清初医家马印麟对三年化疫理论的创见

Study on the theoretical reconstruction of epidemic transformation in three-year by MA Yin-lin in the early Qing dynasty

《素问遗篇》的三年化疫理论近年来受到越来越多的关注,但却很少有人注意到清初医家马印麟对三年化疫理论的创见。通过对《瘟疫发源》及相关文献的研究,发现马印麟剔除了《素问遗篇》补入的"天地二甲子""五疠"等概念,转从六气升降失常的角度重构三年化疫理论,从而实现了《素问遗篇》与《素问》运气七篇学术体系的融合;马印麟还应用三年化疫理论阐释明末清初的疫病流行情况,并依据该理论配以五瘟丹、连翘解毒饮等7首药方治疫获效,被刘奎等温病名家所借鉴。马印麟对三年化疫理论的创见具有重要的学术价值,值得深入发掘研究。

The theory of epidemic transformation in three-year(Sannian Huayi)from Suwen Yipian has attracted more and more attention from academia.However,few people have noticed MA Yin-lin’s reconstruction of this theory in the Qing dynasty.In Wenyi Fayuan,MA Yin-lin deleted the concepts such as‘Heaven-earth two Jia Zi’‘Wuli’,and reconstructed the theory of epidemic transformation in three-year through the perspective of the abnormal ascending and descending of six climatic factors,so as to realize the integration of the two systems in Suwen and Suwen Yipian.MA Yin-lin also used the theory to explain the several epidemics in the late Ming and early Qing dynasty,and made up seven prescriptions including Wuwen Dan and Lianqiao Jiedu Decoction to treat the epidemic diseases,with remarkable effect,which was praised by some famous TCM experts such as LIU Kui.The theoretical reconstruction of epidemic transformation in three-year by MA Yin-lin has important academic value and is worthy to study and exploration.