雷丰《时病论》外感伏气病和新感病治法

摘要

雷丰《时病论》强调祛邪外出、保护正气,注重调畅气机,因时因人辨证用药.根据伏气病病性复杂、多见里证、传变迅速、趁虚而发等特点,多从标本二字立论,以里证为本、表证为标,注意祛邪与补正治法的合理运用.对于新感病证,主要是区分轻重浅深和辨别兼夹邪气,充分考虑了时令气候、病因病机、病证兼夹、患者体质等因素,尤其是关注病势发展,避免失治入里.雷丰论述的伏邪发病并不局限于伏寒之温病,而是全面涉及了伏风、伏暑、伏湿、伏燥、伏热等诸种邪气,对多种伏气病治法的探讨较为深入,特色鲜明.其对新感病证的治疗,知时论证,辨体立法,思路清晰,全面系统.雷丰对伏气病和新感病治法的相关论述,对今天中医治疗外感病有一定借鉴价值.%Treatise on Seasonal Diseases by LEI Feng emphasized that eliminating pathogen and strengthening vial qi,adjusting stagnant qi and administering treatment acoording to pattern,people and timing.According to the characteristics of complexity, interior pattern, quick change, deficiency of latent-qi, it almost makes a point from root and tip, sets interior pattern as the root, takes exterior pattern as the tip, pays attention to the reasonable use of eliminating pathogen and strengthening vial qi.For new contraction,mainly to distinguish superficial and deep seriousness and identify the evil qi,take full account of the seasonal climate,etiology and pathology,disease and syndrome, and patient constitution, especially patient's condition to avoid exacerbation. The pathogenesis of LEI Feng is not confined to epidemic febrile disease,it also fully involved the evil qi like wind,dampness,wetness,dryness and heat and so on,the treatment of various latent-qi diseases is more thorough and distinctive.The new contraction treatment can identify pattern according to seasonal demonstration, which is concisely and systematic. LEI Feng's related treatise on disease therapy has certain reference value for today's TCM treatment of exogenous diseases.