六经病欲解时在呼吸系统疾病中的辨治运用

The application of“the time of six meridians diseases tending to be cured”in the differentiation and treatment of respiratory diseases

鉴于近些年的经方热,经方临床应用的相关研究逐渐增多,但是有关于《伤寒杂病论》理论方面的探讨仍然较为匮乏:大部分六经实质的研究仍然偏向于依赖症候群并倾向于合方杂投;对于经方药物作用机制的研究仍处于较空白的状态或直接依赖西医药理学的研究;对于六经病欲解时的临床应用及相关研究则更少。笔者希望有更多研究经方的同道重视有关于此方面的内容,故文章首先引用一些研究《伤寒杂病论》的名家对于六经病欲解时的看法,对于他们的观点进行理论阐发,并结合自己的一些心得对六经病欲解时的实质内容进行探讨,综合以上各名家最终得到较为贴合临床的结论:六经病欲解时即六经病相关时,对于凡是有规律发作的时间性疾病都可以使用六经病欲解时进行辨经选经,然后选用适宜的经方来进行治疗。笔者深耕临床多年,发现如今中医临床上的常见病多发病属于内科杂病者较多,如单纯应用传统六经辨证恐难满足临床需要,有感于此,笔者认为结合六经病欲解时能扩大经方运用范围,将六经病欲解时灵活运用于临床,大都能取得较满意的疗效,故选取最近应用六经病欲解时治疗几例呼吸系统常见疾病的验案进行介绍,抛砖引玉,以供同道指正和探讨。

In view of the recent trend of development of classical prescription,the clinical application of classic prescription has been gradually increased,but there is still a lack of theoretical discussion on the theory of Shanghan Zabing Lun(《伤寒杂病论》).Most of the current reported researches on the nature of six meridians still has a preference to depending on syndromes and combining prescriptions.The study on the mechanism of action of classical prescription drugs is still in a blank state or directly depends on the study of Western medicine pharmacology.The clinical application and related research of“the time of six meridians diseases tending to be cured”are even less.The author hopes that more scholars in the study of the classics will attach importance to the relevant content in this aspect.Therefore,this paper firstly quotes some famous scholars’views on the interpretation of“the time of six meridians diseases tending to be cured”in the study of Shanghan Zabing Lun,makes a theoretical analysis of their views,and discusses the essence of the interpretation of“the time of six meridians diseases tending to be cured”by combining some of the author’s own experience.By synthesizing the above famous experts’opinions,the conclusion that is more suitable for clinical practice is finally obtained:“the time of six meridians diseases tending to be cured”is the time of all the regular onset time of six meridians diseases,which can be used to differentiate meridians and choose the appropriate classical prescription for treatment.The author has been deeply engaged in clinical practice for many years,and found that many common diseases in clinical practice of traditional Chinese medicine today are internal medicine miscellaneous diseases.It is hard to meet the demand of current clinic only using traditional“syndrome-differentiation of the six meridians system”,which is impossible to satisfy the need of everyday traditional Chinese clinical work.In this sense,the author believes that most of the satisfactory curative effects can be obtained by enlarging the application range of classical prescriptions and applying'the time of six meridians diseases tending to be cured'in the clinical practice flexibly.Therefore,several cases of common diseases of respiratory system treated by“the time of six meridians diseases tending to be cured”are introduced in order to provide a reference for discussion.