研究《伤寒论》,重点把握“热”

Focusing on ‘heat’ when studying Shanghan Lun

文章论述了外感病发病过程中“邪客皮表、传经络、入脏腑”的由表入里传变的3个基本过程,着重阐述了六经经热证特别是“三阴经热证”在伤寒三阴病由热转寒、由实转虚过程中的承上启下作用;确认伤寒病自然演变过程中传递的是邪热,而非风寒等邪气,强调研究《伤寒论》时要重点把握“热”,进而整体上归纳了《伤寒论》学习和研究的脉络与方法,以期在临床中指导运用《伤寒论》辩证思维论治外感病。

Basic processes of‘pathogenic factor invading skin,transmitting to meridians,collaterals,and viscera’in the course of exogenous diseases were discussed in this article,which stated particular emphasis on manifestation,characteristics and significance of six-meridians’heat syndromes,especially the connecting role of three yin-meridians’heat syndromes in transforming from heat to cold and from excess to deficiency of three yin-diseases.At the same time,it was pathogenic heat rather than wind,cold or other pathogens that were transmitted in the course of exogenous febrile diseases was also confirmed,which emphasized the importance on‘heat’when learning Shanghan Lun,showed the context and methods of learning Shanghan Lun,and provided guiding effect to clinical practice by the application of syndrome differentiation in Shanghan Lun.