
扁鹊传统的古今对话与反思
符友丰
A Dialogue With the Ancient and Reflection on the Interpretation of History of Bian Que and Traditional Chinese Medicine
Fu Youfeng
在采用描述性流行性学解读《史记·扁鹊传》的基础上,从宏观与微观两个方面探讨了《史记》背景资料的真伪和鼠疫流行的可能性。结合鼠疫恶寒发热、消化道与中枢神经系统等症状对中医外感热病学说、脾胃内伤学说与温疫温病等学说的影响,围绕伤寒热病与鼠疫病程的一致性,以及由此抽象而来的六经学说,从疾病流行、象数、复杂性思维路径依赖和知识考古,揭示了疫病流行对早期医学理论、原始宗教与思想文化的影响,提出医源于疫的假说,并就疫病流行与中医教育、中西医结合等问题阐述了看法。
Based on the description of epidemic diseases in the chapter of “The Story of Bian Que” in Records of Historian, the author has analyzed and explored the truthfulness of its background data and the possibility of the plague spreading at that time from both macro and micro angles. The symptoms of plague including chills and fever, the digestive symptoms and the symptoms in central nerve system made great influence on the formation of some doctrines in traditional Chinese medicine (TCM) such as exopathic heat disease doctrine, internal injury of spleen and stomach doctrine and epidemic febrile disease doctrine. The course of exogenous febrile disease was similar to that of the plague, thus the theory of six meridians was formed. According to above phenomena, the author has explored the effect on the initial medical theory, primitive religion and culture due to the spreading of epidemic diseases from the angles of epidemiology, the theory of images and figures, complicated thought ways depending, as well as archaeological studies. Then the hypothesis of medicine originated from epidemic diseases was proposed. The author also put forward some opinions on the relationship between epidemic diseases spreading and traditional education of TCM, sustained development of TCM education, as well as the integration of TCM and WM.
扁鹊 / 中医史 / 鼠疫 / 热病 / 针灸 / 中医基础理论
Bian Que / history of traditional Chinese medicine / the plague / febrile disease / acupuncture and moxibustion / basic theory of traditional Chinese medicine
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