《伤寒翼》瘟疫辨治特色探赜

Exploring the characteristics of the treatment of plague in Shanghan Yi

关键词:  疫病理论  蒋示吉  《伤寒翼》  通解表里  顾护正气  下法

Key words:  pestilence theory  JIANG Shiji  Shanghan Yi  relieve the exterior and clear the interior heat  protect the healthy qi  draining downward method

摘要:

对中医疫病学理论发展的研究有益于中医学的传承及为未来人类对抗新发传染病提供参考依据。明末蒋示吉以《黄帝内经》《伤寒论》理论为基，承《温疫论》之论，撰写《伤寒翼》，明辨瘟疫有别于伤寒之处，在治疗中则提出治疫始终宜于疏利，通解表里，注重顾护正气，又创造性地将下法分为可下、宜下、急下、连下4个方面，补前人之不足，发展中医疫病认识。今探究蒋示吉《伤寒翼》瘟疫辨治理论学术渊源，梳理其疫病治疗特色，为中医药治疗新发、突发传染性、感染性疾病提供参考。

Abstract:

The study of the theoretical development of epidemiology in Chinese medicine is beneficial to the inheritance of Chinese medicine and provides a reference for the future fight against emerging infectious diseases. When JIANG Shiji wrote Shanghan Yi,he used the theory of Inner Canon of Huangdi and Treatise on Febrile Diseases as the basis and took on the theory of Wenyi Lun,which recognized that the plague was different from typhoid fever,and proposed that the treatment of the plague was always be based on dredging and relieving the epidemics,and emphasized on the care of healthy qi,and he also creatively classified the downward method into the four aspects of can be downward,desirable to be downward,urgent downward,and continuous downward to make up for the inadequacies of the predecessors and to facilitate the development of the science of epidemiology. Today,we are exploring the background of the birth of Jiang Shiji’s Shanghan Yi plague treatment theory,the origin of academic thinking,and systematically sorting out the characteristics of its epidemic treatment,to provide references for today’s clinics to better cope with common infectious diseases and even new-onset and sudden-onset infectious and contagious diseases.