岭南医家罗芝园活用三焦辨证辨治鼠疫  

Specialists in the South of the Five Ridges LUO Zhi-yuan Exactly Using Differentiationof Syndrome According to Triple-Jiao to Treat Bubonic Plague

作　　者：李永宸[1] 赖文[1] 

机构地区：[1]广州中医药大学,广州510405

出　　处：《中华中医药杂志》2007年第9期581-584,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：广东省自然科学基金项目(No.5300037)

摘　　要：岭南医家罗芝园认为鼠疫起病二三日内为上焦证,六日以前为中焦证,至七日则入下焦;鼠疫上焦证最为复杂,上焦证亦有重症、危症和至危症。总结出鼠疫中焦六症,即"大热大渴,舌黑起刺,腹胀腹痛,大便结而谵语,热结旁流,体厥脉厥"和中焦四症,即"痛、胀、结、流";存津液是辨治鼠疫下焦证的关键。Specialists in the south of the five Ridges LUO Zhi-yuan think that upper-jiao syndrome of bubonic plague appears in the second and third days,middle-jiao syndrome in the period of the third to the sixth days,and lower-jiao syndrome appears at the seventh day.Upper-jiao syndrome of bubonic plague is the most complicated,including the severe syndrome,the critical syndrome,the deadly syndrome.They summarize the six symptoms and signs in middle-jiao of bubonic plague,including ＂extreme heat and thirst,black and prickly tongue,abdominal distention and pain,stercoroma and delirium,heat accumulation with watery diarrhea,cold feeling of the whole body and hidden pulse＂,and the four symptoms and signs in middle-jiao,including ＂pain,distention,stercoroma,heat accumulation with watery diarrhea＂.They also pointed out that preserving body fluid is key for treating lower-jiao syndrome of bubonic plague.

关 键 词：鼠疫 三焦辨证 岭南 

分 类 号：R249[医药卫生—中医临床基础] R254.8[医药卫生—中医学]