关于“艾毒”若干理论问题的探讨

Discussion on some theoretical problems of AIDS virus

文章首先讨论了艾滋病中医病因命名的必要性、原则及依据,认为将艾滋病的中医病因命名为"艾毒"较为合适,较为准确,对于中医病因病机学说的创新提供了一个新的范例。继之厘清了艾毒与疫毒、疠气等病因概念上的联系与区别:艾毒属疫毒之一,可归属于杂气(异气)之中;致病严重,造成流行者,又可为疠气之一。最后介绍了艾毒的病邪特性、致病特点及笔者的主要研究结果。该研究的创新点主要在于:艾毒本身的本质特性是毒、疫,可兼具湿、热等六淫病邪,可导致、杂合为痰饮、瘀血等病理产物。艾毒致病既有伏气温病的特点,又有内伤杂病的特点,具有深伏缓发、伤元损脏、繁杂变多等方面的临床表现。

This paper first discusses the necessity, the principles and basis of naming the causes of AIDS in Traditional Chinese medicine. That the causes of AIDS in TCM named ＇ AIDS virus＇ is most appropriate, most accurate. It provides a new paradigm for the innovation of Chinese medicine theory of pathogenesis. It clarified the conceptual links and differences amoung AIDS virus, epidemic toxicity, pestilent qi and other causes. AIDS virus is a kind of epidemic toxicity, which can be attributed to miscellaneous qi （abnormal qi）. When serious epidemic, AIDS virus also can be attributed to pestilent qi due to serious pathogenicity. Finally, the article introduced the pathogenic factor and pathogenic characteristics of AIDS virus, and the major findings of the authors. The main innovation point of the study is that the essential feature of AIDS virus is toxin and plague, it combined both wet and hot of six evils, it can lead phlegm, blood stasis and other pathological product. The pathopoiesia of AIDS virus both has epidemic febrile diseases features, and has internal damage diseases feature, with the clinical manifestations of hidden deeply in the body and slowly attack, damage of primordial qi and viscera, complex and varied.