论外感风热与虚热外感之别.PDFVIP

28 JOURNAL OF CHINESE MEDICINE IN THE UK MARCH 20 14 Volume 3 Issue 1 学术探讨 论外感风热与虛热外感之别 Discussion on the differentiation between external contraction of wind-heat” and deficiency heat and external contraction” 李宇铭 LEE Yu-ming 【摘要】临床上常将 “虚热外感”误诊为 “外感风热”，两者诊 治大有不同。典型外感风热必见发热，若见咽痛则反映热入阴分； 【编者按】本刊承蒙香港中文大学 虚热外感则是在虚热基础上感受风寒，其咽痛乃是内伤所生。两 中医学院讲师李宇铭博士惠投 “论外感 者的鉴别，咽痛的出现先后以及咽痛特点并不相同；而且虚热外 风热与虚热外感之别”一稿，在编辑过 程中，总编审朱步先先生和主编王友军 感的治法并非只有养阴解表，可有多种治法。临床上甚少见到典 先生就 博士文中的一些内容提出了商 型外感风热，当与城市人体质偏虚有关。 榷意见。编辑部与作者进行了沟通探讨， 【关键詞】感冒；外感；风热；虚热；《伤寒论》；《温病条辨》 其中的争鸣颇能启发思考，因此，在征 得 博士的同意后，特将讨论内容一并 Abstract: Misdiagnosis usually happens when deficiency heat and 刊发于此，以飨读者。这也是我们对学 external contraction” was misidentified as external contraction of 术探讨形式的一种新尝试，并欢迎读者 wind-heat” clinically, of which the diagnosis and treatment has great 反馈自己的意见和见解。 difference. Typical external contraction of wind-heat” always causes a fever, if sore throat happens, it means heat evil has gone into the Yin 主编：作者本文意欲纠正临床治疗 aspect; deficiency heat and external contraction” is caused by 外感证时见咽痛不加详辨即按风热证用 wind-cold which occur on the base of deficiency heat, and the sore 清解法治疗的弊端，应该是有很积极的 throat is due to internal damage. For differential diagnosis, the 实际意义的，所列验案敢于宗古法以大 characteristics and the onset time of sore throat are different. The 剂经方获得捷效，颇值得称赞。但就理 method of treatment for deficiency heat and external contraction” is 论解释的立论和论证的切入角度来看， not only to release the exterior with yin-tonifying, but there are also 却存在很大问题。具体说理时，有多处 many othe