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伤寒名家尤在泾对温病之发挥OA北大核心CSTPCD

Famous expert of Treatise on Cold Pathogenic Diseases YOU Zaijing's view on warm disease

中文摘要英文摘要

吴门医家尤在泾为伤寒名家,对温病亦颇有建树.尤氏清伤寒与温病之源,辨伤寒与温病之异,提出正名识病的重要性,对温病学中温病、风温、瘟疫、湿温、温毒、温疟的疾病名称作出解释,把温病分为新感温病、伏邪温病、温病夹湿及瘟疫.治风温主以辛凉解散、理肺之法,治温毒主以清散透邪法,治伏温主以清热养阴透邪法,治湿温主以分消湿热法.论治瘟疫以病位为核心,根据疫邪所处病位不同,选择不同的治法与方药,列出治瘟疫五大法,建立了治疗瘟疫的理论框架,体现了因势利导治疗瘟疫的思想.尤在泾较早提出六经统寒温,试图用六经辨证体系来统摄伤寒、温病等一切外感病,为寒温合论的先驱者,其对温病的发挥对后世医家产生深远影响,今归纳其要,探析其理,为温病的诊治提供启发.

YOU Zaijing,a doctor of Wumen region,and a famous expert of Treatise on Pathogenic Diseases, also made great achievements in warm diseases. He cleared the source of cold pathogenic diseases and warm diseases, distinguish the difference between them. He put forward the importance of correcting and understanding the disease nomenclature. He explained the names of warm diseases,wind-warm disonder, pestilence,damp-warm disease,warm toxin and warm malaria.He divided warm diseases into newly acquired warm disease, warm disease caused by incubating pathogens, warm disease mixed with dampness and pestilence.He used pungent and cool natured drugs and the method of regulating lung to treat wind warm diseases.In the treatment of warm toxin, he used the method of venting pathogen with cool-scattered natured drugs. In the treatment of warm disease caused by incubating pathogens,he used the method of clearing away heat, nourishing yin and venting pathogen. In the treatment of dampness-warm disease, he used the method of eliminating dampness and heat separately. In the treatment of pestilence, he took the location of disease as the core.According to the different disease locations of the pestilence, different treatment methods and prescriptions were selected.He listed five methods of treating pestilence and established a theoretical framework for the treatment of pestilence,embodying the thought of guiding the trend along the development.He put forward the theory of Six Channels directing Cold and Warm early.He tried to use the syndrome differentiation of six channels system to direct all exogenous diseases such as cold pathogenic diseases and warm diseases. He was the pioneer advocator of the cold-warm combined theory. His views on warm diseases had a profound impact on later doctors. This paper summarizes his main points, analyzes his theory, and provides inspiration for the diagnosis and treatment of warm diseases.

晏蔓柔;李楠;马晓北

中国中医科学院中医基础理论研究所 北京 100700中国中医科学院研究生院

中医学

尤在泾温病瘟疫六经统寒温临证经验

YOU Zaijingwarm diseasepestilenceSix Channels direct Cold and Warmclinical experience

《北京中医药大学学报》 2024 (003)

336-340 / 5

国家中医药管理局《中华医藏》编纂项目(No.GZY-KJS-2021-066);中国中医科学院科技创新工程重大攻关项目(No.CI2021A00103)Chinese Medicine Collection Compilation Project of National Administration of Traditional Chinese Medicine(No.GZY-KJS-2021-066)

10.3969/j.issn.1006-2157.2024.03.008

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