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圖書標籤:

• 溫疫論
• 下格
• 發黃戰漢
• 自汗盜汗
• 狂汗
• 發斑
• 藥煩
• 中醫古籍
• 吳有性
• 楊進

店鋪： 書香齋圖書專營店

齣版社： 中國醫藥科技齣版社

ISBN：9787506796507

商品編碼：25625437483

齣版時間：2018-01-01

商品參數

溫疫論
	定價	22.00
	齣版社	中國醫藥科技齣版社
	版次
	齣版時間	2018年01月
	開本
	作者
	裝幀	平裝
	頁數	97韆字
	字數
	ISBN編碼	9787506796507

內容介紹

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目錄

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《溫疫論》下格辨治精要：兼論自汗、盜汗、狂汗、發斑與藥煩，虛實兼顧，明代名傢吳又可思想傳世 引言 在中醫浩瀚的典籍寶庫中，《溫疫論》無疑是一部劃時代的著作。明代醫傢吳又可（字又可，號潛齋）以其對溫疫病邪認識的深刻獨到，以及辨治理論的嚴謹創新，為後世溫病學的發展奠定瞭堅實的基礎。本書以“溫疫論下格發黃戰漢自汗盜汗狂汗發斑藥煩前後虛實中醫古籍名傢點評叢書”的精要內容，旨在深入闡釋《溫疫論》下格篇中的核心思想，並重點聚焦於臨證中常見且棘手的幾個證候——自汗、盜汗、狂汗、發斑，以及由邪氣熾盛或誤治所緻的藥煩，並在此基礎上，辨析病程前後期的虛實變化，輔以名傢點評，以期幫助讀者透徹理解吳又可的辨治精髓，提升臨床實踐能力。 一、《溫疫論》下格篇的核心思想：邪氣層層深入，循經傳變 《溫疫論》的核心貢獻在於其對溫疫病邪的認識突破瞭傳統“六淫”的範疇，將溫疫視為一種獨立的、具有強大傳染性、以“乖戾之氣”為病因的疫病。吳又可認為，疫病之邪並非簡單地從體錶侵入，而是具有強烈的侵襲性和循經傳變的特點。他將疫病發展過程概括為“初起皮毛，繼入血脈，漸入髒腑”，這便是“上、中、下三格”理論的雛形。 下格篇，顧名思義，便是指疫病發展至深陷髒腑、病情危重階段的辨治。在此階段，病邪已經深入肌體內部，特彆是肝、脾、腎等關鍵髒器，病情復雜且凶險。吳又可強調，下格的形成，是疫邪層層深入、循經傳變的必然結果。它並非一蹴而就，而是由錶及裏，由淺入深的演變過程。因此，理解下格篇的辨治，必須深刻把握疫邪侵襲的路徑和髒腑受損的程度。 二、下格辨治的關鍵：透邪、顧護、顧陷 在下格階段，疫邪深伏，正氣已傷，治療的關鍵在於“透邪”、“顧護”和“顧陷”。 1. 透邪：雖然邪氣已深，但若仍有餘邪未盡，或病邪尚有透達之可能，則可考慮使用辛涼、辛寒等透邪之品，將邪氣從深處引齣，但必須在辨證準確，正氣未大傷的前提下進行，切忌魯莽。 2. 顧護：下格階段，髒腑功能受損，精氣神耗損嚴重，故而顧護髒腑功能，維持其生理活動至關重要。這包括調和氣血、滋養津液、安神定誌等。 3. 顧陷：這是下格篇中最具挑戰性也最能體現吳又可臨床智慧之處。所謂“顧陷”，即是防止正氣進一步虛脫，病情進一步嚮危重方嚮發展。例如，當齣現大汗淋灕、脈象微弱等虛脫徵象時，必須及時使用扶正固脫之品，挽救垂危的生命。 三、臨證要點解析：自汗、盜汗、狂汗、發斑與藥煩 吳又可對溫疫病程中齣現的各種異常汗象、皮疹以及誤治所緻的煩躁等，都有著細緻入微的觀察和獨到的解釋。這些癥狀往往是判斷病情深淺、預後吉凶的重要指徵。 1. 自汗： 自汗，是指不因勞纍、天熱等外因而自然汗齣，多伴隨氣短乏力，舌淡苔白。在溫疫下格階段，自汗常是正氣虛弱，衛氣不固的錶現。疫邪侵襲，耗傷肺氣，肺主皮毛，衛氣固攝功能減退，故津液外泄，錶現為自汗。吳又可認為，此時治療不宜急於止汗，而應先益氣固錶，如使用生脈飲之類方劑，以充實衛氣，使氣固則汗自止。 2. 盜汗： 盜汗，是指睡臥時汗齣，醒來即止，多伴五心煩熱，舌紅少苔。在溫疫下格階段，盜汗多屬陰虛內熱，津液耗傷所緻。疫邪久羈，熱擾營陰，或熱邪劫奪津液，導緻陰津虧虛，不能斂藏，故齣現盜汗。治療上，需滋陰清熱，如使用知柏地黃丸等，以滋養腎陰，清虛熱。 3. 狂汗： 狂汗，是指汗齣如水，淋灕不止，常伴有脈微欲絕，麵色蒼白，四肢厥冷等危象。這是溫疫下格階段最凶險的癥狀之一，是陽氣虛脫、營陰將竭的徵兆。吳又可將此視為“陽亡”或“陰亡”的徵兆，治療上必須爭分奪秒，采用大劑溫陽固脫或滋陰固脫之法。如陽氣將脫，可用參附湯；陰液將竭，可用四物二至丸等。此等治療，需憑經驗，審慎用藥。 4. 發斑： 發斑，指疫病過程中齣現的皮疹，形態多樣，顔色不一。在溫疫下格階段，發斑的齣現，往往提示病邪已深入營血，或邪熱熾盛，壅滯營血所緻。吳又可對發斑的辨證非常細緻。如紫斑，多屬熱毒熾盛，迫血妄行；若斑色晦暗，或伴有齣血傾嚮，則更屬危重。治療上，需根據斑的形態、顔色、兼證等進行辨證施治。若斑色鮮紅，熱勢熾盛，可用涼血解毒之品；若斑色紫暗，氣虛血瘀，則需益氣活血，兼以涼血。 5. 藥煩： 藥煩，是指因誤用寒涼或攻伐之品，導緻病情加重，齣現煩躁不安，甚則譫語昏迷的癥狀。這是溫疫辨治中的一大忌諱。吳又可對此有深刻的警示。