《时病论》外感时病病因发病认识初探

The Study on the Etiology and Pathogenesis of Exogenous Diseases of Treatise on Seasonal Diseases

[目的]研究雷丰《时病论》对外感病病因和发病的学术观点。[方法]采用中医史学、中医文献学和理论分析方法,对《时病论》中涉及外感病病因和发病的内容进行分析。[结果]雷丰《时病论》将时病分为新感、伏气两大类,认为探讨六气之常、六气之变可导致发病。雷丰对伏气研究尤为深入,指出虚处伏邪,邪气潜伏的内因是机体内虚,外因为轻微感邪;不同的邪气侵犯人体之后,可伏留于脏腑、经脉、气血、五体等不同位置,有特定倾向性;伏气的发病形式主要有3种,一是新感外邪引发伏邪,相兼发病,二是邪气潜伏后性质转变,重阴必阳,随自然界阴阳消长得时而发,三是伏邪得虚而发。[结论]雷丰对外感时病的病因、伏邪伏留部位和发病形式均有创见,其相关论述对今天中医治疗外感病有一定借鉴价值。

[Objective]Study on the etiology and pathogenesis of exogenous diseases of Treatise on Seasonal Diseases. [Methods]Using the history of Traditional Chinese Medicine method, traditional Chinese medicine philological method and theoretical analysis method.[Resuhs]The exogenous diseases were divided into instant diseases and incubated diseases by Lei Feng. He pointed out that the pathogenic evils hidden in the weak place. Pathogenic evils lurk in the internal and external causes. Different pathogenic evils are hidden in different position. There are three different forms of the attack of incubated disease. [Conclusion]Lei Fang＇s study on the etiology and pathogenesis of exogenous disease, especially the attack of incubated disease, has certain reference value for today＇s treatment of the Traditional Chinese Medicine of exogenous diseases.