从内伤发热论颅脑手术后非感染性发热的中医辨证

Discussion on traditional Chinese medicine syndrome of non-infectious fever after neurosurgery based on internal injury fever theory

关键词:  颅脑手术  内伤发热  中医辨证

Key words:  differentiation of body and syndrome  non-infectious fever after neurosurgery  traditional Chinese medicine

摘要:

发热是颅脑手术后常见并发症，除可明确病因的感染性发热，非感染因素亦可导致术后发热。此类发热在中医学可归于内伤发热，大体分为虚、实、情志因素3类。属虚者包括气虚、阳虚、血虚、阴虚，其基本病机为元气亏虚、阴血津液不足而生虚热；为属实者包括瘀血、浊积、邪毒等，其基本病机为血、痰、湿等壅遏体内，郁而化热；情志郁结也可化热。颅脑手术后非感染性发热患者的治疗主要以物理降温及对因治疗为主，药物疗效差，故笔者希望对此类发热的中医辨证进行探讨，对此类病症的临床治疗起到一定辅助作用，帮助患者术后康复，提升患者生活质量。

Abstract:

Fever is a common complication after craniotomy operations. It can be caused by infectious or non-infectious factors. This non-infectious fever could be classified as internal injury fever in traditional Chinese medicine(TCM),and it generally caused by deficiency,solid and emotional factors. The basic pathogenesis of deficiency is deficiency of yang,deficiency of blood,deficiency of yin,which results in deficiency of energy and body fluid. Another reason is solid,including pathogenesis of blood,phlegm,dampness blocking the body. Emotional depression can also be turned into heat. Treatments for patients with non-infectious fever after craniotomy are mainly physical cooling and treatment based on the cause of treatment,but effects are not that satisfact. Therefore,we hope to discuss the TCM syndrome differentiation and the treatment of this kind of disease to help patients with postoperative rehabilitation and improving the quality of their lives.