流感不要纠结风寒与风热

2018-01-21 高长安 通讯员 杨叁平 科学网

目前正值流感高发时节,许多人在选择药物时,看到药品说明书上有“适用于风热感冒”“不适用于风寒感冒”等内容,便开始纠结一个问题:我们的感冒究竟是风寒,还是风热呢?

目前正值流感高发时节,许多人在选择药物时,看到药品说明书上有“适用于风热感冒”“不适用于风寒感冒”等内容,便开始纠结一个问题:我们的感冒究竟是风寒,还是风热呢?

河北省中医药科学院郭双庚教授在接受记者采访时指出,流感不要纠结风寒与风热。

郭双庚介绍,中医所讲的风寒感冒、风热感冒,是普通感冒的两个主要类型。风寒感冒是指人体在没有内热的情况下受风着凉、淋雨等,风寒之邪侵入人体,出现流清鼻涕、打喷嚏、嗓子痒,一般不会发烧。风寒感冒的人多为虚寒之体,过去人们的饮食以蔬菜粮食为主,体内一般蕴积毒火较少,所以一些人得了风寒感冒喝些红糖姜水,出出汗也能痊愈。风热感冒是人体存在内热的情况下,由于机体免疫力的下降,外感邪气侵袭,扰动内热,出现发热、打喷嚏、流鼻涕、嗓子痛、咳嗽、头痛等。其实现代社会风寒感冒的发病机会极少,这与人们饮食结构的改变有很大关系,整天“酒肉穿肠过”,很多人平时体内就有积热,过一段时间就有嗓子痛、口腔溃疡、牙龈肿痛、扁桃体肿大等,这都是内热的表现,在这个基础上感受风邪,就会引发风热感冒。

“不少人曾质疑流感是不是也有风寒型、风热型。其实流感属于中医讲的‘外感热病’,所以流感患者基本上都表现为内热,发病之初的咽红、轻咳,就是体内蕴积热毒反应在上呼吸道的表现,至于流感一开始就表现为发热或高热、嗓子疼、咳嗽,更是热毒蕴结体内、袭击于肺的表现。”郭双庚指出,国家卫计委最新推出的流感诊疗方案中也指出本轮流感患者主要表现为风热犯卫证,热象再严重一点就是热毒袭肺证,说明学术界权威意见也是认为流感属于外感热病,并将连花清瘟作为推荐用药。

“连花清瘟组方中麻黄、薄荷可以发散外邪;银花、连翘、板蓝根、贯众等可以治疗嗓子痛,杏仁、鱼腥草可以治疗咳嗽、咳痰,生石膏、大黄可以清肺泄热,让患者体内蕴积的火毒通过大便排出,整个药方组合,清瘟解毒、宣肺泄热,既能散外邪,又能清里热。”郭双庚说。

郭双庚告诉记者,连花清瘟对流感的治疗效果得到了大量基础及临床研究的验证。中国中医科学院、广州医学院呼吸疾病国家重点实验室等多个科研机构实验证实,连花清瘟对今年流行的甲型流感病毒(H1N1、H3N2)、乙型流感病毒等都有很好的抑制拮抗作用。循证医学研究也证实连花清瘟抗甲流H1N1病毒的效果与奥司他韦无差异,且退热及缓解咳嗽、头痛、乏力、肌肉酸痛等流感症状优于奥司他韦。连花清瘟先后15次被列入各种流感推荐用药,现已进入美国FDA二期临床试验。

“普通感冒90%以上都是由病毒侵袭引起的,能够引起感冒的病毒有很多种,如呼吸道合胞病毒、鼻病毒、副流感病毒等。研究表明,连花清瘟胶囊不仅拮抗流感病毒,对这些普通感冒病毒,连花清瘟也有很好的对抗作用,所以,它对普通感冒更有很好的治疗作用。”郭双庚指出,需要了解的是,治疗流感也好,感冒也好,连花清瘟不仅仅是抗病毒,还能通过发汗、排大便等多种途径让体内蕴积的毒火排出体外。连花清瘟含有发汗、通便、清热药物促进热毒清除,所以有些患者服后有轻微腹胀、大便稀等属于正常的用药反应,感冒流感症状解除后,随着服药量减少或停用,这些反应就会消失。有体虚胃寒的患者服后有凉感,甚至恶心、呕吐,说明患者的胃肠道对寒凉药物较为敏感,可以把服药时间改为饭后。也有个别患者服药后出现过敏性皮疹,也会随着停药消失。

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    2018-01-25 大爰

    学习了谢谢分享!!

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=281824, encodeId=e752281824bf, content=学习了谢谢分享!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Thu Jan 25 07:44:14 CST 2018, time=2018-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281044, encodeId=df6c28104424, content=是很好的学习材料.不错.以后会多学习., beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Mon Jan 22 20:16:41 CST 2018, time=2018-01-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=280757, encodeId=c6d2280e5739, content=学习了.涨知识了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDM9swhbgTo7nzqRKzMmzckmEoeTyLQVDCgjqsicjyhxPs0vPoYU6GsSYbCjSkNHicJkz3NL0a0EbUMVdNjkctXI6FocpGKaVr9E/0, createdBy=29392048316, createdName=王秀, createdTime=Sun Jan 21 19:33:02 CST 2018, time=2018-01-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=280749, encodeId=ef3e280e49a5, content=学习了谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sun Jan 21 19:10:16 CST 2018, time=2018-01-21, status=1, ipAttribution=)]
    2018-01-22 李东泽

    是很好的学习材料.不错.以后会多学习.

    0

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    2018-01-21 王秀

    学习了.涨知识了!

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=281824, encodeId=e752281824bf, content=学习了谢谢分享!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Thu Jan 25 07:44:14 CST 2018, time=2018-01-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281044, encodeId=df6c28104424, content=是很好的学习材料.不错.以后会多学习., beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Mon Jan 22 20:16:41 CST 2018, time=2018-01-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=280757, encodeId=c6d2280e5739, content=学习了.涨知识了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDM9swhbgTo7nzqRKzMmzckmEoeTyLQVDCgjqsicjyhxPs0vPoYU6GsSYbCjSkNHicJkz3NL0a0EbUMVdNjkctXI6FocpGKaVr9E/0, createdBy=29392048316, createdName=王秀, createdTime=Sun Jan 21 19:33:02 CST 2018, time=2018-01-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=280749, encodeId=ef3e280e49a5, content=学习了谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Sun Jan 21 19:10:16 CST 2018, time=2018-01-21, status=1, ipAttribution=)]
    2018-01-21 1e145228m78(暂无匿称)

    学习了谢谢作者分享!

    0