浅析发热与汗出在温病发展过程中的关系

发热与汗出是临床上常见的症状,是中医问诊的重要内容。张景岳《十问歌》：“一问寒热二问汗”,把这两大症状放在病史采集的首要地位。在临床中,将因感受温热邪气而引起的、以发热为主症的急性外感热病称之为温病。发热几乎贯穿于温病的整个过程。外感温热病又以其病程中汗液变化之著而有“汗病”之称。辨别汗出的异常,对于了解温病病邪的深浅、病情的轻重以及机体正气津液的盛衰有极为重要的参考意义。由此看出,发热与汗出两大症状对于温病的诊断尤为重要。历代医家关于温病发热与汗出的机理研究颇多,涉及二者之间关系的研究却较少。探讨二者的关系对于把握温病病邪的性质及机体阴阳盛衰有极其重要的作用。本文对发热与汗出在温病发展过程中的关系展开讨论分析,有助于更深刻地研究温病在发生、发展中的机制与规律,更好的利用温病学理论辨证论治。

Relationship between Fever and Sweating in Development of Febrile Diseases

Fever and sweating are the most common clinical symptoms, which are important parts in the inquiry of traditional Chinese medicine (TCM). Just as Zhang Jingyue said, "Firstly inquire for cold and heat and secondly inquire for the sweating." It placed both symptoms as priorities in the collection of disease history. In the clinical practice, febrile diseases refer to acute exogenous diseases infected by warm evil with the main symptom of fever. And fever is almost throughout the entire process of febrile diseases. It is also known as "Han-Bing" for the visible variation of sweating in its entire disease process. It is important to identify the abnormality of sweating for the determination of the severity febrile diseases and the level of body fluid shortage. Therefore, two main symptoms for the diagnosis of febrile diseases are particularly prominent and important. The reasons of sweating and fever in febrile diseases have been explored so much but the relationship between them is less which is extremely essential to learn more about febrile diseases. So we are expected to explore this topic to make better use of theories of febrile diseases.