温疫学派对疫后诸证的诊治特色研究OA
Study on Diagnostic and Therapeutic Characteristics of Epidemic School on Post-Epidemic Symptoms
疫后诸证即疫病恢复期出现的一系列病证.明清两代,以吴又可为主的温疫学派医家对此已形成系统的认识与诊治体系,通过对医家著作进行梳理,发现疫后诸证包括复证和瘥后证两部分,温疫学派强调对复证的重视,提出伤血耗气是温疫劳复的主要病机,应通过护胃气、清虚热、补脾肾等方法养正存津.疫病后期应注重饮食调护,积热食复,轻者消谷,重者以消导为大法.正气虚损易出现自复,守真则复其正.温疫学派还对近20种瘥后证进行论述,其病机主要有余热未尽、脾胃虚弱、痰热内扰,主客交,针对不同病证,都形成了相应特色用药.总结温疫学派对于疫后诸证的诊治特色,对临床诊治具有重要的参考价值.
Post-epidemic symptoms are a series of symptoms that appear during the recovery period of epidemic disease.In the Ming and Qing dynasties,the epidemic school led by WU Youke had formed a systematic understanding and diagnosis and treatment system for this.Through combing the writings of the physicians,it is found that the post-epidemic symptoms includes the recurrence of the symptoms and the symptoms of after recover.The Epidemic school emphasizes the importance of the recur-rence of the symptoms,and puts forward that injuring blood and depleting Qi is the main pathogenesis of the recurrence due to fa-tigue,and it is recommended to nourish the body and fluid by protecting the stomach Qi,clearing deficiency heat and tonifying spleen and kidney.Epidemic disease should pay attention to dietary regulation in the late stage.For the recurrence due to accumu-lation of and food,the mild patients can be treated by promoting digestion and the serious ones can be treated by eliminating meth-ods.Deficiency of positive Qi is prone to recurrence,and guarding the vital Qi can make it recover.The Epidemic school also dis-cussed nearly 20 kinds of syndromes after recovery,the pathogenesis of which mainly include residual heat not yet exhausted,weakness of spleen and stomach,phlegm-heat internal disturbance,and subject-object interactions,and the corresponding char-acteristics of medicines have been formed for the different disease conditions.Summarizing the diagnostic and therapeutic charac-teristics of the Epidemic school for the syndromes after recovery has an important reference value for clinical diagnosis and treatment.
刘媛媛;高寰宇;宋咏梅;刘轶凡
山东中医药大学中医文献与文化研究院,山东济南 250355山东中医药大学中医文献与文化研究院,山东济南 250355山东中医药大学中医文献与文化研究院,山东济南 250355山东中医药大学附属医院内分泌科,山东济南 250011
医药卫生
温疫学派疫后诸证文献研究中医康复
Epidemic schoolpost-epidemic symptomsliterature researchtraditional Chinese medicine rehabilitation
《辽宁中医杂志》 2026 (4)
69-72,4
山东中医药大学2024年博士研究生提质创新课题(YJSTZCX2024041)国家自然科学基金项目(82405291)教育部中华优秀传统文化专项课题(A类)重大项目(尼山世界儒学中心/中国孔子基金会课题基金项目)"明清孤本瘟疫专书的整理与研究"(23JDTCA052)
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