摘要
本文从病因、发病机理、临床特点等方面分析,认为厥阴病类似于暴发性肝功衰竭(FHF)。由三阳经病误治、失治而成的厥阴病其辨证与FHF时肝性脑病及肝肾综合征的临床特点基本相同。厥阴病的辨证纲要所反映的证候与FHF时所见水、电解质、酸硷平衡失调并发胰腺炎的临床表现也相类似。厥阴病在阴阳消长、正邪相争的过程中,出现厥热往来的病理机转与FHF时内毒素引起的急性型DIC相比也无多大的差别。指出血胆红素、白蛋白、凝血酶原时问和C_3的定量检测;血小板、纤维蛋白原、优球蛋白溶解时间的检查;脑电图、半乳糖清除能力、血浆胆固醇含量的分析,有助于厥阴病辩证的客观化和计量化,并可指导临床治疗。
It is considered that Jueyin disease offers a close analogy with hepatic failure (HF) in point of cause, pathogenesis and clinical manifestations. Jueyin disease, which develops from thr ee-y an g-channel disease because of erroneous treatment or lack of proper treatment, is very much like hepatic encephalopathy and hepatorenal syndrome. Manifestations of jueyin disease have much analogy with those of HF. For instance, there may be hydroelectrolyte disturbance, acidosis and alkalosis, and complicated pancreatitis. The mechanism of alternating episodes of cold and heat is also about the same as the acute DIC caused by endotoxin in HF. It is indicated that detection for bilirubm, albumin, prothrombin time and C_3 quantitative determination test for platelet, fibrinogen, euglobulin lysis time, electroencephalogram, galactolose elimination capacity and plasma cholesterol content are conducive to objectivity and standardization of zfeeny-differentiation for jueyin disease, and to its clinical treatment.
关键词
厥阳病
病理
诊断
中国医药学
JUE YIN DISEASES/pathogenesis (TCM)
JUE YIN DISEASES/diagnosis
INTEGRATED TCM-WM
