以《伤寒论》相关原文为依据 ,围绕阳明胃肠燥热“充斥”与“结聚”是形成热证与实证之关键病机 ,结合病史、治疗及其他内外因素 ,从疾病动态发展角度探究阳明病篇存在的某些不典型证候。结论 :阳明病热证与实证之兼夹证候确实存在 ,且证候间可动态转化。由于患者燥热程度、就诊迟早、津液耗损等诸多因素的差异 ,临证所见又可有热证初转实之偏热型、热证转实之并重型、热证转实之偏实型、典型热证转实型等

According to concerned original text of treatise on febribl disease combine with the history of disease,treatment and many interior and exterior factors,arounding the key pathogenesis of yangming dryness-heat,some atypical symptoms in Chapter yangming were discussied.Conclusion:Annexing symptoms of heat and sthenia in yangming disease exists and exchanges.The patient can be diagnosed more heat style,same degree heat-sthenia style,more sthenia style of heat changing sthenia symptom or typical heat changed sthenia symptom due to the differ of the degree of dryness-heat,the time of seeking medical advice and consuming the body fluid.