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台灣中醫臨床醫學雜誌

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篇名 淺述丙申歲時行感冒併治少陰證之理法
卷期 22:1
並列篇名 Influenza Emerging through Cold Climate related to Shan-Han-Lun Diagnosis and Treatment of Shao-Yin In Chinese Calendar of Bing-Shen Year
作者 陳逸光
頁次 045-051
關鍵字 五運六氣少陰病太陽病傳經直中dilatation and curettagevaginal bleedinglochiaintermingled phlegm and blood stasisSheng-Hua decoction
出刊日期 201606

中文摘要

「五運六氣」是《內經》運氣七篇之主要內容,述說天人相應、三陰三陽、 五行、六元氣在寰宇中運行,人身亦一小宇宙,天地人三才自是相通。2016年是 丙申年,前一年是乙未年,丙申年的天氣尤為嚴寒,爆發了小規模的A-型流感, 以五運六氣來分析,推斷丙申歲初之氣,遇到寒冷的天氣亦是相應。《傷寒論》 本身就是治療感冒、流感、疫病的專著,臨床上常遇到太陽傳入少陰之醫案,丙 申歲初遇一病患高燒39oC,因服麻杏石甘湯發汗後而燒不退病不解,以辨治太陽 傳少陰之理法來進行思考,用甘溫退大熱來醫治,三日後體溫恢復正常且療效顯 著。今撰文分析其脈因證治,天之時行,人之相應,傷寒之理法,以述其義。

英文摘要

Wu-Yun-Liu-Qi(五運六氣) was well documented in the seven doctrines of Neijing’s Yun-Qi(運氣七篇). It explained the concept of Heaven-Human-Unison, the Three-Yin-Yang theory, the 5-element circle and the Six-Yun-Qi running among the universe. Our body is a part of the universe and meets reasonably to the Yun-Qi theory. The Year 2016 is correlated to the Chinese Calendar of Bing-Shen(丙申) and the previous year was Yi-Wei(乙未). In the early of 2016, the average temperature of the beginning three months was lowered than last year and Influenza-A spreading around which giving casualty was arisen. It seems to be matched to the prediction of Bing- Shen from our ancestors. The medical teaching of Shan-Han-Lun used to treat common cold, influenza and Epidemic influenza as well. One of the clinical demonstrations from Shan-Han-Lun is the Tai-Yang disease(太陽病) shifting to Shao-Yin symptoms(少陰證). Recently, there was a patient who suffered from high fever 39oC and being treated by Ma-Xing-She-Gan formula(麻杏石甘). After taking the medication, patient had had a lot of sweating while the symptom was unrelieved. Analysis of the clinical manifestation which was given the diagnosis of Shao-Yin and made use the concept of “Gan-Wun 甘溫”medication to releasing body heat. After taking three-day medication, the fever and symptoms were relieved dramatically. In this article, the pulse-etiology-symptomstreatment, Heaven-Human-Unison, and Shan-Han theory will be further elicited.

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