“风温”概念演变探源

Concept Evolution of"Fengwen"(Wind-Heat)

“风温”一词最早见于《黄帝内经》,今定义为感受风热病邪所引起的急性外感热病。随着历史的变迁,古医籍中“风温”名同而概念不同,历代医家对“风温”的定义各有不同。“风温”经历了由气候特征名至证名,再至病名的概念转变。作为疾病概念,其内涵由病因单要素扩展为病因病机、病位、时令、发病、传变等多要素。清代医家丰富了“风温”概念内涵,在其病位、时令、病因、发病四要素上存有分歧,丰富了“风温”的概念内涵。

The term of"Fengwen"(Wind-Heat)was first proposed in Huang Di Nei Jing,and now it is defined as acute exogenous fever caused by the pathogenic factors of Wind-Heat.During the long TCM history,the term of"Wind-Heat"in ancient medical books is means quite differently and doctors of all dynasties have different opinions on the definition of it.The concept of"Wind-Heat"has changed from the name of climate characteristics to the name of syndrome,and then to the name of disease.As a concept of disease,its connotation has expanded from a single factor of etiology to many factors,such as etiology,pathogenesis,location,season,onset,transmission and so on.Doctors in the Qing Dynasty enriched the connotation of the concept of"Wind-Heat"yet there were differences on the four elements of disease location,season,etiology and onset.