《伤寒论》治疗反应病机观探微

Analysis on the Pathogenesis of Treatment Response in Treatise on Febrile Diseases

目的提炼《伤寒论》中通过分析治疗后的反应而得出病机认知的思辨方法的规律与精华。方法通过对《伤寒论》体现治疗反应病机观的原文进行客观全面的探析,对《伤寒论》中治疗反应病机观理论进行精准提炼和详细阐释。结果《伤寒论》中治疗反应病机观包括:根据药物治疗之后药效反应进行病机分析、根据药物试探的药效反应分析病机,以及根据误治后治疗反应分析病机(包括误汗、吐、下、火疗或针刺)等内容。结论对《伤寒论》中治疗反应病机观理论进行详细阐释,对于《伤寒论》病机理论和中医学辨证理论的研用,以及临床疗效的提高均具有重要的启发意义和指导价值,值得深入研究。

Objective To refine the rules and essence of the speculative method of pathogenesis cognition by analyzing the reaction after treatment in"Treatise on Febrile Diseases".Methods Through an objective and comprehensive analysis of the original text of"Treatise on Febrile Diseases"reflecting the concept of therapeutic response pathogenesis,the theory of therapeutic response pathogenesis in"Treatise on Febrile Diseases"was accurately refined and explained in detail.Results The pathogenesis of therapeutic response in"Treatise on Febrile Diseases"includes:pathogenesis analysis based on pharmacodynamic response after drug treatment,pathogenesis analysis based on pharmacodynamic response of drug trial,and pathogenesis analysis based on therapeutic response after mistreatment(including sweating,vomiting,purgation,fire therapy or acupuncture).Conclusion The detailed interpretation of the theory of therapeutic response pathogenesis in"Treatise on Febrile Diseases"has important enlightening significance and guiding value for the research and application of the pathogenesis theory of"Treatise on Febrile Diseases"and the syndrome differentiation theory of traditional Chinese medicine,as well as the improvement of clinical efficacy,which is worthy of further study.