TU Jinwen's Experience in the Treatment of Severe Influenza Based on the “Heat Toxin Theory”
10.13288/j.11-2166/r.2024.07.003
- VernacularTitle:凃晋文从热毒论治重症流行性感冒经验
- Author:
Anqi LYU
1
;
Yufeng SHI
1
;
Yi YANG
2
;
Jia KE
2
;
Jinwen TU
2
Author Information
1. School of Traditional Chinese Medicine, Hubei University of Chinese Medicine,Wuhan, 430060
2. Hubei Provincial Hospital of Traditional Chinese Medicine
- Publication Type:Journal Article
- Keywords:
influenza;
severe disease;
heat toxin theory;
experience of famous doctors;
TU Jinwen
- From:
Journal of Traditional Chinese Medicine
2024;65(7):674-677
- CountryChina
- Language:Chinese
-
Abstract:
To summarize Professor TU Jinwen's clinical experience in the treatment of severe influenza based on the “heat toxin theory”. He believed that “heat toxin” is the main disease mechanism of severe influenza, emphasized the pathogenesis process that toxin enters with the pathogenic qi, heat generates by the toxin, and changes initiate from the toxin, and proposed simultaneous treatment of warmth and toxin and combination of multiple methods as the treatment principles. Syndrome differentiation in clinic should combine with wei-qi-ying-blood. The disease in the early stage located in wei (defensive) and qi level, treated by clearing heat and resolving toxins, releasing the exterior and expelling pathogen, harmonizing the exterior and interior, dredging the bowels with diarrhea, and combining other methods to get rid of the heat and toxin, and modified Self-Prescribed Tuire No. 1 Formula (自拟退热1号方) is recommended; the disease in progression stage located in ying-blood, treated by relieving heat and resolving toxins, and clearing the ying level and cool the blood, with prescriptions as modified Self-Prescribed Tuire No. 1 Formula plus Qingying Decoction (清营汤), or Xijiao Dihuang Decoction (犀角地黄汤); the disease in the late stage with of yin fluid consumption, and heat toxin in the blood level, treated by eliminating heat and resolving toxins, and enriching yin and cooling the blood, with prescriptions as modified Shashen Maidong Decoction (沙参麦冬汤) and Zhuye Shigao Decoction (竹叶石膏汤). At the same time, it is emphasised that heat-clearing and fire-draining method and harmonising methods are important, and that dispelling pathogen should not injure healthy qi, and that the selection of prescriptions and medicines need consider syndrome differentiation and treatment.