CAJ | 학술논문

发热与汗出是临床上常见的症状，是中医问诊的重要内容。张景岳《十问歌》：“一问寒热二问汗”，把这两大症状放在病史采集的首要地位。在临床中，将因感受温热邪气而引起的、以发热为主症的急性外感热病称之为温病。发热几乎贯穿于温病的整个过程。外感温热病又以其病程中汗液变化之著而有“汗病”之称。辨别汗出的异常，对于了解温病病邪的深浅、病情的轻重以及机体正气津液的盛衰有极为重要的参考意义。由此看出，发热与汗出两大症状对于温病的诊断尤为重要。历代医家关于温病发热与汗出的机理研究颇多，涉及二者之间关系的研究却较少。探讨二者的关系对于把握温病病邪的性质及机体阴阳盛衰有极其重要的作用。本文对发热与汗出在温病发展过程中的关系展开讨论分析，有助于更深刻地研究温病在发生、发展中的机制与规律，更好的利用温病学理论辨证论治。
발열여한출시림상상상견적증상，시중의문진적중요내용。장경악《십문가》：“일문한열이문한”，파저량대증상방재병사채집적수요지위。재림상중，장인감수온열사기이인기적、이발열위주증적급성외감열병칭지위온병。발열궤호관천우온병적정개과정。외감온열병우이기병정중한액변화지저이유“한병”지칭。변별한출적이상，대우료해온병병사적심천、병정적경중이급궤체정기진액적성쇠유겁위중요적삼고의의。유차간출，발열여한출량대증상대우온병적진단우위중요。역대의가관우온병발열여한출적궤리연구파다，섭급이자지간관계적연구각교소。탐토이자적관계대우파악온병병사적성질급궤체음양성쇠유겁기중요적작용。본문대발열여한출재온병발전과정중적관계전개토론분석，유조우경심각지연구온병재발생、발전중적궤제여규률，경호적이용온병학이론변증론치。
Fever and sweating are the most common clinical symptoms, which are important parts in the inquiry of traditional Chinese medicine (TCM). Just as Zhang Jingyue said, "Firstly inquire for cold and heat and secondly in-quire for the sweating." It placed both symptoms as priorities in the collection of disease history. In the clinical prac-tice, febrile diseases refer to acute exogenous diseases infected by warm evil with the main symptom of fever. And fever is almost throughout the entire process of febrile diseases. It is also known as "Han-Bing" for the visible varia-tion of sweating in its entire disease process. It is important to identify the abnormality of sweating for the determina-tion of the severity febrile diseases and the level of body fluid shortage. Therefore, two main symptoms for the diag-nosis of febrile diseases are particularly prominent and important. The reasons of sweating and fever in febrile dis-eases have been explored so much but the relationship between them is less which is extremely essential to learn more about febrile diseases. So we are expected to explore this topic to make better use of theories of febrile dis-eases.