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从流行性出血热急性肾功能衰竭探瘀热水结证 被引量:3

Study on the Syndrome of Fluid Retention, Stagnant Heat and Blood Stasis in Acute Renal Failure of Epidemic Hemorrhagic Fever Lanjing College of TCM
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摘要 本文根据临床实际提出了流行性出血热急性肾功能衰竭的一个最危重而常见的临床证型——瘀热水结证,认为本证是该病的病理重点所在.全文对瘀热水结证的立论依据、形成过程作了系统的阐述,着重指出本证的形成是以热毒为始动因素,以腑实为重要的病理环节,以蓄血为首要的病理基础,以水毒为关键的病理因素,以阴伤为主要的病理转归,而热毒、腑实、蓄血、蓄水、阴伤五者之间又往往互为因果、交错出现,形成病变机理上的复杂性. On the basis of clinical practice, the syndrome of fluid retention, stagnant heat and blood stasis was recognized as the most common and critical type of acute renal failure in epidemic hemorrhagic fever. It is a cardinal feature of the pathologic change of this disease. In this paper, its conception, foundation and developmental process were discussed systematically. It was considered that evil heat was the starting element, bowel excessiveness the important pathological link,stagnant blood retention the first pathologic basis, water toxicity the key pathologic element and Yin deficiency the final pathologic outcome. As the five elements-evil heat, bowelexcessiveness, stagnant blood, fluid retention and Yin deficiency were intertwined and could interchangeably act as causes and effect-s,so the pathogenesis was rather complicated.
作者 周珉
机构地区 南京中医学院
出处 《中国中医急症》 1994年第2期69-71,共3页 Journal of Emergency in Traditional Chinese Medicine
关键词 流行性出血热 肾功能衰竭 瘀热水结 Epidemic hemonhagic fever Acute renal failure Syndrome of fluid rentention. stagnant heat and blood stasis
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参考文献4

  • 1周珉,周仲瑛.泻下通瘀合剂对大鼠缺血性急性肾衰的影响[J].中国药科大学学报,1991,22(5):289-291. 被引量:4
  • 2王今知,彭乐康,万华明,王永高,巫振欧.流行性出血热73例死亡病例临床分析及治疗探讨[J]湖北医学院学报,1983(02).
  • 3周筱齋.温热顾阴的涵義和临証实用[J]江苏中医,1961(07).
  • 4(明)吴有性 原著,浙江省中医研究所 评.《温疫论》评注[M]人民卫生出版社,1977.

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