疫病中医治疗特色撷微

Summary of traditional Chinese medicine special therapeutic methods and treatment principle for treating epidemic disease

疫病不同于一般外感病,无论临床表现还是治疗都具有鲜明特点。其危害性大,影响范围广的特点,决定了防止疫毒从口鼻皮毛而入的预防环节为疫病防控中的重中之重。治疗以祛邪为要、及时精准为原则,重视预防,截断传变,托补正气。病程中热毒炽盛则清热解毒,中上二焦热证兼大便不通则以泻助清;三焦火毒弥漫则苦寒直折;火热郁闭气机不通则火郁发之;营分热证则透热转气;疫毒入血分,见斑疹吐衄、神昏谵狂、红肿热痛、疔疮斑痧,则重用凉血并解毒散血。疫病汗法多旨在通过调和阴阳气血津液以达到阴平阳秘、营卫自和的目的,但禁用辛温发散;下法不厌早,见里实证即可用下法,但若兼有湿邪,则慎用苦寒攻下;恢复期要辨析疫毒余邪及兼夹,正气受损的情况。

The difference between epidemic disease and exogenous diseases are the distinctive features in clinical picture and treatment of epidemic disease.Due to the greater harm and wider infection range,stopping epidemic pathogenic factors entering the body from skin and sweat pore is a top priority in the prevention of epidemic disease.Focusing eliminating pathogenic factor,timeliness and precision are the principles of treatment,treatment involved attaches great importance to the prevention,truncating disease transmission,strengthening body resistance.When heat toxin aggravate,doctors will clear heat antitoxicant.When heat syndrome in upper energizer and middle energizer and constipation appear at same time,doctors will use purgation method to help clear heat.Treating heat syndrome in triple energizers by clearing heat straightly with bitter-cold medicine.When pathogenic heat close functional activities of qi,doctors will treat with releasing stagnated fire,treat ying-fen symptom complex by eliminating ying through qi.Erythema,exanthema,vomiting blood and epistaxis will appear,patients will become unconsciousness,delirium and show symptoms of manic-depressive disorders.When epidemic pathogenic factors enter blood-fen,deep rooted boils and sores ulceration with the feature of local redness,swelling,heat and pain will appear in the body,doctors will reuse blood cooling drugs and treat by activating blood and detoxicating.Diaphoresis in treatment of epidemic disease aims to achieve yin-yang in equilibrium and ying-wei balance through balancing yin,yang,qi,blood and body fluid.Forbidding pungent-warm diaphoretics in treatment.In a timely manner to use purgation method,choosing purgation method when sthenic syndrome appearing.However,if pathogenic dampness exists,using bitter-cold medicine cautiously.Treat ment flexibility varies in convalescence according to the remaining pathogenic factors and the damage of body resistance.