黄炜元《辩疫真机》与鼠疫的因机论治

Plague diagnosis and therapy in HUANG Wei-yuan’s Debating on Real Pathogenesis of Plague

黄炜元是清末广东著名的医家,其代表作《辩疫真机》。该书以问辩为体例,从运气学的角度认识鼠疫的病因,以六经辨证为基础分析鼠疫的病机,抓住"血凝燥而不行则结为疬"的典型症状,批判疫证"戒谷气"的陋俗流弊。治疗上立足本虚,祛邪固本,调治之余不忘培补肝脾肾,解毒之中融入血药,散结化瘀;辨证精微,用药独到,迥异时流,在清末岭南涌现的一批鼠疫专著中有着重要的地位。

HUANG Wei-yuan was a famous medical expert in Guangdong province at the end of Qing dynasty,whose representative book was Debating on Real Pathogenesis of Plague.The book used QA style,got to know the etiology of plague from the angle of climate factor,analysed the pathogenesis of plage based on differentiation of six channels,caught the classical symptoms of blood stasis inducing scrofula,criticized undesirable customs of fasting in plague.Treatment focused on eliminating evil and nourishing deficiency of liver,spleen and kidney,combined deintoxication with dispersing blood-stasis,which played a important role in plague masterpiece emerged in lingnan area.