皮肤黏膜感染与表证相关性初步探讨

Preliminary Study on the Correlation Between Skin Mucosal Infection and Exterior Syndrome

八纲辨证理论根据病位的深浅把各种疾病分为表证和里证。当外邪侵犯人体,病位表浅时通常构成表证。皮肤黏膜感染与表证的两大共同点是位置表浅和外邪侵犯。当病原生物侵犯皮肤与黏膜表现为显性感染时,主要有3种表现形式:不伴发热恶寒的广义表证,狭义表证和里证。利用现行医学教材中皮肤黏膜感染的病种作分类统计,发现总病种数为124种,其中116种出现广义表证(94%),76种出现狭义表证(61%),68种出现里证(55%)。皮肤黏膜感染与表证密切相关,皮肤黏膜感染的初始阶段通常形成广义表证,如果病势发展伴随发热恶寒者则形成狭义表证,少数情况下病势进一步深入才出现里证。

The theory of eight-principle syndrome differentiationdivides diseases into exterior and interior syndromes according to the depth of disease location. When exogenous pathogens invade the human body, the disease location is superficial,and this usually constitutes exterior syndrome. The two common points between skin mucosal infection and exterior syndrome are the depth of location and invasion of exogenous pathogens.When pathogenic organisms invade skin and mucosa and show dominant infection, there are mainly three manifestations: exterior syndrome in a broad sense without fever and aversion to cold, exterior syndrome in a narrow sense, and interior syndrome. After using the classification statistics of the diseases of skin mucosal infection in the current medical textbooks, it is found that the total number of diseases is 124,of which 116 were exterior syndrome in a broad sense(94%),76 exterior syndrome in a narrow sense(61%), and 68 interior syndrome(55%). Skin mucosal infection is closely related to exterior syndrome: the initial stage of skin mucosal infection usually forms exterior syndrome in a broad sense,andif the development of the disease is accompanied by fever and aversion to cold,exterior syndrome in a narrow sense is formed,and what’s more,only in a few cases,the interior syndrome occurs only after the disease goes further.