浅谈温病治疗中的“存津液”

“存得一分津液,便有一分生机”是温病学家长期临床实践的经验总结,在温病各个阶段中,由于温邪极易化燥伤津,只有重视保存津液,才能取得满意疗效。本文分别就“何谓‘津液’”、“津液与温病之关系”、“温病伤津之表现”、“顾护津液——温病治疗要领”、“温病保津存阴诸法”等5个方面加以阐述。温病初期阶段,以清邪为主,但应注意避免损耗津液;极期阶段,治疗仍以清邪为主,但还应适当加用养阴生津之品,以补充被损耗之津液;后期阶段,由于津液历受温邪戕害,此时救阴即为急务。即温病的治疗,从初期阶段经极期阶段至后期阶段,用药从清邪为主、存阴为辅渐转为存阴为主、清邪为辅,切实做到护津液于未伤,养阴津于己耗,救真阴于将竭。

On Preservation of Body Fluids in the Treatment of Seasonal Febrile Diseases

Through many years of clinical experience, specialists studying seasonal febrile disease pointed out: "There is a bit more body fluid preserved, there is a chance of survival." So, to preserve body fluid is of great significance in treating seasonal febrile diseases. This article focuses on the following: 1) the definition of body fluid; 2) the relation between body fluid and seasonal febrile diseases; 3) the clinical manifestation of body fluid consumption in seasonal febrile diseases; 4) the principle of treating seasonal febrile diseases--to preserve body fluid; 5) methods of preserving body fluid. In the treatment, different therapeutic methods should be applied during different stages: to preserve body fluid at the early stage, to nourish yin and body fluid at the later and, to save and nourish kidney-yin at the critical stage.