《广瘟疫论》关于“时疫汗法”的运用要点  

The Main Points of Application of"Pestilence Diaphoresis"in Guang Wen Yi Lun

作　　者：谭雯 蔡明阳 孙艺凡 陈香云 杨桢[1] 刘珍洪 TAN Wen;CAI Mingyang;SUN Yifan;CHEN Xiangyun;YANG Zhen;LIU Zhenhong(Beijing University of Chinese Medicine,Beijing 100029,China;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学东直门医院,北京100700

出　　处：《中医药导报》2023年第10期219-223,共5页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：中国博士后科学基金项目(2021M700520);北京市中医药薪火传承“3+3工程”项目李庆业名老中医工作站(2015-JC-31)。

摘　　要：清代医家戴天章在《广瘟疫论》中提出“汗法为治时疫之一大法”观点和“时疫汗法”的概念,认为“时疫汗不厌迟”。通过文献整理及分析比较,辨别伤寒汗法与时疫汗法的区别,梳理出“时疫汗法”的具体方法主要以辛凉发汗、辛寒发汗、发表通里三类为主,详列出“时疫汗法”的适应证及其代表方剂与运用范围,厘清时疫早期治法选方,分析治疗时疫不避汗法、不避辛药的合理性。并总结出“时疫汗法”运用要点:汗法实质为“通”;选方注意时疫兼证;用药突出辛味解表;辨别汗不厌迟的时机。Qing Dynasty physician DAI Tianzhang proposed the viewpoint of"diaphoresis is one of the major methods to treat the epidemic diseases"and the concept of"pestilence diaphoresis"in his Guang Wen Yi Lun,and believed that"pestilence diaphoresis is never too late".Through literature review,analysis and comparison,this paper distinguished the difference between typhoid diaphoresis and epidemic diaphoresis.The specific methods of"epidemic diaphoresis"were mainly divided into three categories:sweating with coolness and acridity medicines,sweating with cold and acridity medicines,and effuse the exterior to free the interior.The indications,representative prescription,and application scope of"pestilence diaphoresis"were listed in detail,and the selection of early treatment methods for epidemic was clarified.The rationality of treating epidemic without avoiding pestilence or acridity medicine was analyzed.The main points of the application of"pestilence diaphoresis"were summarized:The essence of diaphoresis is"circulation".Pay attention to the combination of current and epidemic symptoms when selecting a prescription.Highlight the acridity flavour of medication to resolve the exterior.Identify the timing of diaphoresis that never too late.

关 键 词：时疫 传染病 汗法 《广瘟疫论》 

分 类 号：R254.3[医药卫生—中医内科学]