A Brief Discussion on the Clinical Value of Treatise on Cold Damage
-
摘要: 《伤寒论》临证思想研究者众多,已逐渐形成较为完善的伤寒学研究体系,然尚存不足之处,如对此书临床价值认识不全面、疫病诊治重温病轻伤寒、经典理论应对当代疾病及经方运用存在的问题等。提出《伤寒论》为百病立法,治伤寒亦治杂病;疫病诊治重温病轻伤寒,实则寒温相互羽翼;经典研究可借鉴西医思维,应对疾病须以中为基;目前经方运用重方药略理法,亟待构建规范体系等观点,为中医经典临床研究提供思路。Abstract: There are many researchers on the clinical thinking of Treatise on Cold Damage, and a relatively complete research system on Treatise on Cold Damage has gradually been formed. However, there are still shortcomings, such as incomplete understanding of the clinical value of this book, the diagnosis and treatment of epidemic diseases focusing on febrile diseases and underestimating typhoid fever, problems in how classical theories deal with contemporary diseases and the application of classical prescriptions. This article proposes that Treatise on Cold Damage is the law for all diseases, treating typhoid fever as well as miscellaneous diseases; the diagnosis and treatment of epidemic diseases emphasizes the treatment of febrile disease and underestimates typhoid fever, but in fact, cold and warmth are closely related; classical research can learn from the thinking of western medicine, and the treatment of diseases must be based on Chinese medicine. At present, the application of classic prescriptions focuses on prescriptions and neglects theory and methods, and there is an urgent need to build a standardized system to provide ideas for clinical research on Chinese medicine classics.
-
[1] 柯琴.伤寒来苏集[M].上海:上海科学技术出版社, 1959.KE Q. Collected writings on the renewal of the Treatise on cold damage[M]. Shanghai: Shanghai Scientific & Technical Publishers, 1959. [2] 方有执. 伤寒论条辨[M].上海:上海科学技术出版社,2000:2.FANG Y Z. Systematic analysis of the Treatise on cold damage[M]. Shanghai: Shanghai Science and Technology Press, 2000:2. [3] 陈亦人. 《伤寒论》求是: 精修案例版[M]. 北京: 中国中医药出版社, 2016:4.CHEN Y R. Seeking truth about Treatise on cold damage: Refined case version[M]. Beijing: China Press of Traditional Chinese Medicine, 2016:4. [4] 朱天宇, 甘文平, 于莉华, 等. 《伤寒论》六经辨证源流与传承[J]. 中医学报, 2022, 37(1): 15-18. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZK202201004.htmZHU T Y, GAN W P, YU L H, et al. Origin and inheritance of syndrome differentiation of six meridians in Shanghan Lun[J]. Acta Chin Med, 2022, 37(1): 15-18. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZK202201004.htm [5] 程应旄.伤寒论后条辨·读伤寒论赘余[M]. 北京: 中国中医药出版社, 2009:38.CHENG Y M. Item analysis after Treatise on cold damage-Reading the redundant parts of Treatise on cold damage[M]. Beijing: China Press of Traditional Chinese Medicine, 2009:38. [6] 张仲景. 伤寒论[M]. 北京: 人民卫生出版社, 2005.ZHANG Z J. Treatise on cold damage[M]. Beijing: People’s Medical Publishing House, 2005. [7] 林可华. 温病学说羽翼仲景《伤寒论》[J]. 福建中医药, 1988, 19(5): 42-44. https://www.cnki.com.cn/Article/CJFDTOTAL-FJZY198805022.htmLIN K H. The theory of febrile diseases is in the wings[J]. Fujian J Tradit Chin Med, 1988, 19(5): 42-44. https://www.cnki.com.cn/Article/CJFDTOTAL-FJZY198805022.htm [8] 卢祥之.名中医经验撷菁[M]. 北京: 人民军医出版社, 2008: 330.LU X Z. Experience of famous Chinese medicine practitioners[M]. Beijing: People’s Military Medical Press, 2008: 330. [9] 俞根初, 徐荣斋. 重订通俗伤寒论[M].上海: 上海卫生出版社, 1956: 35.YU G C, XU R Z. Redefining the Treatise on cold damage[M]. Shanghai: Shanghai Health Publishing House, 1956: 35. [10] 马俊杰, 邓菊, 王紫薇, 等. 基于江南医派疫病思想探索中医药干预新冠病毒变异毒株的“防-治-养”模式[J]. 中国实验方剂学杂志, 2022, 28(16): 221-228. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSFX202216028.htmMA J J, DENG J, WANG Z W, et al. Prevention, treatment, and recuperation of infection with SARS-CoV-2 variants by traditional Chinese medicine based on idea of epidemic prevention of Jiangnan medical school[J]. China Ind Econ, 2022, 28(16): 221-228. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSFX202216028.htm [11] 张莉莉, 薛崇祥, 周凌, 等. 由靶及态之现代中西医结合医学模式探析[J]. 中医杂志, 2023, 64(22): 2269-2274. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202322001.htmZHANG L L, XUE C X, ZHOU L, et al. Exploration of modern integrated Chinese and western medicine model: From target to state[J]. J Tradit Chin Med, 2023, 64(22): 2269-2274. