风温病
目录
风温病的治疗
初起病在卫分及气分,治宜辛凉透表,方用银翘散、麻杏石甘汤、千金苇茎汤等加减。
如见高热神志昏迷,手足瘈疭,脉数疾者,为热盛劫津,逆传心包,营血受灼,肝风内动。宜清营泄热,平肝息风,用羚角钩藤汤、犀角地黄汤、清营汤、至宝丹、紫雪丹、安宫牛黄丸等。
如正气大伤,而见虚脱者,急宜回阳固脱,用参附龙牡合生脉散。一说本证即春温之重者(见《医碥》卷二)。
概述
风温病(wind-warm disorder、wind-warm disease)为病名。是指感受风热病邪引起的温病。见《温热经纬·叶香岩三时伏气外感篇》。《温病条辨·上焦篇》:“风温者,初春阳气始升,厥阴行令,风夹温也。”多发于冬春二季。
风温病的症状
风温病的辨证分型
风温·邪犯肺卫证
风温·邪犯肺卫证(wind-warm disease with syndrome of pathogen invading lung-defense phase)是指风温初起,邪犯肺卫,以发热,微恶风寒,无汗或少汗,头痛,咳嗽,口微渴,舌边尖红,苔薄白,脉浮数等为常见症的风温证候。
风温·邪热壅肺证
风温·邪热壅肺证(wind-warm disease with syndrome of pathogenic heat congesting lung)是指风温化热入里,热壅肺经气分,以身热,汗出,烦渴,咳喘,或胸闷胸痛,舌红苔黄,脉数等为常见症的风温证候。
风温·痰热结胸证
风温·痰热结胸证(wind-warm disease with syndrome of chest-binding by phlegm-heat)是指邪热内传,与痰互结于上焦胸脘,以身热面赤,渴欲饮凉,饮不解渴,得水则呕,按之胸下痛,便秘,苔黄滑,脉洪数等为常见症的风温证候。
风温·肺热发疹证
风温·肺热发疹证(wind-warm disease with syndrome of eruption due to lung heat)是指肺热内盛,外透肌肤,以身热,肌肤红疹,咳嗽,胸闷,舌红,苔薄黄,脉数等为常见症的风温证候。
风温·热炽阳明证
风温·热炽阳明证(wind-warm disease with syndrome of blazing heat in Yangming Channel)是指风温邪盛,热炽阳明,以壮热,恶热,汗大出,渴喜冷饮,苔黄而燥,脉浮洪或滑数等为常见症的风温证候。
风温·热结肠腑证
风温·热结肠腑证(wind-warm disease with syndrome of heat binding in intestine)是指肺热移肠,热结肠腑,以日晡潮热,时有谵语,大便秘结,或纯利恶臭稀水,肛门灼热,腹部胀满硬痛,苔黄而燥,甚则灰黑而燥,脉沉有力等为常见症的风温证候。
风温·胃热伤阴证
风温·胃热伤阴证(wind-warm disease with syndrome of stomach heat injuring yin)是指胃热炽盛,耗伤阴液,以身热自汗,面赤,神昏,身重难以转侧,喜睡,鼻鼾,语言不利,苔黄燥,脉数等为常见症的风温证候。
风温·热陷心包证
风温·热陷心包证(wind-warm disease with syndrome of heat invading pericardium)是指风温热盛,内陷心包,以身灼热,肢厥,神昏谵语,或昏愦不语,舌謇,舌鲜绛,脉细数等为常见症的风温证候。
风温·神闭腑实证
风温·神闭腑实证(wind-warm disease with syndrome of spirit blockade and fu-viscera excess)又称风温·热入心包,阳明腑实证,是指热入手厥阴心包,与手阳明大肠俱病,以身热神昏,舌謇,肢厥,便秘,腹部按之硬痛,舌绛,苔黄燥,脉数沉实等为常见症的风温证候。
风温·内闭外脱证
风温·内闭外脱证(wind-warm disease with syndrome of internal blockade and external collapse)是指邪盛正虚,或汗下太过,阴液骤损,以身热,神昏不语,倦卧,或兼汗多气短,脉细无力;或兼面色苍白,汗出淋漓,四肢厥冷,脉微细欲绝等为常见症的风温证候。
风温·余邪伤阴证
风温·余邪伤阴证(wind-warm disease with syndrome of yin injury by lingering pathogen)是指风温余邪未净,肺胃阴伤,以低热或不发热,干咳或痰少而黏,口舌干燥而渴,舌干红,少苔,脉细等为常见症的风温证候。
风温·寒包火证
风温·寒包火证(wind-warm disease with syndrome of cold enveloping fire)又称风温伤寒,风温兼寒,是指伏气温病,外感风寒,或天时温暖,复感风寒,郁而暴发,以初起头痛身热,微恶风寒,继则灼热自汗,咳嗽渴烦,尺肤热甚,剧则鼻鼾多眠,语言难出,手足瘛疭,面若火熏,或初起头痛恶风,恶寒无汗,继即身热咳嗽,烦渴自汗,咽痛喉肿等为常见症的风温证候。