从“四时五脏阴阳毒”论疫病

Treating Epidemic Diseases from"Four seasons Five Internal Organs Yin and Yang Toxin"

青筋牵、赤脉攒、黄肉随、白气狸、黑骨温分别以肝、心、脾、肺、肾为主证,对应时气于春、夏、四季余月、秋、冬,各分阴阳,以“毒”致疫。孙思邈以五脏为中心,结合四时五气六经阴阳阐述发微“四时五脏阴阳毒”理论,认为疫病之因在于脏腑之“毒”,各时各脏疫毒症状均有不同侧重,强调疫病防治需以脏腑辨证为核心,四时调、五脏和、六经顺、阴阳平、疫毒祛,则疫病愈。将“四时五脏阴阳毒”理论与现行疫病新型冠状病毒肺炎的不同脏腑表现相结合,不论是史上不同的疫病,还是新型冠状病毒肺炎不同阶段,均有不同的脏腑症状表现,若以脏腑阴阳论治为切入点,疗效或更佳。

The main syndromes of"Qingjinqian,Chimaicuan,Huangrousui,Baiqili and Heiguwen"are closely related to Liver,Heart,Spleen,Lung,and Kidney respectively,corresponding to the seasonal Qi in spring,summer,the rest month of the seasons,autumn,and winter,in which Yin and Yang are divided respectively and cause the epidemic with"Toxin".Sun Simiao focused on the five internal organs and combined with the four seasons as well as the Yin and Yang of the five Qi and six meridians,and elaborated the theory of"four seasons and five internal organs Yin and Yang toxin".He believed that the cause of the disease lies in the"toxin"of the five Zang.Disease prevention and control need to focus on the syndrome differentiation of the five Zang,and the disease can be cured by adjusting the Qi of the four seasons,realizing the harmony of the five Zang,the smoothness of the six channels,and the balance of Yin and Yang,thus the elimination of the toxin can be done.Therefore,combining this theory with the different visceral manifestations of the current epidemic of corona virus disease 2019(COVID-19),whether it is a different disease in history or at different stages of the disease,with different Zang-fu symptoms,treatment from perspective of Five Zang would achieve better curative effect.