基于周仲瑛外感热病学术思想构建中医急诊诊治思路探析

Ideas of traditional Chinese medicine emergency diagnosis and treatment based on the academic thinking of exogenous febrile diseases proposed by Zhou Zhongying

目的:阐述周仲瑛教授外感热病学术思想对江苏中医急诊诊治思路的指导作用。方法:通过文献整理,归纳总结周教授外感热病学术思想;通过病案分析与数据挖掘的方法,分析周教授学术思想在中医急诊外感热病中的运用。结果:周教授创建的中医病机辨证理论是外感热病中医急诊辨治新体系的重要特征,主张审证求机,重视病机演变,提出截断逆转、祛邪外出两大治则。数据分析结果显示,江苏中医急诊学临床运用的外感热病诊治思路、方法与周教授的学术观点、学术理论相一致,学术思想一脉相承。结论:以周教授中医病机辨证理论为特征的外感热病中医急诊辨治新体系为临床诊治提供了纲领性指导,对中医急诊临床的学术影响举足轻重。

Objective:To investigate the guiding effect of the academic thinking of exogenous febrile diseases proposed by Zhou Zhongying on traditional Chinese medicine(TCM)emergency diagnosis and treatment in Jiangsu,China.Methods:Related articles were reviewed to summarize the academic thinking of febrile diseases proposed by Professor Zhou,and the methods of case analysis and data mining were used to investigate the application of Professor Zhou’s academic thinking in TCM emergency diagnosis and treatment of exogenous febrile diseases.Results:The TCM pathogenesis and syndrome differentiation proposed by Professor Zhou were important characteristics of the new TCM emergency syndrome differentiation and treatment system.Professor Zhou proposed the identification of pathogenesis by examining the syndrome,emphasized the evolution of pathogenesis,and put forward the two treatment principles of“severance and reversion”and“expelling pathogenic factors”.Data analysis showed that the ideas and methods for the diagnosis and treatment of exogenous febrile diseases used in TCM emergency in Jiangsu were consistent with the academic opinions and theories of Professor Zhou,which were inherited from generation to generation.Conclusion:The new TCM emergency syndrome differentiation and treatment system,characterized by the TCM pathogenesis and syndrome differentiation theories of Professor Zhou,provides guidance for clinical diagnosis and treatment and has an important impact on the academic thinking of TCM emergency.