温病学辨析

Seasonal Febrile Disease Discrimination

清代叶天士别出心裁地提出"温邪上受,首先犯肺,逆传心包"之说,从而建立了温病学。然而,温病学的病因是不成立的,相应的温病病证亦不能自圆其说,改变外邪侵犯的途径是枉顾生活现实。所谓卫气营血辨证缺乏脏腑基础,不具有作为外感病传变规律的条件,治疗大法巧而洞出,亦不足取。尽管温病学理论错误,但补充了治疗热证的方法方药,具有较强的临床实用性,仍不失是对中医学的贡献。

YE Tianshi, who lived in Qing Dynasty, put forward an unique theory ： warm pathogen tends to attack the upper orifices first from the lung, then retrogrades to pericardial system. So he established a doctrine of seasonal febrile disease. But the cause of the seasonal febrile disease can not be well established, and the corresponding febrile disease syndromes can not justify itself either. Finally, a weakness in this new route of the exogenous evils lies in the detachment from the real life. The so-called Wei, Qi, Ying and Blood discrimination lacks the visceral foundation. The condition for the transmissional rule of exogenous disease does not exist. The treatment was clever but with errors. Therefore, this theory should not be accepted. Despite all the flaws of the seasonal febrile disease theory, the supplementary treatment and classical prescriptions for heat syndrome, with their strong clinical utility still make a great contribution in Chinese medicine.