| Objective: Logic method,based on the theory of traditional Chinese medicine to build these causes by reviewing the ancient literature about hot type of pathogens and the content of the related theory,combined with the current scholars and the clinical data of modern medicine,the research progress of thermal type of pathogens and its related theory,the essence of the connotation,system building thermal class pathogens and its related theory,It provides theoretical reference for modern TCM diagnosis and treatment of heat and evil qi diseases.Methods: This research subject takes philology as the main research method,systematically combs the content of ancient documents about thermal evil and related theories with the method of historical analysis,and grasses its origin and development context.By the method of inductive analysis,this paper discriminates the essence of heat and its related theories,and systematically combs out and summarizes.Referring to the clinical data of modern medicine,further explore the connotation of heat evil and related theories.Content: This research topic is mainly divided into three parts: 1.Sort out the semantic analysis of heat evil and related words,and summarize the concept and connotation of heat evil in Chinese medicine.2.Based on the baseline of historical development,systematically comb the contents of ancient literatures on thermal evil and related theories,and make discrimination.This paper analyzes the related treatises in various historical periods and points out the shortcomings of their understanding and the development of theoretical substance.Summarize the contribution and limitation of ancient medical scholars on heat and its related theories.3.Based on the understanding of ancient medical experts,systematic construction of heat evil and related theories.To summarize the etiological properties,specific classification,pathogenic characteristics and basic pathogenesis of heat evil,and build the basic part of its theoretical framework.Combined with the current scholars and the related clinical data of modern medicine,comparative analysis of the similarities and differences of thermal class evil,hot class evil disease syndrome and heat syndrome and the correlation of thermal class pathogens and modern medical infectious disease and hemorrhagic fever disease,infectious disease and hemorrhagic fever heat related diseases,the correlation of further extension real hot class evil essence connotation and its related theory.On this basis,the shortcomings and prospects of this research are pointed out.Conclusion: 1.Heat evil includes heat evil(heat toxin,heat epidemic disease),warm evil(heat toxin,heat epidemic disease)and heatstroke.Among them,thermal evil and thermal evil belong to biological pathogenic factors.It is the climatic characteristic of summer and summer,which has seasonal characteristics and is a physical pathogenic factor.The etiological properties of the three are clearly distinguished.2.The common pathogenic characteristics of heat pathogenic factors,warm pathogenic factors and heat intoxication are consumption of qi and injury of fluid.The difference between the three pathogenic characteristics lies in that heat evil also has the pathogenic characteristics of storage abscess,body damage,blood damage and forced blood.It also has the pathogenic characteristic of consuming blood and moving blood.Sunstroke also has the characteristics of blocking qi and disturbing the mind.3.Heat pathogenic factors,warm pathogenic factors and heatstroke have their own basic pathogenesis.Among them,the basic pathogenesis of heat pathogen transmission law is qi component-blood component;The pathogenesis of lukewarm pathogenic changes were wei Qi ying blood changes and three jiao changes;The basic pathogenesis of heatstroke is in qi fen.Therefore,heat evil,warm evil and the syndrome of summer lust all have the symptoms of qi fen heat syndrome.4.Heat syndrome is closely associated with heat syndrome in the category of pathogenesis.But the two theory category is different,the boundary is clear.In terms of the connotation of heat syndrome in the category of pathogenesis,heat syndrome caused by heat evil is one of its components.Therefore,the relationship between the heat syndrome and the heat syndrome in the category of pathogenesis is that of inclusion and inclusion.5.Heat type evil qi disease has specific symptoms.Among them,the characteristic manifestation of heat pathogenic disease is carbuncle pus formation;The specific manifestations of warm pathogenic syndrome are bleeding spots.The specificity of the syndrome is sudden coma.6.Referring to the clinical data of modern medicine,heat pathogenic diseases are equivalent to infectious suppurative diseases;Febrile pathogenic syndrome is equivalent to infectious hemorrhagic disease,which generally belongs to the category of febrile disease in traditional Chinese medicine.The syndrome is equivalent to heat-related diseases,with heat onset as the precursor of heat stroke,injury as heat exhaustion,and heat stroke as heat syncope.Heat stroke,which is mainly manifested by central system injury accompanied by severe coagulation dysfunction and DIC and other multi-system dysfunction,is not in the scope of heatstroke syndrome,which is the limitation of understanding the progression of heat stroke disease in Traditional Chinese medicine. |