伤寒论评话 第23章 火法可损阳和津,火逆多在血与神——火逆证的因机证治

Discussion of Shanghan Lun Fire May Damage Yang and Adjust Water,Fire Disobeying Symptom Result from Blood and God——Etiology and Pathogenesis or Treatment Fire Disobeying Symptom

目的:探讨《伤寒论》中关于火逆证的病因病机。方法:对《伤寒论》中第110条、第111条、第112条、第113条、第114条、第115条、第116条、第117条、第118条、第119条进行分析。结果:①火逆证是在伤寒病治疗过程中是使用火法不当而造成的一种变证。火法是指当时人们以火热强迫取汗以达到治疗伤寒的一种方法,包括了捂法、熏法、熨法、灸法、烧针等。②"失溲"一症出自《伤寒论》第6条和第110条,与小便少或小便不利、小便不得相连,如果是失禁,就绝不应该与上述症状相连,所以"失溲"一症,应是小便不通。结论:本文对《伤寒论》中火逆证的病因病机分析得详细具体。

Objective： To discuss the etiology and pathogenesis of fire disobeyingin treatise on febrile disease.Methods： The treatise on febrile disease in article 110,article 111,article 112,article 113,article 114,article 115,article 116,article 117,article 118 and article 119 is analyzed.Results：（1） Fire disobeying in the process of typhoid disease treatment is a kind of change caused by improper use of fire.Method refers to the people at that time by hot force take sweat in order to achieve a method for the treatment of typhoid fever,including wu,smoked,ironing,moxibustion,needle burning and so on.（2） The disease from treatise on febrile disease ＂ lost Sou＂ article 110,article 6 and urination disincrease or urination difficult,less urine must not be connected,so the disease,＂ lost Sou＂ should be to urinate.Conclusion： Analysis of the etiology and pathogenesis the fire disobeying in the treatise on febrile disease was detailed in this paper.