金元时期的温病理论创新研究

Research on the New Theories of Warm Disease in Jin and Yuan Dynasties

自金元时期,医家对医学的理论问题注重独立思考,开始了创制新法新方的风尚。如在病因方面,提出"伤寒皆热证,非有阴寒之病"";闻秽毒之气"为传染之由,后者为口鼻受病的先机。这一时期在温病治疗方面的贡献比较突出,明确提出:不宜麻桂发汗而应辛凉清解;伤寒吐法;内伤与外感的不同治法;以气分血分及上中下三焦划分泻热法,等等。金元医家创制的新方,如凉膈散、防风通圣散、普济消毒饮等,为后世温病治法提示了思路。

Healers of Jin and Yuan dynasties were apt to think independently on medical theories and thus new remedies became a prevailing custom. For instance, some physicians believed that all cold damages were heat patterns, some indicated that foul toxicity inhaled by nose and mouth was the cause of infections. They used ejection in cold damage or preferred cool acrid exterior-resolving method to warm acrid ones like ephedra and cinnamon twig in warm disease. Remedies applied to internal damage and external contraction were quite different. Even the heat-draining method was developed into qi-blood and triple burner patterns. Besides the outstanding achievements in warm disease treatments, new formulae, such as Diaphragm- Cooling Powder, Ledebouriella Sage-Inspired Powder, Universal Salvation Toxin-Dispersing Beverage, etc, were also founded by doctors of that time and turned to be a clue to the future warm disease control.