晋唐“脚气”考

A Research on Dermatophytosis in Ancient China in Jin and Tang Dynasty

晋唐间广为流行的"脚气"病并非马来西亚丝虫病、腺鼠疫或现代医学分类下的"脚气病",而是多种矿物药中毒综合症与生活方式病的总称,其发病机制与中古时期的服食之风有关。古典脚气的主要症状是药物中毒性肝肾功能损害、风湿性疾病及其并发症,其基本病理改变是多发性神经炎与风湿性关节炎。

Dermatophytosis, an epidemic spread from Jin Dynasty to Tang Dynasty, is not Malayan filariasis, bubonic plague or beriberi. It＇s an illness due to the custom of eating Wu Shisan （powder of five minerals） and Jin Dan （elixir） during the middle ancient times, and it is a name shared by a series of drug-induced diseases and life-style diseases. Its major symptoms are function lesions of renal and liver caused by drug poisoning and complications of rheumatic fever and its basic pathological changes are polyneuritis and rheumatic arthritis according to modem pathology.