伏暑病因及辨治源流考  

Investigation on Origin and Development of Fushu from Pathogenesis,Differentiation and Treatment

作　　者：许晓楠 郭加利[1] 姜德友[1] 

机构地区：[1]黑龙江中医药大学

出　　处：《山东中医药大学学报》2018年第1期70-73,共4页Journal of Shandong University of Traditional Chinese Medicine

基　　金：黑龙江省中医药管理局课题资助项目(编号:ZHY12-Z095)

摘　　要：从病名、病因病机、辨证治疗三个方面总结历代医家对伏暑的认识。认为伏暑起源于《黄帝内经》,《丹溪心法附余》最早将伏暑定为病名。直至清代各医家才明确认识到,伏暑是由于夏月摄生不慎,感受暑邪,潜伏体内,至秋季为时令之邪所引发的一类温病。伏暑的病因包括内因和外因两种,而外因又有先因与诱因之分,伏暑的发病与邪气性质、正气强弱、季节时令三方面因素密切相关。历代医家分别从辨邪气性质、三焦辨证、脏腑辨证等不同辨证体系进行治疗。辨伏邪的性质需先辨明是暑热还是暑湿,再分虚实,三焦辨证是以三焦为纲分别对太阴、阳明、少阴、厥阴伏暑加以论治,脏腑辨证则是根据邪气所伏脏腑之不同探讨相应治法。This thesis mainly analyzes the origin of Fushu from the name,the pathogenesis and treatment based on different schools’understanding of Fushu.Chinese medicine’s knowledge of Fushu started from Huangdi’s Canon of Medicine.The book called Danxi Xinfa Fuyu first named this kind of disease Fushu.Until the Qing Dynasty,doctors began to understand clearly about Fushu.Fushu is a kind of disease caused by improper health preserving in the summer,hurt by stored Shuxie in the body,when autumn come,it triggered.Fushu’s pathogenesis include internal cause and external cause.External cause include old cause and incentive.Fushu’s pathogenesis also have relations with three aspects called the nature of the pathogens,healthy qi’s strong or weak and the weather of the season.Different doctors have different ways to treat Fushu,use pathogen nature differentiation,visceral pattern differentiation and three energizer differentiation to analyze.The differentiation of the Fuxie first need to discern the hot or damp.The actual situation is three energizer differentiation to triple as the key link to the treatment of Taiyi,Yangming,Shaoyin and Jueyin Fushu.Viscera pattern differentiation is due to pathogen in different organs.So we need to explore the corresponding treatment respectively.

关 键 词：伏暑 伏邪温病 辨证治疗 文献研究 

分 类 号：R254.2[医药卫生—中医内科学]