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温燥感冒怎样与类似证候鉴别?

来源:[标签:来源] | 发布时间:2011-06-29 17:48:04 | www.chinesejk.com

  (1)风热证与温燥证 风热证初起,风热侵袭肺卫,其临床表现与温燥证相类似,如发热微恶风寒,头痛,无汗或少汗等。但风热证初起热象较明显,而无或少见清窍干燥的肺燥征象,且易形成痰热阻肺和逆传心包之变,四季均可发生而以冬春季多见。温燥证初起除肺卫见症外,必伴肺燥津伤之证,上部干燥症状较突出,少见逆传心包,发病仅限于秋季。总之,从临床特征及发病季节和病理变化方面去辨析,就会明确两证的不同。

  (2)凉燥证与温燥证 同为秋燥之候,但其病性有寒热之别。凉燥性寒,温燥性热。其鉴别要点是:凉燥证恶寒发热,而温燥证则发热微恶风寒;凉燥证口不渴,而温燥证口必渴;鼻咽干燥和干咳,温燥证甚于凉燥证;凉燥证舌质如常,虽红而不甚,脉浮而不数,而温燥证舌红脉数是为必然,以此为辨。

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