摘要
《疫喉浅论》乃清末喉科名医夏云所著辨治疫喉之专书.本文系统梳理了夏云疫喉辨治思想及其对疫喉病因、病机、症状的辨治特点.夏云提出疫分常疫、杂疫,疫喉乃杂气致疫,疫喉病因为外感杂气兼有内热,疫喉病机属性及症状受天时气候变化影响,疫喉病势及预后可据喉、痧、舌、脉辨别.夏云还创新性地提出疫喉治法分三阶段,婴儿、孕妇治法有别.针对疫喉闷痧闭证,提出先以散剂取嚏再进汤药之法,针对疫喉出现咽喉肿痹提出急用刺、刮、吐法救之.本文从辨疫喉病因、症状及治法三方面对夏云辨治疫喉的医学思想及辨治特点予以分析,对当今辨治疫喉具有重要指导意义.
Abstract
Yi Hou Qian Lun is a specialized book written by Xia Yun,a renowned laryngologist in the late Qing dynasty. This article systematically reviews Xia Yun's thought on diagnosis and treatment of epidemic throat,as well as its characteristics in identifying the etiology,pathogenesis,and symptoms of the disease. Xia Yun proposed that the epidemic can be divided into regular and miscellaneous diseases. The epidemic throat is caused by miscellaneous Qi,and the epidemic throat disease is caused by both external and internal heat. The pathogenesis and symptoms of the epidemic throat disease were influenced by weather changes,and the severity and prognosis of the epidemic throat disease can be distinguished by throat,measles,tongue,and pulse. Xia Yun also innovatively proposed that the treatment of the epidemic throat should be divided into three stages,with different treatments for infants and pregnant women. In response to the syndrome of stuffy throat and closed throat,he proposed the method of first using powder to take sneeze and then taking Chinese medicine soup. In response to the occurrence of throat swelling and blockage in the epidemic throat,he proposed the method of urgently using needling,scraping,and vomiting to save. This article analyzes Xia Yun's medical thoughts and characteristics of diagnosing and treating epidemic throat from three aspects:etiology,symptoms,and treatment methods. It has important guiding significance for today's diagnosis and treatment of epidemic throat.
维普
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