《时病论》与脏腑辨证

Treatise on Seasonal Diseases and differentiation of syndromes according to pathologic changes of viscera and their interrelations

关键词:  《时病论》  脏腑辨证  学术探讨

Key words:  Treatise on Seasonal Diseases  differentiation of syndromes according to pathologic changes of the viscera and their interrelations  academic discussion

摘要:

简要介绍了清末温病学派医家雷丰的生平、著述及影响。重点论述其代表作《时病论》的辨证方法,总结了《时病论》运用脏腑辨证的规律和特点,进而阐明其在整个中医“辨证”历史上的位置和特色。主要从三个方面阐述《时病论》对“脏腑辨证”的运用,1)在温病领域的运用情况。雷氏治温病虽也采用三焦辨证卫气营血辨证,但所占比例较小,而广泛地使用脏腑辨证,且能明确反映温病的传变及分期特点。2)治泄痢的脏腑辨证特色,3)创新辨证脏腑证型。

Abstract:

The whole life, works and his influence of Lei Feng, a famous doctor belonging to sect of epidemic febrile disease in Qing dynasty were introduced. The differentiating method of his representative work Treatise on Seasonal Diseases was discussed. The rule and characteristics of this book were summarized. Then its place and characteristics on the differentiation history of traditional Chinese medicine were also explored. The application of differentiation of syndromes according to pathologic changes of the viscera and their interrelations in Treatise on Seasonal Diseases was studied from 3 aspects in this paper. First, differentiation of syndromes according to pathologic changes of the viscera and their interrelations was used more often than differentiation of syndrome according to the pathologic changes of triple jiao and differentiating the development of an epidemic febrile disease by studying condition of the four systems (wei, qi, ying, xue). This kind of differentiation could show the progress of febrile disease and the characteristics of its each stage. Second, the characteristics of differentiation of syndromes according to pathologic changes of the viscera and their interrelations in treating diarrhea and dysentery. Third, the new type of viscera syndrome of dysentery was established.