关于“感冒”病的若干思考和建议  

Reflections and recommendations on the"common cold"disease

作　　者：刘嘉楠 王海[2] LIU Jianan;WANG Hai(Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,China;The First ClinicalCollege of Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学,哈尔滨150040 [2]黑龙江中医药大学第一临床医学院中医儿科教研室

出　　处：《中国中西医结合儿科学》2024年第6期548-552,共5页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：国家中医药管理局课题(JDZX2015036)。

摘　　要：感冒是常见、多发的外感疾病,《中医儿科学》教材中的论述有较多的不合理和争议之处,笔者的建议包括:将首见感冒病名时期提前至北宋时期(1078~1085年),“感冒”也是俗称的“伤风”;感冒与时行感冒是两种不同的疾病,后者应当归于传染病章单独论述;风邪不是感冒的主要病因,寒邪和毒邪更加常见;单纯的发热、脉数、咽红肿痛在寒证、热证中均可出现,不是热证的特有表现;感冒的辨证更适合六经辨证体系,治疗宜遵循六经病的用药规律;银翘散并非单纯“解表剂”,以表里双解为宜。Common cold is a common and frequent exogenous disease.There are many unreasonable and controversial points in the textbook of Pediatrics of Traditional Chinese Medicine.The author′s suggestions include:the time when the name of common cold first appeared should be advanced to the Northern Song dynasty(1078-1085),and"common cold"is usually known as"Shang Feng"in Chinese;common cold and seasonal influenza are different diseases,and the latter should be discussed separately in the chapter on infectious diseases;wind pathogen is not the main cause of common cold,while cold pathogen and toxic evil are more common causes;simple fever,rapid pulse and sore throat may occur in both cold and heat syndromes,and are not the specific manifestations of heat syndrome;the syndrome differentiation of common cold is more suitable for the syndrome differentiation system of six meridians,and the treatment should follow the medication rules of six-meridian diseases;Yinqiao powder is not a simple"formula of relieving exterior syndrome",whose main effect is to relieve exterior and interior syndromes.

关 键 词：感冒 时行感冒 风邪 六经辨证 银翘散 

分 类 号：R725.6[医药卫生—儿科]