Analysis On "Warm Pathogen Transforming Into Heat Is The Fastest" From Treatise On Epidemic Febrile Diseases And Its Application In Diagnosis And Treatment

"warm pathogen transforms into heat fastest" is the incisive summary of pathogen's characteristic in Treatise on Epidemic Febrile Diseases by Ye Tianshi.By contacting and analyzing the context,different versions,other works of Ye Tianshi and physicians' point of view,it is concluded that "transforms into heat fastest" should be interpreted as being fast both in the transformation into heat syndrome and the progress of disease,and it referred to different phases of the febrile disease,the manifestations of the related syndromes are very distinct.By referring to ancient documents and modern medical knowledge,and deeply analyzing them,the reason of"transforms into heat fastest" is closely connected to factors such as special properties of warm pathogen,the morbidity characteristics of warm disease,the internal and external environment,the state of struggle between the vital qi and the pathogenic factors,the special pathological change of heart,liver and large intestine in the course of warm disease,the emergence of stagnated heat and some types of endowment deficiency.When the reason of "transforms into heat fastest" is found out,particularly some of the acute infectious diseases in the clinic which belong to acute warm disease,more effective and pertinent guidance for syndrome differentiation and treatment in warm disease can be provided.If the patient has any symptoms which are consistent with the pathogenesis and the types of constitution that can cause "warm pathogen transforms into heat fastest",it is necessary to pay more attention and take therapeutic measures in advance.Corresponding therapeutic principle and method and prescription can be put forward one by one pertinently from analyzing the reason of"transforms into heat fastest",such as prevention of disease,eliminating warm pathogen early,protecting the heart and tranquilizing the mind,calming the liver and extinguishing wind,nourishing yin to relieve inflammation or internal heat,purgating fu-organs to eliminate heat,out-thrusting evils and clearing stagnated heat by documents related to ancient warm diseases and clinical experience of famous doctors.The thought of treatment that truncating the progress of disease and treating before syndrome appear is pivotal;it can be applied in accordance with the actual situation in the treatment of clinically acute infectious diseases to prevent the production of"warm pathogen transforms into heat syndrome fastest"or to reduce the extent as much as possible,and it is beneficial to the treatment and recovery of the disease.Although warm pathogen is a kind of cause of disease,its " transform into heat syndrome" include being fast both in the transformation into heat syndrome and the progress of disease.Therefore,"warm pathogen transforms into heat syndrome fastest" is not only a summary of the characteristics of warm pathogen,but also closely related to the characteristics of warm pathogen and clinical manifestation,so it is referred to different phases of the febrile disease and covers the whole process of the occurrence,development and transmission of febrile diseases,fully embodies and explains the particularity of the febrile disease.Accordingly,by analyzing the excerpt"warm pathogen transforms into heat syndrome fastest",it can not only understand the particularity of the febrile disease more deeply,and what's more,put forward corresponding therapeutic principle and method to pertinently guide syndrome differentiation and treatment in acute warm disease,it's of significant value to enrich theory about the science of epidemic febrile disease of traditional Chinese medicine and develop theoretical system of syndrome differentiation and treatment in warm disease.