《温疫论》疫病论治中补法运用探析  

Analysis of the application of tonifying method in treating epidemic disease in Wenyi Lun

作　　者：马希骏 杜沁圆 张义敏 张思超 张露 孙美灵 MA Xijun;DU Qinyuan;ZHANG Yimin;ZHANG Sichao;ZHANG Lu;SUN Meiling(Shandong University of Traditional Chinese Medicine,Jinan 250355)

机构地区：[1]山东中医药大学中医学院,济南250355

出　　处：《北京中医药大学学报》2023年第3期331-335,共5页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(No.81173183);山东中医药大学中医学院教学改革创新项目(No.ZYXY2022-023);山东中医药大学青年科研创新团队项目(No.222021261)。

摘　　要：吴又可《温疫论》论治疫病,提出杂气为致病因素,强调人体正气的重要性,即“正气存内,邪不可干”。疫病治疗中注重扶正,因人而异,妇孺老少,体质强弱,补法各异;因证而补,正邪交争,则攻补兼施、补泻有度,虚实夹杂,则补泻间用。提出补法禁忌,如忌投人参、白术等补益之品;重视疫病后期调补,静养胃气,强调饮食,应用下法后应顾护津液,养阴扶正。吴又可的思想对新型冠状病毒感染的防控具有借鉴意义。WU Youke discussed the treatment of epidemic diseases in Wenyi Lun(Treatise on Warm Pestilence),proposing that various kinds of qi are the pathogenic factors of diseases and emphasizing the importance of healthy qi by stating that sufficient healthy qi can prevent the invasion of pathogenic qi.Reinforcing healthy qi is key to epidemic treatment,and treatment varies according to age,sex,constitution,and syndromes.During the struggle between healthy qi and pathogenic qi,healthy qi must be reinforced and pathogenic factors must be simultaneously and appropriately removed.For a combined deficiency and excess pattern,reinforcement and reduction method should be used alternately.He also proposed tonifying method that should not be used,such as ginseng and largehead atractylodes rhizome.He also emphasized the regulation and tonification of epidemics in later stages,the nourishment of stomach qi,the need for a proper diet,and the need to secure body fluids to nourish yin and strength healthy qi.His theory serves as a reference for the prevention and treatment of COVID-19.

关 键 词：温疫论 疫病 攻补兼施 养阴 新型冠状病毒感染 

分 类 号：R254.3[医药卫生—中医内科学]