现代中医疫病诊疗体系的构建

Construction of a Modern TCM Epidemic Diagnosis and Treatment System

  • 摘要: 中医药在防治疫病方面有丰富的诊疗经验,但中医对疫病的基本概念和诊疗策略尚未形成通识。论文通过对疫病病因、病机、辨识等基本概念的梳理,以态靶辨治为总则,从“分类-分期-分证”的视角初步构建了中医疫病诊疗体系:首先将疫病分为寒疫、温疫、寒湿疫、湿瘟、杂疫五类;然后根据疫病的整体病程,将其分为“初期-盛期-极期-复期”四个阶段,初期为表证期,盛期为热盛期,极期为内闭外脱期,复期为正复邪退期;最后在分期的基础上,结合各类疫病(五类本底疾病)在不同阶段的证候特征,示范性地进行了分证。通过现代中医疫病诊疗体系的构建,即可明确疫病的基本理论概念和基本诊疗策略,积极应对各类新发突发传染病,并快速构建出针对某一新发突发传染病的诊疗方案。

     

    Abstract: Traditional Chinese medicine (TCM) has rich experience in the diagnosis and treatment of epidemics, but the basic concepts and diagnosis and treatment strategies of TCM for epidemics have not yet formed a common understanding. This paper preliminarily constructs a diagnosis and treatment system of TCM epidemics from the perspective of "type differentiation-stage differentiation-syndrome differentiation"by combing the basic concepts of the etiology, pathogenesis, and identification of epidemics, taking state-target differentiation and treatment as the general principle. First, the epidemics are divided into five types: cold epidemics, warm epidemics, cold-damp epidemics, damp epidemics, and miscellaneous epidemics; then, according to the overall course of the epidemics, they are divided into four stages: "initial stage-peak stage-extreme stage-relapse stage", the initial stage is the stage of exterior syndromes, the peak stage is the stage of heat peak, the extreme stage is the stage of internal closure and external loss, and the relapse stage is the stage of recovery of the healthy qi and retreat of the evil qi; finally, on the basis of staging, combined with the syndrome characteristics of various epidemics (five types of background diseases) at different stages, the syndromes are divided demonstratively. Through the construction of a modern diagnosis and treatment system of TCM epidemics, the basic theoretical concepts and basic diagnosis and treatment strategies of epidemics can be clarified, various new and emerging infectious diseases can be actively responded to, and a diagnosis and treatment plan for a new and emerging infectious disease can be quickly constructed.

     

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