“冬伤于寒,春必温病”属外内合邪致病(下)

Damaged by Cold Evil in Winter Will Cause Warm Disease in Spring due to Interior and Exterior Evil Combined Together(2^(nd) Part)

"冬伤于寒,春必温病"出自《黄帝内经》,对于其中温病的发病机理众说纷纭,多认为是伏邪所致。透过《内经》四时疾病发病规律的考证,可知温病的发生属于"外内合邪",是在冬季受寒以后邪气留连,正气受伤,到春季时再感受邪气而发病,其发病必须符合3个条件。实际上,《内经》的温病并非必须发于春季,冬伤于寒未必春成温病,温病亦不一定是伤于寒所致,"外内合邪"理论与后世多种温病学说有所不同。明确温病发生的源头理论,对于温病学理论与临床发展有重要意义。

The sentences Damaged by Cold Evil in Winter Will Cause Warm Disease in Spring was original from Huangdi＇s Internal Classic. The pathogenic mechanism of warm disease had divergent views, mostly considered as caused by latent evil. Through the study of four seasons＇ diseases pathogenic pattern in Internal Classic, it discovered that warm disease was caused by Interior and Exterior Evil Combined Together. It was damaged by cold evil in winter, and then the evil remain, the healthy qi was damaged, affected by another evil until spring and initiate the onset of sickness, the onset must fulfill 3 conditions. In fact, warm disease in Internal Classic is not a must to onset at spring,damaged by cold evil in winter may not cause warm disease in spring, also warm disease might not caused by cold damaged, the theory of Interior and Exterior Evil Combined Together was different to many warm disease theory posterity. It is important to clarify the original theory of warm disease mechanism for the theoretical and clinical development on warm disease study.