《伤寒论》“客热”辨析

Analysis of "Ke Re" in Treatise on Typhoid Fever

从六经分论《伤寒论》“客热”之机理及治则,发现张仲景提出“客热”这一概念,主要为解释因失治误治,致阳气虚浮,非本经之热浮越而暂寄于局部所生之诸多证候。“客热”之证虽以虚为多,却有实象,即“大虚有盛候”,故临证当详审病机,所谓“观其脉证,知犯何逆,随证治之”之理。因热须区分本位与外加之热,故仲景特以“客热”命名。

By analyzing the mechanism and treatment of "Ke Re" in Treatise on Typhoid Fever from perspective of the Six Meridians, it is found that Zhang Zhongjing proposed the concept of "Ke Re" mainly to explain the many syndromes caused by the deficiency of Yang Qi due to the failure of treatment or mistreatment, which are not caused by the Heat of the original meridian, which is temporarily shown in local areas.Although there are many syndromes of "Ke Re",there is phenomenon of being excessiveness, that is, "serious deficiency being shown with prosperous symptoms".Therefore, the clinical symptoms should be examined in detail and the principle of "observing the pulse syndrome to know what is wrong and treating it according to the syndrome" should be followed.Since Heat needs to be distinguished between original Heat and added Heat, Zhongjingte named it "Ke Re".