钩端螺旋体病是由致病性钩端螺旋体所引起的一种急性自然疫源性传染病,简称钩体病。临床上以起病急骤、发热、剧烈肌痛、结膜充血、出血倾向与肝肾损害等表现为特征。此病以我国南方农村多见,好发于夏秋季节。其发病与接触疫水有关,下田劳动或池溏游泳极易罹病,洪水泛滥冲刷疫水常可形成暴发流行。根据其临床表现,属于中医温病中“暑温”、“湿温”范畴。笔者临证以自拟清暑化湿解毒汤加减治疗本病,获效堪称满意,兹介绍如下。 Leptospirosis is an acute natural infectious disease caused by pathogenic Leptospira, which is referred to as Leptospirosis. Clinically characterized by sudden onset of fever, fever, severe myalgia, conjunctival hyperemia, bleeding tendency and liver and kidney damage. The disease is more common in rural areas in southern China, and it occurs in summer and autumn. Its onset is related to the exposure to epidemic water, and Shimoda labor or swimming pools can easily cause illness. Flooding and flooding of epidemic water can often form an outbreak. According to its clinical manifestations, it belongs to the category of “heat temperature” and “wet temperature” in TCM. The author’s clinical evidence of the treatment of this disease by self-designed Qingshu Huashijiedu Decoction is satisfactory and is described as follows.