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“因毒生热”——毒热理论体系的构建与发展

Construction and Development of Toxin Heat Theory: Heat Produced by Toxin
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摘要 通过阐述中医学毒与热的含义、毒热理论的形成与发展,毒热物理、生物、化学的演变过程,探讨毒热的来源、病因病机。毒热比热毒的范围更广,毒、热可互为因果,互相转化;其病因为因毒而热,病机或为玄府闭塞,寒郁化热;或伏邪蕴蓄,化毒生热;或杂气瘟疫,感毒化热;或毒邪内生,热发于外。中医"毒热"理论与毒热的现代生物学研究彼此深度融合,毒热理论可用于理解指导治疗现代临床疾病。临床实践中,不应将西医炎性疾病同中医的"热毒"相等同,可将其放在中医"毒热"的理论体系框架中,根据毒热具体的病因病机,审证论治。 The present study explores the origin of toxin heat theory, and its etiology and pathogenesis by expounding the meaning of toxin and heat in traditional Chinese medicine(TCM),its formation, developmentand the evolution process from physics, biology and chemistry. Compared with heat-toxic theory, we believe that toxin heat theory encompasses a wider range of comprehensive concepts, the cause of which is heat due to toxin. Its pathogenesis may be the invasion of cold evil, occlusion of Xuanfu, heat produced by stagnationor suffering external toxic evil, latent occurringor toxin heat caused by implication of evil Qi and plagueor heat produced by endogenous toxicity. Besides, it is worthy to note that the concept and understanding of the toxin heat theory is consistent with its modern biological basis. Moreover, we also point that it should be avoided to mechanically equate the inflammatory disease in western medicine with the heattoxin theory in TCM, but should be considered in the framework of toxin heat theory in the clinic. At last, the specific therapy can be carried out according to the specific pathogenesis and pathogenesis of toxin heat.
作者 周琪 夏士林 刘建均 庞敏 于睿 尚东 白长川 ZHOU Qi;XIA Shilin;LIU Jianjun;YU Rui;PANG Min;SHANG Dong;BAI Changchua(Institute of Integrative Medicine,Dalian Medical University,Dalian 116000,Liaoning,China;Abdominal Emergency Surgery,The First Affiliated Hospital of Dalian Medical University,Dalian 116011,Liaoning,China;Laboratory of Integrative Medicine,The First Affiliated Hospital of Dalian Medical University,Dalian 116011,Liaoning,China;The Second Affiliated Hospital,Liaoning University of TCM,Shenyang 110034,Liaoning,China;Liaoning University of TCM,Shenyang 110847,Liaoning,China)
出处 《中华中医药学刊》 CAS 北大核心 2019年第7期1702-1705,共4页 Chinese Archives of Traditional Chinese Medicine
基金 国家自然科学基金面上项目(81873156) 国家自然科学基金青年科学基金项目(81703871) 全国名中医传承工作室建设项目(辽中医药函字[2018]76号) 辽宁省自然科学基金计划重点项目(20170520408) 辽宁省自然科学基金指导计划项目(2018010780-301) 辽宁省博士科研启动基金指导计划项目(20170520408).
关键词 毒热理论 toxin heat toxin heat theory
作者简介 周琪(1994-),女,四川达州人,硕士研究生,研究方向:中西医结合治疗胆胰腺疾病;通讯作者:白长川(1944-),男,辽宁大连人,主任医师,首届百名全国名中医,全国第三、第四、第六批老中医专家学术经验继承指导老师,研究方向:中医内科。E-mail:bcc_clinic@163.com.
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