刍议外感疫病的中医药治疗

Discussion on treating heat disease caused by exogenous pathogenic factor with traditional Chinese medicine

几千年来,中医药在预防季节性、地方性传染性疾病方面积累了丰富的经验,在古籍文献中有着大量的记载和可资借鉴的技术方法,经过SARS、甲型H1N1流感、人感染H7N9禽流感的临床验证,中医辨证论治理念和应急救治方法,可以明显提高临床疗效,较快控制疫情,弥补疫苗滞后性。为此笔者采撷古今伤寒、温病大家对外感疫病的认知,结合相关文献资料,将在外感疫病辨治中切实可行并具有普遍指导意义的寒温一统、表里双解、升降相因、独重阳明思想作为一整体,整理成文,略陈愚见,探讨外感疫病的中医药治疗,以期学术的争鸣与创新。

For thousands of years, there was rich experience in preventing seasonal and local infectious disease with traditional Chinese medicine, and there were a large number of records of methods which could be drawn lessons from in ancient documents. The clinical cure validation of SARS, influenza A virus subtype H1N1 and avian influenza H7N9 virus proved that the ideas of treatment based on syndrome differentiation and measures of emergent cured could significantly improve the clinical curative effect and fast control epidemic situation to remedy the hysteresis of vaccine. Therefore, this paper excerpted the cognition of authority of cold pathogenic diseases and epidemic warm diseases and combined relevant literatures, in order to arrange the thought such as the theory about unity of cold and heat, theory about internal and external relieving, theory about mutual causality of ascending and descending and theory about emphasizing on Yangming which had a guiding significance in syndrome differentiation and treatment of disease caused by exogenous pathogenic factor, and discuss the Chinese medicine treatment of disease caused by exogenous pathogenic factor to highlight the academic ideas and innovation.