罗芝园《鼠疫汇编》在岭南鼠疫病史之地位及价值

The role and significance of Luo Zhiyuan's Shu yi hui bian in the history of plague in Lingnan (south ofthe five ridges)

罗芝园《鼠疫汇编》是我国现存最早的一本鼠疫专著，《全国中医图书联合目录》中未见收载。其内容包括：罗氏对鼠疫病病因病机的独到认识；罗氏友人吴宣崇《鼠疫治法》中主要证治（原书从未单独发行）；罗氏据王清任《医林改错》解毒活血汤加减而成的鼠疫专方、危重症的加减施治及众多岭南的经验方、外治法、防疫法、避复法；罗氏据古法发展确立的独特服药法──日夜连追法、即时连追法、单剂连追法、双剂连追法；并附历年岭南鼠疫治验医案多则。《鼠疫汇编》见解独到，且疗效显著，在当时已多次刊刻、广泛流传，其后出版的各鼠疫专著均不同程度地受其影响，在岭南乃至全国鼠疫病史上占有重要地位，其“热毒瘀血”的病机认识和解毒活血治则与今人实验及临床研究结果不谋而合，其眼药法对用中药治疗急证很有启发，对现代鼠疫乃至有类似病因病机的疾病的防治仍有值得借鉴和深入研究之处。

Being the earliest monograph on plague in China, Luo Zhiyuan's Shu yi hui bian, not in-cluded in the National Catalogue of TCM Books, include the following contents: personal idea on the etiolo-gy of plague; Luo's friend Wu Xuanchang' unpubished Shu yu zhi fa on the treatment and manifestationsof plague; Luo; s shecific recipe for plague based on medified Wang Qingren's Jie du huo xue decoction basedon Wang Qingrens yi lin gai cuo; therapy for critical cases, many therapies applied on Lingnan, includeingezperiential recipes, external therapy, preventive method, and preventong recurrence methods; Luo's spe-cial administrating metheds, including persisting day-and-night method, immediate persisting method,single-dose persisting method, and double dose persisting method. He also gave several cured caserecord. His book, featuring unique idea with good effect, was repeatedly printed and extensivelydistributed, exerting influence, more or less, on the plague monographs of later ages, and occupying impor-tant position in the history of plague on Lingnan and the whole country as well. His idea of “that poisonsand static blood” in pathogenesis and therapeutic principles of antitoxicity and activating blood is coincidedwith the results of present day clinical and laboratory studies. His administration of medicines is heuristic tothe therapy of critical cases with Chinese medicaments and to the recognition of pathogenesis, etiology, andtreatment of modern plague as well as other diseases of similar etiology and pathogenesis and is worthy of fur-ther study.