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清代瘟疫学家辨治疫病理论与经验探析

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清代瘟疫学家结合治疫经验,对疫病病因、传变和辨治理论进行了补充与发展.在病因方面,遵杂气致疫,对杂气属性有更全面的认识.在传变与辨治方面,戴天章提倡表里传变与辨治;一些医家创以中道为中心的传变与辨治理论,如余师愚的毒热入胃布散十二经的理论、李炳的浊邪壅闭肺胃理论、朱增籍的沴邪直干肺胃理论;一些医家重视三焦传变与辨治,如杨栗山的三焦怫热郁滞理论、朱增籍的沴邪郁结三焦理论;此外,刘奎、朱增籍遵六经传变与辨治.清代瘟疫学家辨治疫病理论与经验对当代防治疫病有指导与启发意义.在当今时代,诸家所展现的变通和创新思维在防治新发和突发传染病方面显得尤为重要.
Analysis of the theory and experience of plague scientists in Qing Dynasty in treating epidemic diseases
Plague scientists in the Qing Dynasty supplemented and developed the theory of etiology,transmission and treatment of epidemic diseases based on their experience in epidemic treatment. In terms of etiology,they agree that miscellaneous gas causes epidemics and have a more comprehensive understanding of the attributes of miscellaneous gas. In the aspect of transmission and differentiation,Dai Tianzhang advocated the transmission and differentiation of exterior and interior;Some doctors have created the theory of transmission and differentiation centered on the middle stomach,such as Yu Shiyu's theory of toxic heat entering the stomach and spreading the twelve meridians,Li Bing's theory of turbid pathogen ob-structing the lung and stomach,and Zhu Zengji's theory of pathogenic factors directly entering the lung and stomach. Some doctors pay attention to the transmission and differentiation of three jiao,such as Yang Lishan's theory of heat stagnation of three jiao,Zhu Zengji's theory of evil stagnation of three jiao;In addition,Liu Kui and Zhu Zengji followed the transmission and differentiation of the six meridians. The theory and experience of plague experts in the Qing Dynasty have guiding and enlightening significance for the prevention and treatment of epidemic diseases in the contemporary era. In the modern era,the flexibility and innovative thinking they show is particularly important in the prevention and treatment of new and sudden infectious diseases.

epidemic diseaseplague scientist in Qing Dynastymiscellaneous gasthe theory of epidemic disease differentiationepidemic disease prevention and control

晏蔓柔、李楠、付静思、钱琳琳、包瑜、祁钰涵、马晓北

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100700 北京,中国中医科学院中医基础理论研究所

中国中医科学院研究生院

疫病 清代瘟疫学家 杂气 疫病辨治理论 疫病防治

中国中医科学院科技创新工程重大攻关项目国家中医药管理局《中华医藏》编纂项目中央级公益性科研院所基本科研业务费专项

CI2021A00103GZY-KJS-2021-066YZ-202221

2024

10.3969/j.issn.1674-1749.2024.07.005

环球中医药
中华国际医学交流基金会

环球中医药

CSTPCD
影响因子：1.553
ISSN：1674-1749
年,卷(期)：2024.17(7)
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