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从《温病条辨·上焦篇》第16条探讨"太阴温病"之误诊误治

田玉肖 陈聪文 孙维旭

临床误诊误治2025,Vol.38Issue(6):28-32,5.
临床误诊误治2025,Vol.38Issue(6):28-32,5.DOI:10.3969/j.issn.1002-3429.2025.06.006

从《温病条辨·上焦篇》第16条探讨"太阴温病"之误诊误治

Exploration of Misdiagnosis and Mistreatment of "Taiyin Febrile Disease"from Article 16 of Shangjiao Section of the"Treatise on Differentiation and Treatment of Epidemic Febrile Diseases"

田玉肖 1陈聪文 1孙维旭2

作者信息

  • 1. 450046 郑州,河南中医药大学第二临床医学院
  • 2. 450046 郑州,河南中医药大学第二临床医学院||457003 河南濮阳,河南中医药大学附属濮阳市中医医院肺病科
  • 折叠

摘要

Abstract

Objective Article 16 of Shangjiao Section of "Treatise on Differentiation and Treatment of Epidemic Fe-brile Diseases" mainly introduces the misdiagnosis and mistreatment of"Taiyin febrile diseases".According to the theories of Ye Tianshi,Wu Jutong,and Zhao Shaoqin,Taiyin febrile disease is a febrile disease with obvious respiratory symptoms,which is also a common and frequently-occurring disease in clinical practice.Because Taiyin febrile disease is also accompa-nied by "fever,aversion to cold,no sweating",it is often misdiagnosed as typhoid fever,which is usually mistakenly treated with Xinwen Jiebiao Fahan drugs.Therefore,it is necessary to distinguish typhoid fever and febrile disease.If the sweat meth-od is used to treat "Taiyin febrile diseases",in addition to causing freckles,rash,and even dizziness and delirium,reverse transmission to the pericardium,for those who do not sweat too much,there may be an illusion of improvement.Through in-depth analysis of this provision,it has certain guiding significance in clinical practice for improving the ability of differential diagnosis,reducing misdiagnosis and missed diagnosis,and improving curative effect.

关键词

温病条辨/太阴温病/误诊/伤寒/逆传心包/诊断,鉴别/治疗失误

Key words

Treatise on Differentiation and Treatment of Epidemic Febrile Diseases/Taiyin febrile disease/Misdiag-nosis/Typhoid fever/Reverse transmission to the pericardium/Diagnosis,differential/Therapeutic errors

分类

医药卫生

引用本文复制引用

田玉肖,陈聪文,孙维旭..从《温病条辨·上焦篇》第16条探讨"太阴温病"之误诊误治[J].临床误诊误治,2025,38(6):28-32,5.

基金项目

国家中医药管理局第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号) (国中医药人教函[2022]1号)

河南省中医药传承与创新人才工程(仲景工程)中医药拔尖人才(豫卫中医函[2021]15号) (仲景工程)

临床误诊误治

1002-3429

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