基于五运六气理论探讨鼠疫发病规律  

Discussion on Occurrence Regularity of Plague Based on Theory of Five Evolutive Phases and Six Climatic Factors

作　　者：王欲晓 谭智敏[2] 吴波[2] WANG Yuxiao;TAN Zhimin;WU Bo(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学附属医院,山东济南250014

出　　处：《山东中医杂志》2023年第3期229-232,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：山东省教育厅科技项目(编号:SDYAL19143);山东省中医药科技发展计划项目(编号:2019-0192)。

摘　　要：鼠疫位居我国法定甲类传染病之首。中医在治疗传染病方面具有独特优势,并且注重分析传染病与“天时”的关系。通过分析近代岭南、东北地区三次大型鼠疫流行期间的运气特点,以及亲历疫情的三位医家治疗鼠疫的理法方药,发现鼠疫流行期间均有阳明燥金主气,故鼠疫病因病机可以燥邪概之。根据每年五运六气的特点,明确风、寒、暑、湿、燥、火中哪一气的偏盛偏衰促进燥邪的产生,可为防治鼠疫提供思路。Plague ranks first among the A class infectious diseases in China. Traditional Chinese medicine has unique advantages in the treatment of infectious diseases and pays attention to analyze the relationship between infectious diseases and climate. By analyzing the characteristics of five evolutive phases and six climatic factors during three pandemics of plague in Lingnan area and northeast area in modern times,and the theories,methods,prescriptions,and medicinals used to treat plague by three doctors who had experienced the pandemics,it can be found that Yangming dryness gold existed in all the three pandemics. Therefore,the etiology and pathogenesis of plague can be summed up as pathogenic dryness. According to the characteristics of the five evolutive phases and six climatic factors of every year,finding out the vicissitudes of which one of the six qi including wind,cold,heat,humidity,dryness and fire promoting the generation of pathogenic dryness could provide ideas for the prevention and treatment of plague.

关 键 词：鼠疫 五运六气 阳明燥金 阴燥 阳燥 

分 类 号：R226[医药卫生—中医基础理论]