中华中医药杂志2026，Vol.41Issue(8)：2126-2131,6.
论中医外感热病学的重构
On the reconstruction of exogenous febrile disease in traditional Chinese medicine
摘要
Abstract
Exogenous febrile disease is a general term for a class of febrile diseases.In ancient Chinese medicine,'typhoid fever''warm disease''epidemic disease''seasonal disease',etc.can be attributed to the category of'exogenous febrile disease'.The reconstruction of the'exogenous febrile disease of traditional Chinese medicine'covers hot and difficult issues such as'unification of cold and temperature'and'relationship between Chinese and Western medicine'.This paper discusses the reconstruction of exogenous febrile disease from five aspects:the category,etiology,core pathogenesis,key elements of reconstruction of syndrome differentiation and treatment system,and basic treatment principles and methods.It is concluded that the category of exogenous febrile disease should cover all kinds of acute febrile diseases.The original'six evils' etiology theory is difficult to meet the clinical needs.The core pathogenesis of exogenous febrile disease can be summarized as'yang depression/deficiency of vital qi→qi-heat transmission/deficiency of vital qi→closed syndrome/deficiency of vital qi→removal of syndrome/deficiency of vital qi→collateral disease/deficiency of vital qi'.The key elements of the reconstruction of the discrimination system of exogenous febrile disease include'stage of disease,nature of disease and location of disease'.The basic treatment principles and methods are'eliminating evil method'and'strengthening the body resistance method',and should run through the whole course of the disease.The method of eliminating evil can be divided into giving the evil to the way out,directly resisting the disease,and giving the evil to the way out combined with the treatment of resisting the disease.关键词
外感热病学/热病/寒温统一/重构/伤寒/温病/疫病Key words
Exogenous febrile disease/Fever/Cold and warm unity/Reconstruction/Typnoid fever/Warm disease/Epidemic disease引用本文复制引用
陈腾飞,田晋豪,刘清泉..论中医外感热病学的重构[J].中华中医药杂志,2026,41(8):2126-2131,6.基金项目
北京市医院管理中心青年人才培养"青苗"计划(No.QML20231007),首都医科大学附属北京中医医院科技发展基金资助项目(No.LYZD202307) （No.QML20231007）
