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谈伤寒和温病的关系 被引量:4

Discussion on the Relationship between Exogenous Febrile Disease and Epidemic Febrile Disease
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摘要 《伤寒论》和“温病学”所讨论的内容皆属于中医外感病的苑畴。后世常以《伤寒论》论风寒性外感病 ,“温病学”论温热性外感病 ,使两者对峙起来 ,故一直困扰着中医外感病学的研究及其发展。自《黄帝内经》以来 ,外感病的病情表现和病因病机没有本质的改变 ,《伤寒论》及其以后的方药至今在外感温热病的治病中有效地运用着。形成《伤寒论》和“温病学”对峙的原因 ,一是人们将广义“伤寒”和狭义“伤寒”的概念相混淆 ;二是把《伤寒论》治疗方法上的某些局限性 ,误认为辨证理论体系及其内容上的缺限。《伤寒论》的六经辨证和“温病学”的卫气营血辨证、三焦辩证在中医的理论上来看 ,其本质是相通的 ,只是各自表述理论问题时的概念、范畴以及所运用的名词术语有一定的差别。因此 ,在这一前提下推进“寒温统一”的研究 ,将是中医外感病学发展的切入点。 What Treatise on Febrile Diseases and Doctrine of Epidemic Febrile Disease discuss are both belonging to the category of exopathic diseases in TCM. Aftertime,people often consider Treatise on Febrile Diseases talking about exopathic diseases cause by wind cold while Doctrine of Epidemic Febrile Disease concerning exopathic diseases caused by wind heat,which makes these two concepts confront with each other. As a result,such a misunderstanding has been hampering the study and development of the exopathic diseases in TCM all the time. Since the time of Yellow Emperor's Internal Classic ,there are no intrinsic changes in the descriptions of symptoms and signs,and also etiology and pathogenesis of exopathic diseases. Nowadays,prescriptions of Treatise on Febrile Diseases and afterwards are still used effectively in the treatment of epidemic febrile disease caused by exopathogen.The reasons that cause Treatise on Febrile Diseases and Doctrine of Epidemic Febrile Disease to stand face to face are as follows:one is that people confuse the two concepts of the exogenous febrile disease in a broad sense and that in a narrow sense;the other is that people mistake the limitation of the methods of treatment in Treatise on Febrile Diseases as the deficiency in contents and the “planning treatment according to diagnosis” of that book. Actually,concerning about the TCM theory,“Differentiation of Six Channels” in Treatise on Febrile Diseases and “Differentiation of Four Systems (wei,qi,ying,and xue)” and “Differentiation if Tri energizer” in Doctrine of Epidemic Febrile Diseases have similarities.The only difference among them is the expression of concepts,categories and terms when talking about theories.Thus,under such a premise,studying the “combination of cold and heat” will be the beginning of the development of exopathic diseases in TCM.
出处 《中国中医基础医学杂志》 CAS CSCD 2003年第3期13-16,共4页 JOURNAL OF BASIC CHINESE MEDICINE
关键词 伤寒 温病 理论体系 中医病理学 Exogenous Febrile Disease(TCM) Epidemic Febrile Disease Treatise on Febrile Diseases Doctrine of Epidemic Febrile Disease Relationship System Info
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