主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2020, Vol. 43 ›› Issue (10): 804-808.doi: 10.3969/j.issn.1006-2157.2020.10.002

• 理论研究 • 上一篇    下一篇

探析《时病论》立法特色及雷氏宣透膜原法辨治启迪

黄婷1,2, 马慧淼1,2, 郭延彤1,2, 程志强2#   

  1. 1 北京中医药大学 北京 100029;
    2 中日友好医院中西医结合肿瘤内科
  • 收稿日期:2020-03-05 出版日期:2020-10-30 发布日期:2020-11-04
  • 通讯作者: #程志强,男,博士,教授,主任医师,博士生导师,主要研究方向:中西医结合治疗肿瘤疾病,E-mail:zhiqiangcheng@163.com
  • 作者简介:黄婷,女,在读硕士生

On therapeutic characteristics of Shibing Lun and application of Lei’s moyuan-diffusing method

Huang Ting1,2, Ma Huimiao1,2, Guo Yantong1,2, Cheng Zhiqiang2#   

  1. 1 Beijing University of Chinese Medicine, Beijing 100029, China;
    2 Department of Integrative Medicine Oncology, China-Japan Friendship Hospital, Beijing 100029, China
  • Received:2020-03-05 Online:2020-10-30 Published:2020-11-04
  • Contact: Prof. Cheng Zhiqiang, MD, Chief Physician, Doctoral Supervisor, China-Japan Friendship Hospital, No.2 East, Yinghua Road, Chaoyang District, Beijing 100029. E-mail: zhiqiangcheng@163.com

摘要: 《时病论》是晚清著名温病学家雷丰博采众方复结合自身临证经验而作的一部时病专著,本文对书中以法代方、会通常变的学术思想及特色进行了研究总结,并深入探析了师于吴又可达原饮之法的雷氏宣透膜原法,从制法背景、证型症状及方药组成等3个方面将二者进行对比,发现该法与本次新型冠状病毒肺炎的辨治多有契合,亦佐证了随机活法乃《时病论》立法的核心。雷氏师古不泥,所拟诸法在理法方药等方面均自有其见解,结合了审因辨病、辨证论治及同病异治、异病同治、活法活用等原则,其会通常变的学术思想不仅对当今医者诊疗思路及临床思维的塑造有着深远影响,对新型冠状病毒肺炎(COVID-19)的诊治亦有一定的借鉴意义,且今已发表文章多证实膜原理论对新冠肺炎的辨治确有启迪,值得深入挖掘研究。

关键词: 时病论, 以法代方, 会通常变, 宣透膜原法, 达原饮, 新型冠状病毒肺炎

Abstract: Shibing Lun (Treatise on Seasonal Diseases) is a monograph on seasonal diseases written by Lei Feng, a famous epidemiologist in the Qing Dynasty. The book recorded experiences of predecessors’ formulas combining with Lei’s own clinical experiences. This paper summarized the academic ideas and characteristics of the monograph, which are stressing therapeutic methods rather than formulas and adapting therapeutic methods according to changing pathogenesis. Furthermore, this paper also analyzed Lei’s moyuan-diffusing method which is based on Wu Youke’s principle of Dayuan Yin (Moyuan-Diffusing Decoction), and made a comparison between the two methods from three aspects, including background of preparation, the symptoms of different patterns, and the composition of prescriptions. It is found that this method is in alignment with the treatment methods used for Corona Virus Disease 2019 (COVID-19), which also proves that adjusting therapeutic methods according to pathogenesis is the key of the theory. Lei learned from the knowledge of the past without being bound by it, and used his own judgement in the treatment. His academic thought not only has far-reaching influences on shaping clinical thinking of doctors today, but can be used for reference in containing the prevalence of COVID-19. Moreover, many published articles have confirmed that moyuan theory is indeed enlightening in the treatment of COVID-19, which deserves further exploration.

Key words: Shibing Lun, therapeutic methods rather than specific prescriptions, adjusting therapeutic methods according to pathogenesis, moyuan-diffusing method, Dayuan Yin, Corona Virus Disease 2019 (COVID-19)

中图分类号: 

  • R254.3