《素问·汤液醪醴论》新解  

The Understanding Reversal of “Su Wen·Tang Ye Lao Li Lun”

作　　者：林依依 付滨[2] 张宇 Lin Yiyi;Fu Bin;Zhang Yu(Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China;Second Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300150,China)

机构地区：[1]天津中医药大学,天津300193 [2]天津中医药大学第二附属医院,天津300150

出　　处：《亚太传统医药》2019年第7期197-200,共4页Asia-Pacific Traditional Medicine

摘　　要：一般认为,《素问·汤液醪醴论》是诊治水肿病的重要篇章,但该病的原貌并未为人所识。通过细读,发现该篇成书背景与长江流域的楚地相关。篇首对汤液醪醴的追溯为本病的水源传播提供了重要线索。经过对原文中“津液充郭”“宛陈”“莝”等释义的考证,还原了该病腹水的典型征象。结合史实分析,该病极可能是楚地流行的血吸虫病。治法中“必齐毒药”是通利二便,“缪刺其处”是刺络放血,“开鬼门”是祛病祝由术。从流行病学、临床表现、治疗方法和疾病预后四个方面予以阐述,旨在说明《汤液醪醴论》是诊治血吸虫病的早期记载。It is generally believed that“Su Wen Tang ·Ye Lao Li Lun”is an important chapter in the diagnosis and treatments of edema,but the original disease caused this symptom might have been misunderstood.It is speculated that the disease was based in Chu area along the Yangtze River.The retrospect of these drinks provides a vital clue for the water-transmission disease.By paraphrasing“ Fuild Filled Guo”,“Wan Chen”,“Cuo”,the clinical manifestations of ascites are revealed.Combining historical facts,the disease prototype was most likely to be a local epidemic-Schistosomiasis.In the following three treatments,"BI Qi drugs" helps excrete urine and stool more smoothly,“Stabbing its Place”is blood-letting puncture,“Opening the Gui Men”is praying towards northeast. Therefore,this paper is mainly about epidemiology,clinical manifestations,treatments,and prognosis of the disease are discussed, aiming to show that the“Tang Ye Lao Li Lun”is an early record of diagnosis and treatments of schistosomiasis.

关 键 词：汤液醪醴 血吸虫病 去宛陈莝 开鬼门 

分 类 号：R221.1[医药卫生—中医基础理论]