论刘完素“伤寒即热病”说

Discussion on the theory of ‘exogenous febrile disease was heat disease' by LIU Wan-su

刘完素依据《黄帝内经》认为"伤寒"乃指热病,并因在不同季节发病而有不同称谓,如春曰温病、夏曰热病、秋曰湿病、冬曰伤寒。他认为张仲景所论伤寒为"外伤于寒邪"之热病,张仲景命此为"伤寒"是为了与其他邪气致病相区分。他从"阳气怫郁"的角度,阐发了外伤于寒邪而成热病的机理,并分析六经病证,对六经热证的形成机制进行了详尽阐述,指出"六经传授皆为热证"。他还驳斥朱肱阴阳训寒热之论,阐述阴阳应当是训表里,从而进一步论证了"伤寒即热病"说。

LIU Wan-su started his personal theory on the febrile diseases from the Inner Canon of Huangdi, socalled Shanghan were the febrile diseases, which got different name by season. The Shanghan by ZHANG Zhong-jing were the exogenous febrile disease and the special name was to distinguish it from other pathogenies. LIU also explained the mechanism of febrile diseases which caused by the cold factor on the theory of yang-qi-obstacling. He analyzed Liujing syndromes and the pathology of their febrile diseases and finally conclude the transmission progress of Liujing were all febrile diseases. LIU had criticized the theory of ZHU Gong on yin-yang theory of the febrile diseases. A correct explanation of yin and yang of Shanghan should be surface and interior while not hot and cold.