试论杨栗山三焦伏邪观与分消双解法

Discussion of San-jiao Fuxie View and Double Resolving Method by YANG Li-shan

杨栗山论温疫禀吴又可杂气之说,认为此类病证与感受时气的行邪不同,具有先伏而后行的伏邪特征。但与吴又可邪伏膜原表里九传的伏发观不同,杨栗山持杂气伏郁三焦化毒发出的伏发观,认为其多为杂气流布伏郁三焦,化火毒而发出,致三焦表里倶病阴阳并传所致。故虽在治疗上同样以逐秽为第一要义,但与吴又可开达膜原攻下逐秽的方法不同,而是基于其特有的三焦伏邪观,创制了分消逐秽双解解毒的分消双解系列治法,以三焦上下分消化邪配合解利逐秽,同时表里双解郁热、气血双清火毒。

Followed Wu You-ke＇s Za Qi doctrine,YANG Li-shan discussed the plagues as different illnesses from seasonal diseases,with the characteristic of latenting at first and attacking subsequently. But diffrent from WU You-ke,YANG Li-shan hold the view that the onset of those diseases originate from incubative pathogenic factors in triple energizer,where the factors accumulating strength and starting the rebellion,not the moyuan as WU You-ke said. And more importantly,based on that unique interpretation,YANG Li-shan created the method of eliminating the pathogenic factors from different routes and defeating the sickness from inside and outside at the same time,not singlely clearing the moyuan and catharsising to expulse the sickness as WU You-ke used.