晏军治疗不明原因发热经验

于明霞; 晏军; 侯爱华; 王延科; 吕明圣; 田思强

doi:10.16367/j.issn.1003-5028.2021.11.0377

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晏军治疗不明原因发热经验

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晏军治疗不明原因发热经验
Yan Jun's Experience of Treating Unexplained Fever
1.北京中医药大学枣庄医院，山东　枣庄　277000
2.北京中医药大学东直门医院，北京　100102
3.北京中医药大学第三附属医院，北京　100102
DOI：10.16367/j.issn.1003-5028.2021.11.0377

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于明霞, 晏军, 侯爱华, 等. 晏军治疗不明原因发热经验[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16367/j.issn.1003-5028.2021.11.0377

YU Ming-xia, YAN Jun, HOU Ai-hua, et al. Yan Jun's Experience of Treating Unexplained Fever[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16367/j.issn.1003-5028.2021.11.0377
于明霞, 晏军, 侯爱华, 等. 晏军治疗不明原因发热经验[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16367/j.issn.1003-5028.2021.11.0377 DOI：

YU Ming-xia, YAN Jun, HOU Ai-hua, et al. Yan Jun's Experience of Treating Unexplained Fever[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16367/j.issn.1003-5028.2021.11.0377 DOI：

摘要

晏军主任医师认为，辨证分期治疗不明原因发热需因时、因地、因人制宜，通过和解少阳，从调理气机、扶正祛邪、滋阴清热三期论治。晏老师认为，初期重视调理气机，不仅调畅周身气机，还调理“肺”之气机、“脾胃”中轴之气机，故给予小柴胡汤、逍遥散等方剂疏导少阳之气机，给予小青龙汤开痰壅，畅肺之气机，给予六君子汤调和脾胃气机；中期扶正祛邪兼施，常用补中益气汤、青蒿鳖甲汤；后期重视滋阴，通过滋阴液，补肾水来降阴虚火旺所致虚火，方用生脉散、沙参麦冬汤、金水六君煎、一贯煎等。此外，晏老师还常用白薇、玉竹等滋阴清余热。

Abstract

Yan Jun, chief physician, believes that the treatment of unexplained fever by syndrome differentiation and stages should be based on time, place and personal conditions. Through harmonizing lesser yang meridian, it should be treated in three stages: regulating ,qi, movement; strengthening healthy ,qi, to eliminate pathogenic factors; nourishing yin and clearing heat. According to Doctor Yan, in the early stage, we should pay attention to regulating ,qi, movement, not only regulating ,qi, movement of the whole body, but also regulating ,qi, movement of"the lung"and"spleen-stomach"axis. Therefore, Minor Bupleurum Decoction, Free Wanderer Powder, etc.can be used to disperse ,qi, movement of lesser yang meridian; Minor Green Dragon Decoction can be used to remove phlegm stagnation and dredge ,qi, movement of the lung; Six Gentlemen Decoction can be used to regulate ,qi, movement of the spleen and stomach. In the early stage, we should pay attention to strengthening healthy ,qi, to eliminate pathogenic factors. Therefore, Center-Supplementing and ,Qi,-Boosting Decoction, Sweet Wormwood and Turtle Shell Decoction can be used. In the later stage, we should pay attention to nourishing yin and supplement kidney water to reduce the deficiency fire caused by in deficiency with effulgent fire. Therefore, Pulse-Engendering Powder, Radix Adenophorae seu Glehniae and Radix Ophiopogonis Decoction, Metal Water Six Gentlemen Decoction, Effective Integration Decoction, etc.can be used. In addition, Doctor Yan often uses Baiwei (,Radix et Rhizoma Cynanchi Atrati,) and Yuzhu (,Rhizoma Polygonati Odorati,) to nourish yin and clear remaining heat.

关键词

不明原因发热调理气机扶正祛邪滋阴清热和解少阳晏军

Keywords

unexplained feverregulating qi movementstrengthening healthy qi to eliminate pathogenic factorsnourishing yin and clearing heatharmonizing lesser yang meridianYan Jun

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