文档介绍：第15卷第4期辽宁中医药大学学报 Vol. 15 No. 4
2013 年 4 月 JOURNAL OF LIAONING UNIVERSITY OF TCM Apr .,2013
· 基础医学研究·
温病学辨析
邵学鸿
(北京中医药大学,北京 100029)
摘要:清代叶天士别出心裁地提出“温邪上受,首先犯肺,逆传心包”之说,从而建立了温病学。然而,温病学
的病因是不成立的,相应的温病病证亦不能自圆其说,改变外邪侵犯的途径是枉顾生活现实。所谓卫气营血辨证缺
乏脏腑基础,不具有作为外感病传变规律的条件,治疗大法巧而洞出,亦不足取。尽管温病学理论错误,但补充了治
疗热证的方法方药,具有较强的临床实用性,仍不失是对中医学的贡献。
关键词:温病;温病学;叶天士
中图分类号:R254 文献标志码:A 文章编号:1673-842X (2013) 04- 0139- 04
Seasonal Febrile Disease Discrimination
SHAO Xuehong
(Beijing University of Chinese Medicine,Beijing 100029,China)
Abstract :YE Tianshi,who lived in Qing Dynasty,put forward an unique theory :warm pathogen tends
to attack the upper orifices first from the lung,then retrogrades to pericardial system. So he established a
doctrine of seasonal febrile disease. But the cause of the seasonal febrile disease can not be well established,
and the corresponding febrile disease syndromes can not justify itself either. Finally,a weakness in this new
route of the exogenous evils lies in the detachment from the real life. The so-called Wei,Qi,Ying and Blood
discrimination lacks the visceral foundation. The condition for the transmissional rule of exogenous disease
does not exist. The treatment was clever but with errors. Therefore,this theory should not be accepted.
Despite all the flaws of the seasonal febrile disease theory,the supplementary treatment and clas