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从《温疫论》探讨吴又可治疗疫病的临床思维

马家驹

中医学报2024,Vol.39Issue(1):39-43,5.
中医学报2024,Vol.39Issue(1):39-43,5.DOI:10.16368/j.issn.1674-8999.2024.01.008

从《温疫论》探讨吴又可治疗疫病的临床思维

Wu Youke's Clinical Thinking on Treating Epidemic from Perspective of Wen Yi Lun

马家驹1

作者信息

  • 1. 首都医科大学附属北京中医医院,北京 100010
  • 折叠

摘要

Abstract

Wu Youke,by using Moyuan theory,proposed the initial onset of the epidemic is different from the surface syndrome of ty-phoid fever,and he propose the treatment method of promoting the collapse of the evil factors with Dayuan Yin.The essence of Xie Ke Mu Yuan(Dayuan Yin syndrome)is the severe Dampness and Heat retention in the Middle Energizer.Tongue examination shows a dark red or dark purple tongue,with white and thick coating on the tongue as a hallmark symptom.Wu Youke's first step in treating epi-demics is to use Dayuan Yin and Sanxiao Yin,which are spicy,warm,and dry in character,to promote Qi circulation,promote the break-down of the evil factors and transform Dampness and Heat into a simple Heat syndrome.The purpose is only to treat the Xie Ke Mu Yuan syndrome at the beginning of the epidemic,but not the main formula for treating the epidemic.Sanxiao Yin is more reflective of Wu Youke's clinical thinking than Dayuan Yin.The second step is to choose the corresponding treatment method based on the transfor-mation of the evil factors after its collapse.The key to treatment is to use Da Cheng Qi Decoction to attack the evil factor in Stomach and Bai Hu Decoction to clear and relieve internal Heat.Therefore,Wu Youke believed that the key treatment lies almost entirely in the later stages,always focusing on promoting the collapse of the evil factors and the expelling of them.Wu Youke's clinical thinking in treating epidemics has strong clinical guidance value for treatment of the syndrome of Dampness and Heat retention in the Middle Energizer.

关键词

疫病/邪客膜原证/中焦湿遏热伏证/达原饮/三消饮/大承气汤/白虎汤/吴又可/《温疫论》

Key words

epidemic/Xie Ke Mu Yuan syndrome/Syndrome of Dampness and Heat in the Middle Energizer/Dayuan Yin/Sanxiao Yin/Da Cheng Qi Decoction/Bai Hu Decoction/Wu Youke/Wen Yi Lun

分类

医药卫生

引用本文复制引用

马家驹..从《温疫论》探讨吴又可治疗疫病的临床思维[J].中医学报,2024,39(1):39-43,5.

中医学报

OACSTPCD

1674-8999

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