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湿温病的诊断,首先应根据发病季节,证见持续高热,并注意和其它热性病相区别。临床中舌苔的变化有较高的价值;有时在诊疗中往往单凭舌苔,以舌苔的多少辨邪之进退,苔之厚薄辨邪的轻重,苔之润燥辨湿滞与热邪。湿热之邪是产生本病的主要因素,解除湿热之毒是治疗本病的主要法则,清热、解毒、除湿、滋阴为本病的治疗原则。病例1,龚××,男,20岁。37年10月12日突感头痛,恶寒发热,全身不适,四肢酸楚,夜间尤甚;一周后觉胸闷脘痞,间感腹痛,恶心欲吐。体温39℃,表情淡漠,舌苔黄腻。投清热除湿之剂:石膏12克、银花20克、
The diagnosis of wet temperature disease should first be based on the season of onset, and the evidence should be consistent with the continued high fever and attention to other heat diseases. The change of tongue coating in clinic has a high value; sometimes in the diagnosis and treatment, the tongue coating is often used alone, and the number of tongue coating can be used to discriminate the evil, the thickness of the tongue can be judged by the severity of the evil, and the moistness of the moss can be discriminated between wet and heat. The evils of dampness and heat are the main factors that cause this disease. The elimination of the poison of dampness and heat is the main rule for the treatment of this disease. The principle of heat, detoxification, dehumidification, and nourishing yin is the principle of treatment. Case 1, Gong × ×, male, 20 years old. October 12, 37 sudden headache, chills, fever, general malaise, sore limbs, especially at night; a week after feeling chest tightness, abdominal pain between feelings, nausea and vomiting. Body temperature 39 °C, expression indifferent, greasy yellow tongue coating. Put the heat and desiccant agent: 12 grams of gypsum, 20 grams of silver flower,