从流行性出血热急性肾功能衰竭探瘀热水结证

本文根据临床实际提出了流行性出血热急性肾功能衰竭的一个最危重而常见的临床证型——瘀热水结证,认为本证是该病的病理重点所在.全文对瘀热水结证的立论依据、形成过程作了系统的阐述,着重指出本证的形成是以热毒为始动因素,以腑实为重要的病理环节,以蓄血为首要的病理基础,以水毒为关键的病理因素,以阴伤为主要的病理转归,而热毒、腑实、蓄血、蓄水、阴伤五者之间又往往互为因果、交错出现,形成病变机理上的复杂性.

Study on the Syndrome of Fluid Retention, Stagnant Heat and Blood Stasis in Acute Renal Failure of Epidemic Hemorrhagic Fever Lanjing College of TCM

On the basis of clinical practice, the syndrome of fluid retention, stagnant heat and blood stasis was recognized as the most common and critical type of acute renal failure in epidemic hemorrhagic fever. It is a cardinal feature of the pathologic change of this disease. In this paper, its conception, foundation and developmental process were discussed systematically. It was considered that evil heat was the starting element, bowel excessiveness the important pathological link,stagnant blood retention the first pathologic basis, water toxicity the key pathologic element and Yin deficiency the final pathologic outcome. As the five elements-evil heat, bowelexcessiveness, stagnant blood, fluid retention and Yin deficiency were intertwined and could interchangeably act as causes and effect-s,so the pathogenesis was rather complicated.