评吴鞠通温病三焦治疗纲领

Appraising the curative Drinciples of "Three Warmer" that was Raised by Wu Jutong to Treat Epidemic Febrile Disease

吴鞠通在《温病条辨》中提出的"治上焦如羽,非轻不举;治中焦如衡,非平不安;治下焦如权,非重不沉"的温病三焦治疗纲领,从字面上看,对仗工整,读起来朗朗上口,但实际上它并不能全面地反映温病上、中、下三焦的治疗特点,也与《温病条辨》中选药组方的实际不符,而且从逻辑上推论还会得出"治上焦如权,非重不沉"的悖论,因此这一治疗纲领在理论上经不起推敲,对临床也不具有实际指导意义。

In his book ＂Wen Bing Tiao Bian＂,Wu Jutong put forward a principle for curing febrile diseases,saying that＂diseases in the upper energizer should be treated as lightly as a feather in order to get raised;diseases in the middle energizer should be treated as evenly as a balance in order get soothed;diseases in the lower energizer should be treated as heavily as a counterweight in order to get sunk.＂The principle′s wording is literaly tidy and easy to cite,but it neither fully reflects the feature of treating diseases in the upper,middle and lower energizers nor conforms to the reality of selecting herbs to compose recipes in ＂WenBingTiao Bian＂.Further more,it will logically result in the paradox that ＂diseases in the upper energizer should be treated heavily as a counterweight in order to get sunk＂.Therefore,this principle of treatment can neither survive theoretical reasoning nor have actual clinical guidance.