麻疹
Alias麻疹病毒
Traditional Chinese Medicine Definition
Mildew (Measles Virus)
In traditional Chinese medicine, measles is referred to as "Majie," a category of pediatric disease. According to the records in "Internal Medicine of Traditional Chinese Medicine," measles is an acute infectious disease caused by the invasion of the "Majie" pathogen into the human body, leading to disharmony in the lung defense and imbalance in the nutrient and defensive energies, resulting in obstructed circulation of Qi and blood. Its characteristic symptoms include fever, cough, runny nose, red eyes, and rash.
In clinical practice of traditional Chinese medicine, the core pathogenesis of measles is the invasion of the "Majie" pathogen and the disharmony of the lung defense. Common triggers include exposure to the "Majie" pathogen or weakness in physical constitution, where the external pathogen invades the body through the weakness. In the process of differentiation, attention should be paid to distinguishing between cold and heat, deficiency and excess. The initial stage of fever is characterized by fever, aversion to cold, cough, runny nose, red eyes, and aversion to light, with the treatment approach focusing on acrid and cool herbs to permeate the surface and clear the lung defense. The eruptive stage is marked by persistent high fever and the sequential appearance of rashes, with the treatment approach focusing on clearing heat and detoxifying, supplemented by herbs to promote eruption. Overall, the treatment approach for measles suggests harmonizing the nutrient and defensive energies, reinforcing the body's resistance, and eliminating pathogenic factors to restore normal physiological function.
Common Syndrome Types and Key Points of Differentiation
初热期
Main Manifestations:发热恶寒,咳嗽流涕,目赤畏光,眼泪汪汪
Management Approach:辛凉透表,清宣肺卫
见形期
Main Manifestations:高热不退,皮疹依次透发
Management Approach:清热解毒,佐以透发
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
In clinical observation, the distribution of the rash in measles can assist in determining the severity of the illness and its progression.
— 陈燕 中医执业医师
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献:《中医内科学》(十三五规划教材)、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)