基于中医“症状群落”理论探讨不明原因发热诊治思路
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R255.1

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省部共建中医湿证国家重点实验室项目(SZ2021ZZ01);中国中医科学院优秀青年科技人才培养专项项目(ZZ17-YQ-059)


Exploring the Diagnosis and Treatment of Fever of Unknown Origin Based on Chinese Medicine Theory of “Symptom Clusters”
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    摘要:

    不明原因发热(FUO) 诊断难度系数高,由于发病病因不明,多种治疗方式都难以奏效。本文提 出了一种现代医学诊断技术和中医“症状群落”辨证理论相结合的方法。医者将FUO患者的相关症状归纳为 “症状群落”,再根据“病机—症状”的群落组合对其进行综合研究,最终将其纳入此症状所属的中医证候并以 此进行辨证论治,以改善FUO的临床诊治现状,并及时补充相应的中医药疗法参与诊疗过程。既能够有效规 避FUO潜在病的风险,及时干预FUO疾病谱症状,降低FUO的延误率,也可改善药物滥用导致的不良预后。

    Abstract:

    Abstract: Fever of unknown origin (FUO) is challenging to diagnose due to its obscure etiology, which often renders various treatment modalities ineffective. This paper proposes a method that integrates modern medical diagnostic techniques with the Chinese medicine theory of "symptom clusters" for syndrome differentiation. Physicians can categorize the relevant symptoms of FUO patients into "symptom clusters" and conduct a comprehensive study based on the "pathogenesis – symptom" cluster combinations. Eventually, they can incorporate these symptoms into the corresponding Chinese medicine syndromes for syndrome differentiation and treatment. This approach aims to improve the current clinical diagnosis and treatment of FUO and timely integrate Chinese medicine therapies into the treatment process. It can effectively avoid the risks associated with potential diseases in FUO,promptly intervene in the spectrum of FUO symptoms,reduce the misdiagnosis rate of FUO,and also improve the adverse prognosis caused by the misuse of medications.

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方琳霞,张逸雯,王玉喜.基于中医“症状群落”理论探讨不明原因发热诊治思路[J].新中医,2025,57(11):203-206

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  • 在线发布日期: 2025-06-13
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