张仲景与薛生白对湿邪为病认识异同的探讨

Discussion on the Similarities and Differences of Understanding of Dampness Pathogen Disease between Zhang Zhongjing and Zhang Xue Shengbai

目的研究张仲景与薛生白对湿邪为病认识的特点,更好的服务于临床。方法通过对张仲景《伤寒论》、《金匮要略》和薛生白《湿热病篇》的研读,探讨两位医家对湿邪为病病因、症状、治法、用药的异同。结论张仲景与薛生白在治疗湿邪为病时均重视脾胃阳气,张仲景运用六经辨证治疗湿邪为病主要采用"发汗、利小便"两大治疗大法,薛生白结合卫气营血和三焦辨证遣方用药,并且根据湿邪侵犯人体的不同程度和不同阶段,综合病因、病机、病势,确定治疗方法,理法方药。

Objective To study the characteristics of Zhang Zhongjing and Xue Shengbai in the understanding of dampness pathogen, better serve the clinic. Methods Through the study of Zhang Zhongjing's Treatise on Cold Pathogenic Diseases and Synopsis of Golden Chamber and the Dampness Pathogen Disease of Xue Shengbai, the similarities and differences of the etiology, symptoms, treatment and medication of the two doctors was explored. Conclusion Zhang Zhongjing and Xue Shengbai in the treatment of dampness pathogen as the disease of the spleen and stomach Yang, Zhang zhongjing the use of sixsyndrome treatment of wet evil is mainly used "sweating and dieresis" two major treatment, Xue Shengbai combined with wei qi ying blood and Sanjiao syndrome of medicine, and according to the different levels of wet evil and different stages of human body, comprehensive etiology, pathogenesis, lysis, determine the treatment method, the rationale for prescription drugs.