脚气病源流考略

Investigation on Origin and Development of Jiaoqi Disease

脚气病在中国历史上有两次大流行,一次为西晋衣冠南渡,一次为唐代,其时涌现了众多治疗脚气病之名家名著。宋以降,则仅见散在且症状较轻的记载。晋唐时期脚气病的病因病机多为风毒及肾虚;宋元时期,呈现出由风毒致病向湿邪以及血虚、脾胃虚等内因过渡的倾向;明清以降,脚气病逐渐淡出医疗视野,其理论亦多因循前人,较少创获。脚气病的治疗以祛风除湿为基本原则,且疾病初期要尽快治疗,并慎用补法,服药、针灸为脚气病的主要治疗方式。

The disease of Jiaoq has two major epidemics in Chinese history,one in the Western Jin Dynasty and the other in the Tang Dynasty.At that time,many famous works on the treatment of the disease emerged.Since the Song Dynasty,there are only scattered records with mild symptoms.The etiology and pathogenesis of Jiaoqi in Jin and Tang dynasties were mostly Wind toxin and Kidney deficiency;in Song and Yuan dynasties,there was a tendency to transition from Wind toxin to Dampness,blood deficiency,Spleen and Stomach deficiency and other internal causes;after Ming and Qing Dynasties,the study on Jiaoqi diasease gradually faded out.In the medical field,its theories also follow the predecessors,with less creative ideas.The treatment of Jiaoqi is based on the principle of expelling Wind and Dampness,and in the early stage of the disease,it should be treated as soon as possible,and supplementation should be used with caution.Taking medicine and acupuncture are the main treatment methods for the diaease.