curative effect is not good.In clinical practice,we need to look at the essence through the surface phenomenon and grasp the pathogenesis of the disease,which is of great significance for understanding the nature of the disease and guiding the treatment.
作者
张伟婷
陈晔
张卫
ZHANG Wei-ting;CHEN Ye;ZHANG Wei(Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian 350108)
出处
《按摩与康复医学》
2019年第14期66-68,共3页
Chinese Manipulation and Rehabilitation Medicine
关键词
热症
热证
外感
内伤
病因
febrile symptoms
heat syndrome
exogenous factors
internal injury
pathogency