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 ›› 2021, Vol. 44 ›› Issue (2): 171-176.doi: 10.3969/j.issn.1006-2157.2021.02.013

• 临床研究 • 上一篇    下一篇

结合古籍医案辨析疫病诊治的“误”与“正”*

董斐1, 柳红良2, 李峰1, 赵岩松1, 刘铁钢1, 谷晓红1,3#   

  1. 1 北京中医药大学中医学院 北京 100029;
    2 中国中医科学院广安门医院;
    3 北京中医药大学中医疫病研究院
  • 收稿日期:2020-04-24 出版日期:2021-02-28 发布日期:2021-02-21
  • 通讯作者: #谷晓红,女,硕士,教授,主任医师,博士生导师,主要研究方向:温病学理论、临床及基础研究,E-mail:guxh1003@126.com
  • 作者简介:董斐,女,博士,助理研究员
  • 基金资助:
    *中国博士后科学基金项目(No.2020T130009ZX),北京中医药大学中医学院2020年度重大传染病应急攻关项目(No.2020-yjgg-03),北京中医药大学2020年度新冠肺炎防控应急专项(No.2020-JYB-YJ-009)

Analysis of correct and incorrect diagnosis and treatment of epidemic diseases in ancient medical records*

Dong Fei1, Liu Hongliang2, Li Feng1, Zhao Yansong1, Liu Tiegang1, Gu Xiaohong1,3#   

  1. 1. School of Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China;
    2. Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China;
    3. Institute of Chinese Medicine Epidemic Disease, Beijing University of Chinese Medicine, Beijing 100029, China
  • Received:2020-04-24 Online:2021-02-28 Published:2021-02-21
  • Contact: Prof. Gu Xiaohong, Chief Physician, Doctoral Supervisor. Beijing University of Chinese Medicine, No.11, Beisanhuan Donglu Road, Chaoyang District, Beijing, 100029. E-mail:guxh1003@126.com
  • Supported by:
    Chinese Postdoctoral Science Foundation (No. 2020T130009ZX)

摘要: 结合古籍中的疫病医案,探讨疫病诊治的“误”与“正”。从疫病性质的辨别、疫病真假寒热的辨别,湿温疫病的治疗中误用寒凉、误用辛温发汗、误用补益造成的坏证,以及谨防病重药轻、明辨疫病真假、合理认识“有故无殒”等方面结合医案例证进行阐释。以史为鉴,古今合参,以期为当前抗击新型冠状病毒传染病疫情的中医药诊治工作提供参考。

关键词: 古籍医案, 疫病, 误治, 诊断

Abstract: Based on the medical records of epidemic diseases in ancient books, this paper discusses the correct and incorrect diagnosis and treatment of epidemic diseases. Specifically, relevant aspects are discussed including judgment of the nature of the epidemic disease, differentiation of the true and false cold and heat of the pattern, the misuse of cold medicinals, or pungent-warm medicinals to induce sweating, or tonifying medicinals in the treatment of warm-damp epidemic diseases as well as how to avoid treating a serious condition with mild medicinals, how to clearly identify the true and false nature of the disease, and how to reasonable understand “bold and moderate use of drastic medicinals to save life”, etc. Combined with analysis of relevant modern researches, this article aims to provide reference for the diagnosis and treatment of COVID-19.

Key words: ancient medical records, epidemic, mistreatment, diagnosis

中图分类号: 

  • R254.3