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陆子贤“斑为阳明热毒,疹为太阴风热”评析

发布时间:2018-04-21 05:44

  本文选题:斑疹 + 六因条辨 ; 参考:《中国中医基础医学杂志》2017年04期


【摘要】:陆子贤“斑为阳明热毒,疹为太阴风热”为温病学斑疹点睛之笔。此语滥觞于华佗“胃烂发斑”,且较之章虚谷“斑从肌肉而出属胃,疹从血络而出属肺”更具纲领性的指导意义。斑疹“和而不同”,陆子贤由“胃烂发斑”提出“斑为阳明热毒,疹为太阴风热”的贡献在于:立足于叶天士温病斑疹诊治模式,统合张仲景、叶天士寒温学术体系,把卫气营血、三焦、经络、脏腑辨证体系统一起来。陆氏寒温统一学术较之现代新安名医程门雪“伤寒本寒而标热,温病本热而标寒”“温病在伤寒基础上发展了清气热、凉营清热、清心开窍等法”的认识且各有时代特色,斑疹诊治应统合寒温学术及中西医病证结合。
[Abstract]:Lu Zixian, "spot for Yang Ming heat poison, rash for Taiyin wind heat" for febrile disease study spot finishing touch. This phrase originated from Hua Tuo's "stomach rot and hair spot", and has more programmatic significance than Zhang Xianggu's "stomach from muscle to stomach, rash from blood to lung". According to Lu Zixian, "spot is Yang Ming heat poison, rash is too Yin wind heat", the contribution lies in: based on the pattern of diagnosis and treatment of Ye Tian Shi febrile disease, integrating Zhang Zhongjing and Ye Tianshi cold warm academic system. Wei Qi-ying blood, three-Jiao, meridian, viscera syndrome differentiation system unified. Compared with Cheng Menxue, a famous doctor in Xin'an in modern times, Lu's research on the unification of cold temperature and fever, "febrile disease is based on typhoid fever, has developed the methods of clearing qi and heat, cooling camp and clearing away heat, clearing the heart and opening the orifices," and each has its own characteristics of the times. Diagnosis and treatment of erythema should be integrated with cold warm academic and the combination of traditional Chinese and western medicine.


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