温病血分证病机及治法探析

Discuss on the Pathogenesis and Treatment Principle of Xuefen Syndrome in Warm Diseases

探讨了温病血分证的病机、分期及治法,提出温病血分证宜分三期辨治,初期血热耗血,瘀热交结,治宜凉血散血;中期为血热妄行,兼有瘀滞,治宜凉血解毒、散血止血;后期为热瘀气脱或气随血脱,治疗重在扶正固脱。

The paper discussed the pathogenesis,staging and treatment method of xuefen syndrome in warm diseases.At the initial stage,the pathogenesis was impairment of blood induced by blood heat,as well as combination of stasis and heat,so the treatment principle should be cooling blood and dissipating stasis.When it came to the mid-term,it turned into bleeding due to blood-heat combined with stasis and should be treated with cooling blood and dissipating stasis to stop bleeding.As for the later period,it was qi prostration due to heat and stasis or excessive bleeding followed by exhaustion of vital energy and the treatment aimed to strengthen body resistance and relieving desertion.