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202322001.htm [12] 丁齐又, 赵林华, 宋斌, 等. 两个重构: 中医药传承创新发展的重要路径[J]. 中医杂志, 2023, 64(9): 865-869. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202309001.htmDING Q Y, ZHAO L H, SONG B, et al. Two reconstructions: An important path for the preservation and innovative development of traditional Chinese medicine[J]. J Tradit Chin Med, 2023, 64(9): 865-869. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202309001.htm [13] 胡朝榆, 曹灵勇, 林树元, 等. 经方辨证纲领的演变[J]. 中华中医药杂志, 2022, 37(2): 669-672. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY202202021.htmHU Z Y, CAO L Y, LIN S Y, et al. Evolution of the syndrome differentiation principles of classic prescriptions[J]. China J Tradit Chin Med Pharm, 2022, 37(2): 669-672. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY202202021.htm [14] 于洋, 黎同明, 汪玉梅, 等. 论经方的中医体系属性[J]. 中华中医药杂志, 2021, 36(8): 4460-4463. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY202108009.htmYU Y, LI T M, WANG Y M, et al. Discussion on classical prescriptions’ system attribute in traditional Chinese medicine[J]. China J Tradit Chin Med Pharm, 2021, 36(8): 4460-4463. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY202108009.htm [15] 黄煌.我国经方传承的历史现状与前景探讨[J]. 南京中医药大学学报, 2019, 35(5): 523-527. http://xb.njucm.edu.cn/article/id/zr20190509HUANG H. Discussion on history, current situation and prospects of classical prescription in China[J]. J Nanjing Univ Tradit Chin Med, 2019, 35(5): 523-527. http://xb.njucm.edu.cn/article/id/zr20190509 [16] 林树元, 刘畅, 李煜, 等. 中医在人工智能时代的挑战与经方智能化研究思路[J]. 中华中医药杂志, 2019, 34(2): 448-451. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201902002.htmLIN S Y, LIU C, LI Y, et al. Challenges of traditional Chinese medicine in the era of artificial intelligence and the research ideas of intelligential classical formulas of traditional Chinese medicine[J]. China J Tradit Chin Med Pharm, 2019, 34(2): 448-451. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201902002.htm [17] 孙思邈.千金翼方[M]. 沈阳: 辽宁科学技术出版社, 1997:81.SUN S M. Supplement to Important formulas worth a thousand gold pieces[M]. Shenyang: Liaoning Science and Technology Press, 1997:81. [18] 朱肱. 类证活人书: 二十二卷[M]. 上海: 商务印书馆, 1955:95.ZHU G. Book to safeguard life arranged by categorized patterns: Twenty-two volumes[M]. Beijing: The Commercial Press, 1955:95. [19] 喻嘉言. 寓意草[M]. 上海:上海科学技术出版社, 1959:1.YU J Y. Allegorical grass[M]. Shanghai: Shanghai Science and Technology Press, 1959:1 [20] 张静远, 倪卫东, 凌云, 等. 《伤寒论》量辨思维探赜[J]. 南京中医药大学学报, 2019, 35(3): 245-247. http://xb.njucm.edu.cn/article/id/ZR20190302ZHANG J Y, NI W D, LING Y, et al. Thinking of quantitative differentiation in treatise on febrile diseases[J]. J Nanjing Univ Tradit Chin Med, 2019, 35(3): 245-247. http://xb.njucm.edu.cn/article/id/ZR20190302 [21] 王莉兰, 周春祥, 马俊杰. 从《伤寒论》“证”内涵和中药配伍运用的多维性探讨“方证相应”[J]. 中医杂志, 2021, 62(18): 1565-1568. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202118001.htmWANG L L, ZHOU C X, MA J J. Discussion on “correspondence between formulas and syndromes” from the connotation of “syndromes” in treatise on febrile disease and from the multidimensionality of combination of Chinese herbal medicine[J]. J Tradit Chin Med, 2021, 62(18): 1565-1568. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYZ202118001.htm [22] 郭俊汝, 韩行, 张林. 方证相应的理论探讨[J]. 亚太传统医药, 2021, 17(9): 168-170. https://www.cnki.com.cn/Article/CJFDTOTAL-YTCT202109045.htmGUO J R, HAN H, ZHANG L. Discussion on the corresponding theory of prescriptions and syndromes[J]. Asia Pac Tradit Med, 2021, 17(9): 168-170. https://www.cnki.com.cn/Article/CJFDTOTAL-YTCT202109045.htm [23] 石银龙, 包雨晴, 周春祥. 周春祥治疗脾胃病常用药对浅述[J]. 辽宁中医杂志, 2017, 44(6): 1138-1140. https://www.cnki.com.cn/Article/CJFDTOTAL-LNZY201706006.htmSHI Y L, BAO Y Q, ZHOU C X. Brief introduction of Zhou Chunxiang’s commonly used drug pairs in treating spleen and stomach diseases[J]. Liaoning J Tradit Chin Med, 2017, 44(6): 1138-1140. https://www.cnki.com.cn/Article/CJFDTOTAL-LNZY201706006.htm
点击查看大图
计量
- 文章访问数: 184
- HTML全文浏览量: 30
- PDF下载量: 19
- 被引次数: 0