烂喉痧出现年代初探  

Preliminary study on the time of first appearance of "lanhousha" (scarlet fever)

作　　者：余新忠[1] 

机构地区：[1]南开大学历史系,天津300071

出　　处：《中华医史杂志》2001年第2期81-85,共5页Chinese Journal of Medical History

摘　　要：现代医史学界对烂喉痧 (猩红热 )究竟是一种中国自古就有还是从外部传入的传染病一直聚讼纷纭 ,几乎现有所有的研究 ,都是围绕着传统医籍特别是所谓“叶天士医案”展开的 ,很少顾及当时历史情况。在对医籍所载与历史上发生的实际情况的比照分析中可认为 :叶天士之烂喉痧医案与叶天士本人无关 ,系后人借名伪托 ,雍正十一年苏南发生的大疫 ,有较大可能是伤寒流行 ,即使也有烂喉痧 ,也绝不存在烂喉痧首度流行的事实。实际上 ,康熙晚期 ,烂喉痧已被当作过去较少见的疫病在苏南出现。There are controversies about the problem of the source of 'lanhousha' (scarlet fever) in the field of modern medical history, whether it is an epidemic appeared from the ancient time in our country or imported from other countries Now, almost all researches were carried out around the classic medical books, especially 'Medical Records of Ye Tianshi', and hardly dealing it in a historical context at that time Through contrastive analysis between the records in medical books and historical facts, it is concluded that Ye Tianshi's records of scarlet fever have nothing to do with Ye Tianshi himself, and is by author of allonym It perhaps was exogenous cold diseases spread when a severe epidemic diseases happened at Southern Jiangsu in the 11th year of Yongzheng reign Even though there was some scarlet fever, it was not the first spread of scarlet fever in fact Actually, in late Kangxi reign, scarlet fever was regarded as an epidemic disease seldom seen at Southern Jiangsu

关 键 词：雍正癸丑 苏南大疫 烂喉痧 猩红热 

分 类 号：R-092[医药卫生]