內傷發熱的中醫療法

Traditional Chinese Medicine Treatment on Fever Caused by Internal Injury

曹永昌(Tsao Yun Tson) ； 林高士(Gao-Shih Lin)

《台灣中醫臨床醫學雜誌》 17卷1期 (2011/03) Pp. 67-86

https://doi.org/10.6968/TJCCM.201103.0067

摘要

內傷發熱是因爲肝經鬱熱、中氣不足、氣血陰精虧虛以及痰濁水飲瘀等病理產物停留，導致臟腑功能失調而引起發熱。病因包括情志、飲食、勞倦、稟賦、久病、外傷出血等。病機則爲臟腑功能失調，氣血陰陽虧虛。臨床表現一般起病較緩，病程較長。多表現爲低熱，但有時也可以是高熱。辨證論治可分爲：氣鬱發熱－丹梔逍遙散加減治之；瘀血發熱－血府逐瘀湯加減治之；濕阻發熱－三仁湯加減治之；氣虛發熱－補中益氣湯加減治之；血虛發熱－歸脾湯加減治之；陰虛發熱－清骨散加減治之；陽虛發熱－金匱腎氣丸加減治之。

關鍵字

內傷發熱 ； 陽虛 ； 陰虛

並列摘要

Fever caused by internal injury is the product of stagnant liver heat, insufficient middle qi, deficiency of qi, blood and essence, and obstruction of phlegm and blood stasis that result in the disharmony of internal organs. The etiology includes emotional stress, diet, fatigue, heredity, chronic condition, and bleeding due to external injury. The mechanism includes disharmony of internal organs and deficiency of qi, blood and essence. The clinical manifestations are chronic onset and longer course of disease. Common symptoms include low fever, but sometimes high fever. Treatment based on pattern differentiation includes: modified DanZhiXiaoYaoSan for stagnant liver qi; modified XueFuZhuYuTang for blood stasis; modified SanRenTang for obstruction of dampness; modified BuZhongYiQiTang for deficiency of qi; modified GuiPiTang for deficiency of blood; modified QingGuTang for deficiency of Yin; modified JinKuiShenQiWan for deficiency of Yang.

並列關鍵字

Fever caused by internal injury ； yang deficiency ； yin deficiency