中医传统思维发展之“伤寒论”“内伤学说”到“外损致虚”的认识推进

Conventional thinking development of traditional Chinese medicine: From ‘shanghan lun’, ‘theory of internal injury’ to ‘outside damage leading to weakness’

东汉时期,张仲景在继承发扬古医经家医学理论的基础上,以外感伤寒病为研究对象与实践基础,撰写《伤寒论》,后世将其奉为"方书之祖",经历代医家的不断充实发展,渐成"治病之宗本";至于金元,李东垣由"此百万人岂俱感风寒外伤者"的思考,创立"内伤学说";清代吴澄羽翼东垣,提出"外损致虚"说,强调外感类内伤的虚损辨治法。这3次理论的突破和丰富伴随着临床积累与实践需求,体现了中医传统思维的发展与创造力。

During the Eastern Han dynasty, ZHANG Zhong-jing wrote the book Shanghan Lun by inheriting the ancient medical theory and researching exogenous cold disease as clinical case, which had become the code of traditional Chinese medicine treatment through the efforts of a bunch of doctors in different times. In the Jin and Yuan dynasties, LI Dong-yuan made his efforts and put forward the theory of internal injury from thought of ‘million people do not all get exogenous cold disease'. In the Qing dynasty, WU Cheng, who inherited LI Dong-yuan's thought, put forward ‘outside damage leading to weakness' and emphasized treating exogenous consumptive diseases by asthenic differentiation and treatment. These three great theoretical breakthroughs accompanied with clinical accumulation and practical needs reflects the development of traditional thinking and its great creativity.