摘要
“通透”,即通里透表,以汗法和下法为代表治法,是中医界治疗疾病常用的祛邪法则。文章发现,明代温病学家吴又可在治疫过程中对人体形成了“表-膜原-里”的朴素整体结构观。而疫病初起,疫气从口鼻直入半表半里的膜原,邪气传变有走表、入里两个途径,都为吴又可利用“通透”祛邪法因势利导,为开达膜原提供了先决条件。同时文章对达原饮、达原饮三阳加法以及三消饮分析发现,三方病机为邪气即离膜原而未离,有不同程度的走表入里,所以三方均为吴又可应用“通透”祛邪法开达膜原治疗疫病的具体体现。
‘Unclogging and exuding’ means making evil to go out from the gastrointestinal tract and from the muscle surface, with sweating and defecation as representative treatment. It is a common rule to remove evil in the treatment of diseases in TCM. It is found that WU You-ke, a warm epidemiologist in Ming dynasty, formed a simple overall structure view of the human body: ‘surface, moyuan and interior’ in the process of curing epidemic disease. At the beginning of epidemic disease, the evils of epidemic disease goes straight from mouth and nose into the moyuan of half a surface and half a inside. There are two ways for the evils of going out and going in, which provides the prerequisite for WU You-ke to use the ‘unclogging and exuding’ method to take advantage of the situation for relieving moyuan. At the same time, the analysis of Dayuan Decoction, Dayuan Decoction Sanyang Jiafa and Sanxiao Decoction shows that the pathogenesis of the three prescriptions is evil, that is, leaving the membrane original but not leaving, with different degrees of inward and outw ard, so the three prescriptions are the specific embodiment of WU You-ke application of ‘unclogging and exuding’ dispelling evil method to relieving moyuan original to treat epidemic disease.
作者
王秋月
毕岩
岳冬辉
WANG Qiu-yue;BI Yan;YUE Dong-hui(Changchun University of Traditional Chinese Medicine,Changchun 130117,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2022年第7期3676-3679,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
吉林省科技厅中青年科技创新卓越人才专项(No.20210509004RQ)
吉林省科技厅自然科学基金面上项目(No.YDZJ202201ZYTS174)。
关键词
吴又可
通透
祛邪法
因势利导
开达膜原
疫病
WU You-ke
Unclogging and exuding
Dispelling evil method
Take advantage of the situation
Relieving moyuan
Epidemic disease
