《疫痧草》辨治疫痧理论浅析  

Analysis on Theory of Syndrome Differentiation and Treatment of Epidemic Sha in Yishacao

作　　者：赵妍[1] 李海波[1] 谷松[1] ZHAO Yan;LI Haibo;GU Song(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847

出　　处：《辽宁中医杂志》2023年第6期68-70,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划项目(“973”计划)(2013CB532004);辽宁省教育厅高校基本科研项目重点攻关项目(L202062)。

摘　　要：清代医家陈耕道的《疫痧草》是一部疫痧证治专著,指出疫痧之邪,由口鼻直入肺胃,故发痧必见烂喉,感疫轻则烂喉轻,感疫重则喉烂亦重。疫痧辨证以喉为主,抓住火毒伤阴的病变特点,喉、神、脉、痧四者合参,以定吉凶。疫痧的治疗提出奇正相需法,将治痧之剂分为疏达、清散、清化、攻下、救液五种,并主以清法截断病势,救液之剂寓清热之中。至于正中之奇的攻下法,陈氏认为是不得已之所为也,未免过于保守,毒郁胃腑,必需大黄荡涤毒邪,逐邪外出。In the Qing Dynasty,CHEN Gengdao's Yishacao was a treatise on the syndrome and treatment of scarlet fever.It is pointed out that the evil of scarlet fever entered the lung and stomach directly from the mouth and nose.The syndrome differentiation of measles is mainly based on the throat,grasping the pathological features of Yin injury caused by fire,the throat,nerves,pulse and measles are combined to determine good and bad results.In the treatment of measles,there are five kinds of therapeutic agents:soothing,clearing and dispersing,clearing and resolving,purging and protecting the body fluid.And the main method to cut off the disease is to clear the heat,and the liquid saving agent is contained in the heat-clearing method.As for the purging method in the middle,CHEN believed that it was a must,which was too conservative.The toxin was stagnant in the stomach and the internal organs,and it was necessary to use Dahuang(rhubarb)to cleanse the toxin and expel the evil.

关 键 词：《疫痧草》 陈耕道 烂喉痧 疫痧 辨证论治 

分 类 号：R254[医药卫生—中医内科学]