《伤寒论》“难治”刍议

张清苓; 姜元安

doi:10.3969/j.issn.1006-2157.2021.04.002

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《伤寒论》“难治”刍议

理论研究 | 更新时间：2021-06-03

- 《伤寒论》“难治”刍议
- On "difficult to treat" in Treatise on Cold-induced Diseases
- 北京中医药大学学报 2021年44卷第4期页码：298-301
- 作者机构：
  
  1.香港浸会大学中医药学院
  2.香港中文大学中医学院
- 作者简介：
  
  张清苓，女，首席讲师
  #通信作者：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
- 基金信息：
- DOI：10.3969/j.issn.1006-2157.2021.04.002
  中图分类号： R222.2
- 收稿：2020-06-03，
  
  纸质出版：2021-04-30
- 稿件说明：
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张清苓, 姜元安. 《伤寒论》“难治”刍议[J]. 北京中医药大学学报, 2021,44(4):298-301.

Qingling Zhang, Yuanan Jiang. On "difficult to treat" in Treatise on Cold-induced Diseases[J]. Journal of Beijing University of traditional Chinese Medicine, 2021, 44(4): 298-301. DOI: 10.3969/j.issn.1006-2157.2021.04.002.
张清苓, 姜元安. 《伤寒论》“难治”刍议[J]. 北京中医药大学学报, 2021,44(4):298-301. DOI： 10.3969/j.issn.1006-2157.2021.04.002.

Qingling Zhang, Yuanan Jiang. On "difficult to treat" in Treatise on Cold-induced Diseases[J]. Journal of Beijing University of traditional Chinese Medicine, 2021, 44(4): 298-301. DOI: 10.3969/j.issn.1006-2157.2021.04.002. DOI：

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。

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.

关键词

Keywords

references

司马迁．史记·夏本纪第二 [M]. 北京：线装书局， 2006 ： 5 .

Q Sima . Biographic Sketches of Emperor Xia in Records of the Grand Historian [M]. Beijing : Thread-Binding Books Publishing House , 2006 ： 5 .

黄帝内经素问 [M]．北京：人民卫生出版社， 1982 .

Plain Questions [M]. Beijing : People’s Medical Publishing House , 1982 .

叶霖．难经正义 [M]．上海：上海科学技术出版社 1981 ： 120 .

L Ye . Annotation of Classic of Questions [M]. Shanghai : Shanghai Science & Technology Publishing House , 1981 ： 120 .

吕友仁．周礼译注·天官 [M]．郑州：中州古籍出版社， 2004 ： 64 .

YR Lyu . Translation and Annotation of Zhouli [M]. Zhengzhou : Zhongzhou Ancient Books Publishing House , 2004 ： 64 .

张仲景．金匮要略方论 [M]．北京：人民卫生出版社， 1963 ： 2 .

ZJ Zhang . Synopsis of the Golden Chamber [M]. Beijing : People’s Medical Publishing House , 1963 ： 2 .

班固．汉书·艺文志 [M]. 杭州：浙江古籍出版社， 2002 : 601 .

G Ban . Art History in Book of Han [M]. Hangzhou : Zhejiang Ancient Books Publishing House , 2002 : 601 .

老子．道德经 [M]．西安：三秦出版社， 2008 ： 72 .

Laozi . Taoism Classic [M]. Xi’an : Sanqin Publishing House , 2008 ： 72 .

张清苓，姜元安．有关六经辨证方法之再认识 [J]. 北京中医药大学学报， 2006 ， 29 ( 8 ): 520 － 522 .

QL Zhang , YA Jiang . Re-understanding of the methodology of syndrome differentiation on the six meridian [J]. Journal of Beijing University of Traditional Chinese Medicine , 2006 ， 29 ( 8 ): 520 － 522 .

灵枢经 [M]．北京：人民卫生出版社， 1982 ： 123 .

Miraculous Pivot [M]. Beijing : People’s Medical Publishing House , 1982 ： 123 .

白话易经编译组．白话易经 [M]．长春：吉林文史出版社， 1995 ： 378 .

Editoral&Translation Team for Iching . Modern Translation of Iching [M]. Changchun : Jilin Literature and History Publishing House , 1995 ： 378 .

张景岳．类经 [M]．北京：人民卫生出版社， 1995 ： 7 .

JY Zhang . Classified Huangdi Neijing [M]. Beijing : People’s Medical Publishing House , 1995 ： 7 .

刘渡舟，傅士垣 . 伤寒论诠解 [M]. 天津：天津科学技术出版社， 1983 ： 17 .

DZ Liu , SY Fu . Interpretation of Treatise on Cold Damage [M]. Tianjin : Tianjin Science & Technology Publishing House , 1983 ： 17 .

张清苓，姜元安 . 从抓主证论中医临床的辨病与辨证层次 [J]．北京中医药大学学报， 2007 , 30 ( 11 ): 733 － 735 .

QL Zhang , YA Jiang . Discussion on the levels of disease differentiation and syndrome differentiation in clinic of Chinese medicine based on the chief dyndrome [J]. Beijing: Journal of Beijing University of Chinese Medicine , 2007 , 30 ( 11 ): 733 － 735

王叔和．脉经 [M]．北京：人民军医出版社， 2007 ： 1 .

SH Wang . Pulse Classic [M]. Beijing : People’s Military Doctor Publishing House , 2007 ： 1 .

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