摘要
《温疫论》创立了"戾气"病因学说,认为温疫与伤寒所发症状相似,气血阴阳变化虽有相同之处,但其机理不同,治法大异。瘟疫初起,邪在膜原,忌汗、下、补;表里分传,需先通里、后解表;邪盛之时,法当急下急攻,但亦应辨证施治,不可一味攻下;温疫后期,正虚邪恋,治疗以扶正为主,兼以祛邪,扶正以养阴为主,祛邪以勿伤正为宜,正气恢复,余邪自退;愈后注重饮食起居,调护正气,防止复发。体现治疗温疫祛邪是第一要务,固护正气则是防治的关键所在。
In Wen Yi Lun,the theory of "epidemic pathogenic factor" etiology was first established,which believes that the symptoms of Wenyi and Shanghan are similar.Although the changes of Qi,Blood,Yin and Yang are the same,the mechanism and the treatment are quite different.At the beginning of the plague,the evil is in the Moyuan,treatment methods such as sweating,purgation and tonifying should be avoided;whenthe disease is spreaded both on the surface and in the inside,purgation should be done before sweating;when the evil is flourishing,the law should be attacking urgently,but it should also be treated according to the syndrome differentiation.;in the late stage of the epidemic,with deficiency syndrome,tonifying Zheng Qi should be the main treatment method,in which nourishing Yin should be the key,with dispelling the evil factor being the supplement.Pay attention to diet and daily life as well as regulating Zheng Qi to prevent recurrence.It is the priority to eliminate evil in the treatment,and the key to prevention is to protect the Zheng Qi.
作者
薛贝珊
徐雅
XUE Beishan;XU Ya(Beijing University of Chinese Medicine,Beijing China 100029)
出处
《中医学报》
CAS
2020年第8期1597-1601,共5页
Acta Chinese Medicine
基金
北京中医药大学中医学院2020年度重大传染病防治应急攻关项目(2020-yjgg-13)。
关键词
新型冠状病毒肺炎
《温疫论》
失治
误治
戾气
COVID-19
Wen Yi Lun
lack of proper treatment
mistreatment
epidemic pathogenic factor
