从《黄帝内经》的“五运六气”学说谈对非典的中医治疗

Discussion on treatment of SARS by doctrine of Five Elements' Motion and Six Kinds of Weather recoreded in Huangdi's Internal Classic

《黄帝内经》“五运六气”学说总结了春秋战国时期中国的天文学、气候学、历史及物候学 ,并具体运用于哲学及医学领域。文章介绍运气学说自唐代逐渐受到重视 ;宋代其影响和应用达到空前兴盛时期 ,如陈无择《三因极一病证方论》将运气学说的治疗原则具体落实到方药上 ;明清温病学家吴瑭则通过“运气”来探讨温病发生的原因。按照“五运六气”推算 ,今年为“太阴湿土司天” ,SARS病毒的基因突变是否与此有关 ?其“以苦燥之温之 ,甚者发之泄之”的用药原则 ,是否可指导当前中医治疗非典 ?“五运六气”学说可能为当前积极寻找和制定防控“非典”方案提供一点参考。

The doctrine of "Wu yun Liu Qi"(Five Elements' Motion and Six Kinds of Weather) summaried Chinese astronomy, climatology, calendar and phenology and was used in philosophy and medical field during Chunqiu(Spring and Autumn) and Zhanguo(Warring Stage).This doctrine became to be emphasized in Tang Dynasty and gained full development in Song Dynasty. For example, CHEN Wu_ze, the writer of San Yin Ji Yi Bing Zheng Fang Lun (Discussion of Pathology Based on the Triple_Etiology Doctrine), applied the theory in herbal treatment. WU Tang, a famous epidemic febrile disease doctor in Ming and Qing Dynasty, explored the factors of epidemics through the research of the doctrine of "Wu Yun Liu Qi".This year is charged by Taiyin_dampness_earth based on this doctrine. We are considering whether the gene mutation of SARS virus deals with this factor, and if the prescription principle of "drying and warming even diaphoresis and purgation by drugs with bitter flavor" can be used to guide the herbal treatment of SARS.The doctrine of "Wu Yun Liu Qi" may offer some ideas to the research and treatment of SARS.