基于张仲景疫病理论浅析新型冠状病毒肺炎六经、三焦证候与调治策略

Analysis on syndrome and regulating strategy of coronavirus disease 2019 six meridians and triple energizer based on ZHANG Zhongjing's epidemic disease theory

关键词:  疫病  新型冠状病毒肺炎  六经辨证  卫气营血辨证  三焦辨证

Key words:  epidemic disease  COVID-19  six meridians syndrome differentiation  wei-qi-ying-blood syndrome differentiation  triple energizer syndrome differentiation

摘要:

张仲景疫病理论可见于《伤寒论·伤寒例》《伤寒论·辨脉法》及《温热经纬·仲景疫病篇》。宋代以前诸多医家从时行寒疫的角度归纳了张仲景疫病六经传变的思想。明清时期温病学家王孟英从"疫邪夹杂，清浊不分，三焦相溷"角度提出张仲景疫病理论的三焦传变。挖掘张仲景疫病理论，从六经辨证、卫气营血辨证、三焦辨证的角度浅谈对新型冠状病毒肺炎病因病机、方证治法的认识，为防治新型冠状病毒性肺炎提供相应的理论指导。

Abstract:

ZHANG Zhongjing's theory of epidemic diseases can be found in Treatise on Febrile Diseases:Cases of Typhoid Febrile Diseases,Treatise on Febrile Diseases:Method of Pulse Differentiation,and Wenbing Jingwei:Zhongjing Epidemic Diseases. Before the Song Dynasty,many doctors summarized ZHANG Zhongjing's thought of spreading and changing the six meridians of epidemic diseases from the perspective of cold epidemic. During the Ming and Qing Dynasties,the epidemiologist WANG Mengying put forward ZHANG Zhongjing's theory on the spread of the triple energizer from the perspective of "the mixture of epidemic and pathogenic factors,unable to distinguish between the clear and the turbid,and the confusion of triple energizer". ZHANG Zhongjing's theory of epidemic diseases is excavated,and the understanding of the etiology and pathogenesis of coronavirus disease 2019(COVID-19) and prescription,syndrome differentiation and treatment methods are discussed from the perspectives of six meridians syndrome differentiation,wei-qi-ying-blood syndrome differentiation and triple energizer syndrome differentiation,so as to provide corresponding theoretical guidance for the prevention and treatment of novel coronavirus pneumonia.