Based on the "Six Meridians Syndrome Differentiation System of Circular Movement", this paper discusses the thinking and experience of syndrome differentiation and treatment of unexplained fever
基于“圆运动六经辨证体系”探讨不明原因发热辨治思路与经验总结

摘要

发热是不同疾病过程中的共同临床表现，也是患者最常见的就诊原因之一，临床上很多发热患者的病因诊断非常困难，有时甚至无法明确病因。一方面，发热的精准诊治成为临床医师不得不面临的严峻挑战及难点;另一方面，反复发热的病情也给患者的身心健康带来了极大的损害。近年来，随着病原微生物检测技术的不断进步及现代医学对疾病的认识不断完善，发热的诊断准确率有虽有所升高，但对于不明原因发热､疑难发热､癌性发热､风湿免疫性发热等的治疗成功率仍是现代医学的痛点及瓶颈，高昂的检查费用也给患者带来沉重的经济负担。中医药立足整体观，凭借特色的学术体系，在诊治不明原因发热方面具有显著优势，本文基于圆运动六经辨证体系，对不明原因发热的辨治思路与经验总结如下，以期为其诊治提供新的思路，以馈读者。

Abstract

Fever is a common clinical manifestation in the process of different diseases, and it is also one of the most common reasons for patients to see a doctor. It is very difficult to diagnose the cause of many patients with fever in clinic, and sometimes it is impossible to clarify the cause. On the one hand, accurate diagnosis and treatment of fever has become a severe challenge and difficulty for clinicians. On the other hand, the condition of repeated fever has also brought great harm to the physical and mental health of patients. In recent years, with the continuous progress of pathogenic microorganism detection technology and the continuous improvement of modern medicine's understanding of diseases, the diagnostic accuracy of fever has improved, but the success rate of treatment for unexplained fever, difficult fever, cancerous fever, rheumatic immune fever and so on is still the pain point and bottleneck of modern medicine. The high cost of examination also brings a heavy economic burden to patients. Traditional Chinese medicine has obvious advantages in the diagnosis and treatment of fever of unknown origin based on the holistic view and with its unique academic system. Based on the syndrome differentiation system of six meridians of circular movement, this paper summarizes the ideas and experiences of diagnosis and treatment of fever of unknown origin as follows, in order to provide new ideas for its diagnosis and treatment and feed readers.