温病初起治疗宜汗与忌汗之辨

摘要

对温病初起治疗宜汗与忌汗的问题进行了讨论。认为忌汗是指忌辛温发汗，宜汗则指病在表，汗是热邪的重要出路，用“辛”使热邪从肌表得以宣泄。指出温病一面宜喜汗解，一面忌汗伤阴，理论说法不一，治疗难以把握。强调宜汗忌汗这对矛盾既是对立的，又是统一的，其结果同样是为了祛邪和保存津液。表明辨证地运用宜汗和忌汗，则能有效地提高温病的临床疗效。%The article discusses the compatibility and incompatibility ofinducing diaphoresis at the beginning of epidemic febrile diseases.Incompatibility of inducing diaphoresis means avoiding using drugs pungent in flavor and warm in property to induce diaphoresis. Yet,induction of diaphoresis is often used when disease is located in the exterior because perspiration is an important means of getting rid of pathogenic heat. Use of pungent and warm drugs can drive the pathogenic heat off the exterior of the body. On the one hand,inducing diaphoresis is good for epidemic febrile diseases because it helps to relieve exterior syndrome,but on the other hand, perspiration may cause impairment of yin. Contradictory views have been existing on this subject and it is very hard to decide clinically. The authors emphasized that compatibility and incompatibility of inducing diaphoresis is the unity of opposites. The aim is to eliminate the pathogenic factors and preserve body fluid. Dialectical use of compatibility and incompatibility of inducing diaphoresis may efficiently improve clinical efficacy in treating epidemic febrile diseases.