思考吴又可的温疫证治

Discussion on syndrome and treatment of plague by Wu Youke

尝试从具体疾病的角度思考吴又可的温疫证治。吴又可治疗温疫关注的是气机的疏利和通达,汗下应顺势而为,务必保持胃肠道通畅。吴又可喜大黄通利,嫌黄连闭塞,认为只用苦寒药,忘其本而徒治其标。汗下之后,症状缓解,邪去正安;疏利之法达邪于表里,通利紧跟其后以驱邪外出。吴又可《温疫论》经戴天章、杨栗山等的补充和扩展、吴鞠通对其方药的议论,至何廉臣的《重订广温热论》,扩大了温热病的证治范围。

This paper tries to discuss the syndrome and treatment of plague by Wu Youke from specific diseases. Wu Youke's treatment of plague focuses on the dredging and dispersing of qi movement. Sweating therapy should be applied according to the condition,and be sure to keep the gastrointestinal tract unobstructed.Dahuang( Rhei Radix et Rhizoma) is preferred to dredge and disperse,rather than Huanglian( Coptidis Rhizoma). It is considered that the bitter-flavour and coldnatured drugs could only treat the manifestations but not root cause. After sweating,the symptoms are relieved,the pathogen is removed and the vital qi is restored.The therapy of dredging promotes the pathogen into the surface and then the therapy of dispersing expels the pathogen out. Wenyi Lun( Treatise on Plague) was complemented and extended by Dai Tianzhang and Yang Lishan,and Wu Jutong also discussed the prescriptions,and Chongding Guang Wenre Lun was made by He Lianchen,which enlarged the syndrome and treatment of epidemic febrile disease.