张简斋治疗湿温八法

ZHANG Jianzhai's Eight Therapeutic Methods for Damp-Warm Pathogen Disease

就现存的张简斋医案对张简斋治疗湿温病的方法进行归纳总结,得出祛风胜湿和络、清疏透化、芳香淡化、调畅气机、分消走泄、畅中健运、清燥透泄、清养和中八法。张氏将湿温病分为三候,一候病在卫气,二候、三候病在气营,其中祛风胜湿和络多用于一候,清疏透化、清燥透泄多用于二、三候,清燥透泄又为防止传变之法,芳香淡化则用于热去湿留之时,调畅气机、分消走泄、畅中健运的运用贯穿湿温病治疗始终,清养和中为三候之后的善后调养。

Zhang Jianzhai＇s therapeutic methods for damp-warm pathogen disease were summarized according to his existing medical records, and eight therapeutic methods were obtained including dispelling wind, removing dampness and harmonizing collaterals, clearing heat and removing dampness, diffusing qi and removing dampness with aromatic herbs, regulating qi activ- ities, dispersing evils by purgation, regulating middle energizer and strengthening the transportation of spleen, relieving dry- ness, venting and discharging, and nourishing yin and harmonizing the center. Zhang divided damp-warm pathogen disease into three phases, the disease location of the first phase is w^i qi, and that of the second and third phases are qi and ying. Among the eight therapeutic methods, dispelling wind, removing dampness and harmonizing collaterals are wildly used in the first phase, clearing heat and removing dampness, relieving dryness, venting and discharging are wildly used in the second and third phases. Relieving dryness, venting and discharging also can prevent transmission and change of the disease. Diffusing qi and removing dampness with aromatic herbs are used when heat is removed and dampness is retained, which is used for regulating qi activities and dispersing evils by purgation. Regulating middle energizer and strengthening the transportation of spleen are running through the treatment of damp-warm pathogen disease. Nourishing yin and harmonizing the center are used for recu peration after three phases.