鬼疰病名考  

A Study on the Name of "Guizhu"

作　　者：赵雅琛 王兴伊 ZHAO Ya-chen;WANG Xing-yi(Institute of Science and Humanities,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学科技人文研究院,上海201203

出　　处：《医学与哲学》2022年第12期78-80,共3页Medicine and Philosophy

摘　　要：现代中医学认为鬼疰是肺痨的别称,是具有传染性的慢性消耗性疾病。但通过对中医文献的梳理可以看出,鬼疰背后的含义是在不断变化的。最初在《神农本草经》与《肘后备急方》中出现,常与鬼气邪气一类并提,隋唐以后其含义逐渐演变,归类于肺脏疾病,系统分类,随证附方。再到宋明之时,与骨蒸等病并称,成为具有传染性的肺痨。早期其涵义应是受到方仙道的影响,并不是纯粹的医学术语,在被纳入医学体系后随着医家实践的积累逐渐脱离鬼神之说。鬼疰之义的变化不仅反映了古人认识疾病方式的转变,同时也反映了中医对疾病认识的不断发展。Modern Traditional Chinese Medicine(TCM) considers "Guizhu" to be an alias for consumption, a contagious chronic wasting disease. However, a review of Chinese medical literature shows that the meaning behind "Guizhu" changed constantly. Initially, it appeared in the Shennong Bencao Jing and the Elbow Post Preparedness and Emergency Formula, where it was often mentioned in conjunction with the category of ghostly and evil qi. After Sui and Tang Dynasties, its meaning gradually evolved to be pulmonary disease. By the time of the Song and Ming dynasties, it was also referred to as a contagious form of consumption, together with bone vapor and other diseases. In the early days, its meaning was influenced by Fang Xian Dao and was not a purely medical term. After being incorporated into the medical system, with accumulated medical practice, it was no longer hocus-pocus. The change in the meaning of Guizhu not only reflects the change in the way the ancients understood disease, but also the continuous development of TCM understanding of disease.

关 键 词：鬼疰 病名 中医术语 方仙道 

分 类 号：R-09[医药卫生]