气味配伍理论在温病辨证体系下的应用与意义初探

Application and significance of theory of properties and tastes in syndrome differentiation of epidemic febrile diseases

通过研究气味配伍理论的内涵和叶天士、吴鞠通两位温病医家的相关文献,探索总结气味配伍理论在温病学"卫气营血""三焦"辨证体系下的具体应用规律,说明温病学对于气味配伍理论的发展成就与其特有的辨证体系息息相关。而在面对卫气营血、三焦这种涵盖面广、层次分明、证候错杂的辨证体系用药时,气味配伍理论较君臣佐使理论往往更灵活实用,切合病机。同时指出以温病学辨证体系为指导应用气味配伍理论治疗内伤杂病,在当代中医临床上具有独特的诊疗优势和意义。

By studying the theory of properties and tastes and relevant literatures of Ye Tianshi and Wu Jutong,two TCM doctors specializing in treating epidemic febrile diseases,the author explores and summarizes the specific application rules of epidemic febrile diseases in the syndrome differentiation of‘Wei( defensive phase),qi( qi phase),ying( nutrient phase),xue( blood phase) ’and‘Sanjiao’. This paper concludes that the development of the theory of properties and tastes is closely related to its special syndrome differentiation system. In comparison with the syndrome differentiation of‘wei,qi,ying,xue’and‘Sanjiao’which are characterized by mixed syndromes with distinct levels and a wide coverage,the theory of properties and tastes is more flexible and practical than that of dominator and subordinate in application of Chinese medicine. At the same time,it is pointed out that the application of the theory of properties and tastes to the treatment of miscellaneous diseases and internal injuries under the guidance of the syndrome differentiation system of epidemic febrile diseases,has special clinical advantages and significance in modern TCM.