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 (4): 298-301.doi: 10.3969/j.issn.1006-2157.2021.04.002

• 理论研究 • 上一篇    下一篇

《伤寒论》“难治”刍议

张清苓1, 姜元安2#   

  1. 1 香港浸会大学中医药学院;
    2 香港中文大学中医学院
  • 收稿日期:2020-06-03 发布日期:2021-04-29
  • 通讯作者: #姜元安,男,硕士,教授,博士生导师,主要研究方向:中医辨证论治方法与体系之理论与临床运用,E-mail:yajiang@cuhk.edu.hk
  • 作者简介:张清苓,女,首席讲师

On “difficult to treat” in Treatise on Cold-induced Diseases

Zhang Qingling1, Jiang Yuanan2#   

  1. 1 School of Chinese Medicine, Hong Kong Baptist University, Hongkong 999077, China;
    2 School of Chinese Medicine, Chinese University of Hong Kong, Hongkong 999077, China
  • Received:2020-06-03 Published:2021-04-29
  • Contact: Prof. Jiang Yuanan, Doctoral Supervisor. School of Chinese Medicine of the Chinese University of Hong Kong, Rm101, Li Wai Chun Building, Chung Chi College, Chinese University of Hong Kong, Shatin, N.T., Hong Kong, 999077. E-mail: yajiang@cuhk.edu.hk

摘要: 凡医药之用,在治病之道。欲明治病之道,当须知病之可治与不可治,此乃医者临证之一大关。《伤寒论》乃一部治病之书,除了教人如何辨认三阳三阴病证及其相关治疗之外,亦会论及疾病之不治与死证。期间或言其“难治”,则近乎不治或死之证。但有时言其“难治”时,则又示人以主病之方。其所谓“难治”者,可治乎?抑或不治乎?本文从治病之义,针药之用,生死之理等方面论及可治、不治与难治,藉此以论中医治病之道。

关键词: 伤寒论, 难治, 可治

Abstract: The esentials of medicine is to know how to treat diseases, which is based on differentiating the curable from incurable diseases. This should be a critical step for any practitioner. The book Treatise on Cold-induced Diseases (Shanghan Lun) also states about identifying incurable diseases besides depicting how to diagnose and treat three-yin and three-yang diseases. Diseases that are “difficult to treat” could be referring to the incurable or dying cases, yet formulae are sometimes recommended for these conditions. The question thus arises: does “difficult to treat” mean incurable? The article elaborates on the relations between curable, incurable and difficult to treat diseases by analyzing the principle of treatment, application of acupuncture and medication, and rationale of predicting prognosis in order to demonstrate how to treat diseases in traditional Chinese medicine.

Key words: Treatise on Cold Damage, immedicable cases, curable cases

中图分类号: 

  • R222.2