南京中医药大学学报2026，Vol.42Issue(5)：651-658,8.DOI:10.14148/j.issn.1672-0482.2026.0651
从热-痰-瘀-虚病机演进探析外感热病截断扭转策略
Exploring the Interception-Reversal Strategy for Exogenous Febrile Diseases:Based on the Progression from Heat to Phlegm,Stasis,and Deficiency
摘要
Abstract
Exogenous febrile diseases are characterized by sudden onset and rapid transmission,necessitating proactive interven-tion to prevent further progression.The intercepting and reversing strategy emphasizes predictive diagnosis and proactive treatment,aiming to interrupt the causative factors and reverse the disease trajectory through early and potent measures,thereby breaking the chain of disease transmission.Based on this theory,this article systematically reviews the pathogenetic evolution of exogenous febrile diseases centered on the sequential interplay of heat,phlegm,stasis,and deficiency.In the initial stage,intense heat consumes body fluids;subsequently,heat congeals fluids and blood,leading to the interlocking of phlegm and stasis;then phlegm and stasis generate further pathological changes,stirring wind and blocking the orifices;in the terminal stage,healthy qi is depleted while pathogenic fac-tors linger,resulting in protracted and recurrent illness.In response to this pathogenetic chain,a stepwise intervention strategy is pro-posed:expelling pathogens and protecting yin to block transmission,simultaneously resolving phlegm and stasis to dissolve their cohe-sion,dredging collaterals and calming wind to prevent complications,and reinforcing healthy qi while dispelling pathogens to eliminate residual evils.This multilayer,interlocking approach elevates the therapeutic paradigm from"intercepting based on manifest symp-toms"to"preemptive interception based on pathogenetic mechanisms",providing an integrated pattern differentiation and treatment system for the clinical management of exogenous febrile diseases throughout their entire course.关键词
外感热病/热-痰-瘀-虚/病机传变/截断扭转/祛邪护阴/痰瘀同治/搜络息风/扶正透邪分类
医药卫生引用本文复制引用
严怡婷,殷籽晗,刘仲书,朱平,张彦亮,杨进,瞿旻晔,魏凯峰..从热-痰-瘀-虚病机演进探析外感热病截断扭转策略[J].南京中医药大学学报,2026,42(5):651-658,8.基金项目
国家自然科学基金青年科学基金项目(82405261) （82405261）
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]239号) （国中医药人教函[2022]239号）
国家中医药管理局高水平中医药重点学科建设项目(国中医药人教函[2023]85 号) （国中医药人教函[2023]85 号）
全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号) （国中医药人教函[2022]75号）
江苏省自然科学基金(BK20230449) （BK20230449）
江苏省名老中医药专家传承工作室建设项目(苏中医科教[2021]7号) （苏中医科教[2021]7号）
江苏省中医温病研究工程研究中心(GJZL202402) （GJZL202402）
云南省中医临床优秀人才研修项目(第一批) （第一批）
