基于文献研究的中医温病病因病机认识的时代变迁  

Time changes research on the etiology and pathogenesis of epidemic febrile disease of TCM based on the literature

作　　者：于琦[1] 崔蒙[1] 李园白[1] 刘丽红[1] 杨阳[1] 田野[1] 

机构地区：[1]中国中医科学院中医药信息研究所,北京100700

出　　处：《中华中医药杂志》2013年第8期2245-2248,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：中国中医科学院基本科研业务费自主选题项目(No.ZZ050308);中医药行业科研专项课题(No.201207001-21)~~

摘　　要：目的:通过比较研究中医温病文献中有关温病病因病机的论述,探索近年温病病因病机认识与明清时期认识的变化,并探讨其变化的原因。方法:现代期刊文献选用1995年-2010年16年的中医温病文献;明清温病文献选用《温病大成》中校对编辑的温病文献。采用频次分析和主题词规范统计的方法对文献中温病的病因病机等相关词条进行统计分析,规范排在前20位的相关温病病因病机概念,比较近代关注的热点病因病机与明清时期关注的热点病因病机的异同。结果:现代病因病机的研究主要集中在血瘀、疫毒、六淫、邪气、寒邪、肝风内动、热入心营等,古代病因病机的描述主要集中在湿邪、湿热、暑邪、风热、外感、饥饿、治疗失误。结论:古今对温病病因病机的认识基本一致,但也有因人文环境和自然环境的变化而引起的不同,对温病研究产生一定的提示。Objective： The changes and causes in understanding disease pathogenesis in the Ming and Qing Dynasties should be explored through a comparative study of the disease etiology and pathogenesis of febrile disease in traditional Chinese medicine literature. Methods： Modem journal literature was used 1995-2010 sixteen years of febrile disease in traditional Chinese medicine literature; Ming and Qing Dynasties of epidemic febrile disease literature was used literature editing of epidemic febrile disease. The method of frequency analysis and subject standard statistics would be used on the literature of seasonal febrile disease pathogenesis related entries for statistical analysis. Standardize pathogenesis concept of the top 20 epidemic febrile diseases, compare the similarities and differences between modern attention focus of etiology and pathogenesis and Ming and Qing Dynasties hot etiology and pathogenesis. Results： Research on modem disease etiology and pathogenesis are mainly concentrated in the blood stasis, toxin, six evil, evil, cold evil, endogenous liver wind, heat into the heart of camps. Research on modem ancient disease etiology and pathogenesis is described mainly in the dampness, damp-heat, summer-heat, wind-heat, exogenous, hunger, treatment failure. Conclusion： The understanding of the disease etiology and pathogenesis in ancient and modem are basically the same, but there are also caused by changes in the human environment and different natural environment, which have some tips on febrile disease research.

关 键 词：温病 病因病机 文献研究 

分 类 号：R254[医药卫生—中医内科学]