摘要
温病是临床常见之病,痎疟是古今医家忽略的古病名,通过文献研究可发现,痎疟不应与疟疾、伤寒少阳证相混淆,古痎疟与明清温病有相互交叉之处。《黄帝内经》中"伏邪"原是用于解释春之温疟、秋之痎疟的机理,二者的症状描述亦与后世的春温、伏暑一致,伏气温病应包含在痎疟之中。明末瘟疫的病因、病位、症状、治法、方药都与瘴疟吻合,可证实明末瘟疫是瘴疟。因古今医家不识得痎疟,故而另立温病一派之门户。必正痎疟之名,温病学的源流才能澄清;发掘古痎疟理法方药,能印证并重释温病学相关理论,为临床实践带来新的启示。
Febrile disease is a common clinical disease,while Jienue as a name of an ancient disease,is easily neglected by ancient and modern doctors.Through literature research,it can be found that Jienue should not be mistaken with malaria or shaoyang disease,which is interrelated with febrile disease in Ming and Qing Dynasties.The Inner Canon of Huangdi suggested that latent pathogen is the cause of Wennue and Jienue.Both have the same symptoms,which also happen in febrile diseases.So the febrile diseases caused by latent pathogen shall be Jienue.It can be also confirmed that the plague in the late Ming Dynasty is contained within Zhangnue by comparative study on etiologies,pathogenesis,symptoms and treatments.Since Jienue was ignored by physicians,a new school of epidemic febrile diseases develops without the support of Jienue theory.We should reacquaint the diseases of Jienue so that the source of febrile diseases can be clarifyed.Meanwhile,through the excavation of reason,method,prescription and medicine of Jienue,the theory of febrile disease can be reinterpreted,which brings new inspiration to clinical practice.
作者
殷鸣
刘渊
YIN Ming;LIU Yuan(Basic Medical School of Chengdu University of Chinese Medicine,Chengdu 610075 ,China)
出处
《中国中医基础医学杂志》
CAS
CSCD
北大核心
2019年第2期151-153,共3页
JOURNAL OF BASIC CHINESE MEDICINE
关键词
痎疟
瘴疟
温病
瘟疫
Jienue
Zhangnue
Febrile Disease
Plague
