读《古代疾病名候疏义》兼考“癫”“狂”“痫”  

On Annotation on the Names and Syndromes of Ancient Diseases, with textual research on ＂dian （ depressive psychosis）＂, ＂ kuang （ manic psychosis）＂, and ＂xian （epilepsy）＂

作　　者：李曌华[1] 王育林[1] 

机构地区：[1]北京中医药大学基础医学院,100029

出　　处：《中华医史杂志》2016年第1期9-14,共6页Chinese Journal of Medical History

基　　金：国家社会科学基金项目“汉语医学名物词研究”（11BYY068）

摘　　要：余云岫《古代疾病名候疏义》认为“瘼”分为癫痫和颠狂2种情况。通过梳理古辞书、医籍、其他古籍文献中的相关记载，可知“癫”和“狂”为2种完全不同的疾病，而“癫”“痫”为同一种疾病，“癫”为该病的种名，“痫”为该病具有典型症状的一个病证阶段，“癫”“痫”又可以指代该病的2个不同类型。“癫”由始至终都是指癫疾，其兼具了精神症状和肢体症状2种表现。The book Gu dai fi bing ming hou shu yi （Annotation on the Names and Syndromes of Ancient Diseases） written by Yu Yunxiu holds that dian can be divided into two conditions, namely, epilepsy and manic psychosis. By analysis on related materials in ancient lexicographical works, ancient medical books and other ancient books, it reveals that dian and kuang are two very different diseases, but dian and xian refer to the same conditions. Dian was the special name of a disease, while xian was a stage of syn- drome of that disease with typical symptoms. Dian and xian might also refer to two different types of that disease. Dian always refers to epilepsy from its very beginning besides cephalopathy, including both mental symptom and physical symptom.

关 键 词：《古代疾病名候疏义》 癫狂 癫痫 

分 类 号：R277.7[医药卫生—中医学]