僵蚕在瘟疫治疗中的运用探析

Discussing the Application of Bombyx Batryticatus in the Treatment of Plague from Medical Records

古代医家在针对瘟疫的治疗中,僵蚕的使用相当频繁。清代瘟疫名家杨栗山称僵蚕“为温病之圣药”,组成“升降散”广泛治疗各类疫病,但现代中药学理论对于僵蚕“治疫”这一认识并未深入。笔者从相关古籍文献入手,分别针对僵蚕的药用、方解、验案等方面做相应整理归纳,意在阐发僵蚕具有“解郁热、散表风、消痰浊、清伏邪”的作用,并明晰其在瘟疫治疗中的有效价值及相应辨证依据,以资临床学者辨证论治。

In the treatment of plagues by ancient Chinese physicians,Bombyx batryticatus was used quite frequently.Yang Lishan,a famous plague doctor in the Qing Dynasty,called Bombyx batryticatus as“the holy medicine for febrile disease”,and applied it in Shengjiang Powder to treat many diseases.However,the modern Chinese medicine theory does not have an in-depth understanding of Bombyx batryticatus′s effectiveness in curing plague.The author started from the relevant ancient literature,and summarized the drug application,prescription,and effective cases of the Bombyx batryticatus.We intended to explain that the Bombyx batryticatus had the effect of treating fever,relieving exterior syndrome,eliminating phlegm and turbidity,and purging incubated diseases in TCM,and clarified its effective value in the treatment of plague,and the corresponding basis for syndrome differentiation,so as to provide clinical scholars for syndrome differentiation and treatment.