《伤寒论》第384条浅析

A Brief Analysis of the 384^(th) Article of Treatise on Cold Damage Diseases

"本是霍乱,今是伤寒"应释义为曾病霍乱,今又伤寒,是指曾患霍乱的体质又感发伤寒,而非论述霍乱与伤寒的区别;"本呕下利者,不可治也",可理解为"本呕,下利者,不可止也",此非不治,而是不可止,使邪有出路,待正复而邪去。临床治病要透过现象看本质,此即治病求本;要注意当愈不愈而发生的变证,观其脉症,随证治之;疾病的发生发展是动态变化的,辨证论治亦当考虑其动态变化,不可一概而论。

In 384^th article of Treatise on Cold Damage Diseases, the statement that＂ It is originally cholera morbus, and today it is exogenous febrile disease＂ should be explained that the patient who once suffered from cholera morbus has already caught exogenous febrile disease, it is not the statement of the difference between cholera morbus and exogenous febrile disease. The statement that＂ The patient with vomiting and diarrhea cannot be treated＂ should be explained that the patient with vomiting and diarrhea should not be stopped in order to give pathogenic factors a way out and restore healthy qi. Clinical treatment should see through the appearance to perceive the essence, should pay attention to the change of syndrome which occurs when the disease is not healed, observe the pulse and symptoms, and treat according to change of syndrome. The occurrence and development of disease are dynamic, and dialectical treatment should consider its dynamic changes rather than lump under one head.