清代寒温论辩视野下江南“感证”的医学知识生产与调适  

Production and Adjustment of Medical Knowledge of“Ganzheng”in Jiangnan under Perspective of Cold-Warm Differentiation in Qing Dynasty

作　　者：徐晓聪 郑洪[2] 张星 XU Xiaocong;ZHENG Hong;ZHANG Xing(School of Basic Medical Science,Zhejiang Chinese Medical University,Hangzhou 310053,China;Institute of Zhejiang Chinese Medical Culture,Zhejiang Chinese Medical University and Key Cultivating Base of Zhejiang Philosophy and Social Sciences,Hangzhou 310053,China)

机构地区：[1]浙江中医药大学基础医学院,杭州310053 [2]浙江省哲学社会科学重点培育研究基地,浙江中医药大学浙江中医药文化研究院,杭州310053

出　　处：《中医药文化》2024年第1期17-26,共10页Chinese Medical Culture

基　　金：浙江省高校重大人文社科攻关计划青年重点项目(2021QN077);浙江省哲学社会科学一般项目(22NDJC096YB)。

摘　　要：明清时期,医家针对伤寒学说与温病学说展开了一系列学理论争。清代江南医家为应对寒温之辩,针对南方多湿热、温热气候所导致的疾病谱特点,以“感证”论四时六气之外感热病,但仍多在伤寒的学理体系下探讨。清中期以来,新感温病学说广泛传播,医家在原有“感证”理论体系基础上,以不同方式吸收新兴的温病学知识,实现知识再生产,体现了清代伤寒与温病学说之间继承、转化与融合的过程。During the Ming and Qing Dynasties,doctors launched a series of critical academic arguments towards the theories of Cold-Damage and Warm diseases.In order to cope with the differentiation between Cold and Warm febrile diseases,the doctors in Jiangnan of Qing Dynasty,in view of the characteristics of the disease spectrum caused by the humid and warm climate in the south,discussed the exogenous diseases of four seasons due to six-qi disharmony in terms of“Ganzheng(contagion syndrome)”,mostly under the frame of theoretical system of Cold-Damage.Since the middleQing era,the theory of recently-affected Warm diseases has been widely spread.On the basis of the original theory system of“Ganzheng”,doctors then absorbed the emerging knowledge of Warm diseases creatively to achieve knowledge reproduction,reflecting the process of inheritance,transformation and integration between the theories of Cold-Damage and Warm diseases in the Qing Dynasty.

关 键 词：清代 江南 伤寒学说 温病学说 感证 

分 类 号：R-092[医药卫生] R2-05