[摘要] 发热是恶性血液病患者常见的临床症状之一。胡冬菊教授认为正虚邪实贯穿恶性血液病发热始终，其根本病机在于五脏虚损，湿热内生，气血阴阳失调。病位主要在肝脾肾，与心肺三焦等脏腑相关。治疗以调理脾胃，疏肝利胆，调补肾阴肾阳为主，配合祛湿除热、调畅气机、和解邪气等法。胡冬菊教授在调理脏腑同时兼顾气血，强调要注重疾病转归，准确把握攻补时机，根据疾病变化及时调整用药，做到扶正不助邪，祛邪不伤正，以达到恢复人体平衡，进而使气血阴阳回归平和状态的目的。

    [关键词] 中医;临证经验;恶性血液病;发热;胡冬菊

    [中图分类号] R255.7 [文献标识码] A [文章编号] 1673-7210(2019)12(a)-0130-04

    Professor Hu Dongju′s experience in the treatment of malignant hematopathy fever with deficiency and excess as the principle and five internal organs as the axis

    YANG Kai1 XIAO Huiying2 GUO Zijing2 WANG Yongmin2 HU Dongju2

    1.Graduate School ......