LI Chuang-Peng's Experience in Treating Fever of Unknown Origin from the Perspective of Warming Shaoyinand Unblocking Yangming
10.13359/j.cnki.gzxbtcm.2024.01.033
- VernacularTitle:李创鹏从"温少阴,通阳明"论治不明原因发热
- Author:
Shu-Lin FU
1
;
Pei-Zhong LIU
;
He-Zhen ZHANG
;
Chuang-Peng LI
Author Information
1. 广州中医药大学第二临床医学院,广东广州 510405
- Keywords:
LI Chuang-Peng;
warming shaoyin;
unblocking yangming;
fever of unknown origin(FUO);
Dahuang Fuzi Decoction;
Yiyi Fuzi Baijiang Powder
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(1):218-224
- CountryChina
- Language:Chinese
-
Abstract:
Fever of unknown origin(FUO)is a difficulty in clinical diagnosis and treatment.Patients with FUO come to seek medical consultation usually with fever as the main complaint,and the accompanying symptoms and signs are generally atypical.The pathogenesis of FUO remains conflicting in the field of modern western medicine,and its treatment is still focused on empirical anti-inflammatory management,which has the deficiency of delayed diagnosis,limited therapeutic options,poor therapeutic effects,and obvious adverse reactions.In the field of traditional Chinese medicine(TCM),FUO generally results from the dysfunction of zang-fu organs and the imbalance of yin and yang,and has the clinical features of long duration of illness,unknown etiology,complexity of illness,recurrent attacks,and difficult to be cured.Based on the six-meridian syndrome differentiation,Chief Physician LI Chuang-Peng pointed out that the pathogenesis of FUO is characterized by the combined disease of shaoyin and yangming,and put forward the therapeutic principle of warming shaoyin and unblocking yangming.He proposed the use of Dahuang Fuzi Decoction(mainly composed of Rhei Radix et Rhizoma and Aconiti Lateralis Radix Praeparata)plus Yiyi Fuzi Baijiang Powder(mainly composed of Coicis Semen,Aconiti Lateralis Radix Praeparata and Patriniae Herba)to subside fever and eliminate pathogen,together with Asari Radix et Rhizoma for guiding the medicine directly to the shaoyin.Moreover,therapies of strengthening and activating spleen and stomach,nourishing yin to produce fluid,and unblocking the blood vessels can be used for eliminating the pathogen and supporting the healthy qi.
