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林培政教授从“暑湿”论治成人风疹病毒性脑炎验案
何灵玲1, 彭皓均1,2,3, 吴彦4, 沈强2,3, 刘亚敏2,3, 吴智兵2,3, 林培政2,3
1.广州中医药大学第一临床医学院, 广州 510403;2.广州中医药大学第一附属医院脑病科, 广州 510405;3.广州中医药大学温病学教研室, 广州 510405;4.暨南大学附属黄埔中医院医保科, 广州 510700
摘要:
成人风疹病毒性脑炎是风疹病毒感染的少见并发症,是一种累及神经系统的罕见病,目前发病机制尚未明确,尚无特异治疗,西医以抗病毒、抗炎、增强免疫力等治疗为主。林培政教授以温病理论为指导,结合患者发病特点,辨病为暑湿病,辨证先后属暑湿弥漫三焦、困阻中下焦、暑湿伤气,分别以清暑化湿、宣通三焦,清暑化湿、健脾化湿消积,清暑化湿、培元和中为法,完全治愈1例成人风疹病毒性脑炎患者,无任何后遗症,疗效确切。
关键词:  风疹病毒性脑炎  温病  暑湿  林培政
DOI:10.11656/j.issn.1672-1519.2021.04.21
分类号:R511.2
基金项目:林培政广东省名中医传承工作室项目(211020030624);广州中医药大学2017年教育研究课题(A3-0433-171-035)。
Professor LIN Peizheng treated adult rubella viral encephalitis from the perspective of “summer-heat and damp”
HE Lingling1, PENG Haojun1,2,3, WU Yan4, SHEN Qiang2,3, LIU Yamin2,3, WU Zhibing2,3, LIN Peizheng2,3
1.The First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510403, China;2.Department of Encephalopathy, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China;3.Teaching and Research Office of Febrile Diseases, Guangzhou University of Chinese Medicine, Guangzhou 510405, China;4.Department of Medical Insurance, Huangpu Hospital of Traditional Chinese Medicine Affiliated to Jinan University, Guangzhou 510700, China
Abstract:
Adult rubella viral encephalitis is a rare complication of rubella virus infection,is a rare disease involving the nervous system,the pathogenesis has not yet been clear,no specific treatment. Its treatment focus on antiviral,anti-inflammatory,enhance immunity and other treatment. Professor LIN Peizheng,is guided by the theory of warm disease,combining the characteristics of the patient's disease,and distinguished the disease as summer dampness. The syndrome differentiation was successively belong to summer-heat and damp diffused three energizer,trapped in the middle and lower energizer,summer-heat and damp damaged qi. The method of clearing away heat and dampness,regulating triple energizer;clearing away heat and dampness,invigorating spleen and removing dampness and accumulation;clearing away heat and dampness,cultivate yuan qi and spleen respectively were used to completely cure an adult patient with rubella virus encephalitis without any sequelae.
Key words:  rubella viral encephalitis  warm disease  summer-heat and damp  LIN Peizheng
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