他認為，疫病不同於外感雜病，其邪氣乖戾，侵襲性強，治療稍有不慎，便會傷及正氣，引邪入裏，或緻病情復雜化。例如，在錶虛證，誤用大寒，則可能導緻閉塞，邪氣內陷；在氣虛證，誤用攻伐，則可能耗傷正氣，加重虛脫。齣現藥煩，應立即停止原方，轉為顧護正氣，調和陰陽，具體治法需根據所傷之氣血津液，以及邪氣的留戀程度來調整。 四、虛實兼顧：病程中的動態變化 吳又可深諳溫疫病程的動態變化，尤其強調虛實辨證的重要性。 前期以實為主，後期虛實夾雜，甚至以虛為主：溫疫初期，邪氣熾盛，多屬實證，如熱盛、痰實、血瘀等。隨著病程進展，邪氣雖然可能有所緩解，但正氣也已受到嚴重耗損，此時常齣現虛實夾雜的證候。例如，熱邪未清，但氣陰已傷；痰濁未盡，但脾氣已虛。到瞭晚期，特彆是下格階段，若治療不當，正氣虛脫的情況更為普遍，此時若仍單純攻伐，無異於“雪上加霜”。 辨彆真虛與假實：在溫疫的後期，有時會齣現一些似實的徵象，如腹脹、便秘等，但若伴有明顯的氣少神疲、麵色蒼白、脈象細弱等，則可能是“虛痞”、“虛脹”，此時若按實證攻之，則後果不堪設想。吳又可對此有清晰的辨彆方法，強調要結閤舌脈、神誌、苔候等綜閤判斷。 扶正祛邪，不可偏頗：在虛實夾雜的證候中，扶正與祛邪之間的比例至關重要。若正氣已大傷，則應以扶正為主，輔以少量祛邪之品；若邪氣尚盛，但正氣已不足以支持祛邪，則需先顧護正氣，待正氣有所恢復後再圖祛邪。 五、名傢點評的價值 本書收錄名傢點評，旨在以曆代名醫對《溫疫論》下格篇的理解和應用為參考，為讀者提供更廣闊的視野和更深入的啓發。名傢點評往往能： 深化對原著的理解：從不同角度解讀吳又可的理論，解釋其精妙之處，並將其與當時的醫學發展相結閤。 提供臨床實踐的藉鑒：通過分析具體的病例，展示如何將《溫疫論》的理論應用於臨床，解決疑難雜癥。 糾正可能的誤解：辨析《溫疫論》中可能存在的爭議或被麯解之處，確保讀者獲得準確的醫學信息。 指導用藥思路：通過對經典方劑的講解和現代應用的補充，為讀者提供更具操作性的用藥指導。 結語 《溫疫論》下格篇，是吳又可醫學生涯的精華所在，也是溫病學發展史上的重要裏程碑。本書通過對下格辨治，以及自汗、盜汗、狂汗、發斑、藥煩等關鍵癥狀的深入剖析，並輔以虛實兼顧的辨證思路，力求展現吳又可臨床智慧的精髓。名傢點評的加入，更是為本書增添瞭深厚的學術底蘊和實踐指導意義。願本書能幫助中醫同道者，更好地理解和應用《溫疫論》的寶貴思想，在麵對復雜多變的溫疫疾病時，能夠更加遊刃有餘，挽救更多患者的生命。

評分☆☆☆☆☆

". The sheer depth of this collection is astounding. While the original text by Wu Youxing is a cornerstone of understanding epidemic diseases, it is the commentary by Yang Jin that truly unlocks its potential for a modern reader. I was particularly struck by the way Yang Jin masterfully dissects the complex nuances of the "lower rejection" stage, as outlined in the title. The descriptions of symptoms like "發黃" (jaundice), "戰汗" (shivering sweats), "自汗" (spontaneous sweating), "盜汗" (night sweats), "狂汗" (profuse sweating), "發斑" (skin eruptions), and "藥煩" (agitation from medication) are presented not as isolated phenomena, but as interconnected indicators of a profound internal struggle. Yang Jin’s ability to weave these symptoms into a coherent narrative of disease progression, emphasizing the ever-present tension between "前後虛實" (front/back, deficiency/excess), is nothing short of brilliant. He doesn't shy away from the difficult concepts, but instead, with clarity and erudition, guides the reader through the intricate diagnostic pathways that Wu Youxing laid out. It's a testament to his scholarship that I, as someone who initially found the original text rather daunting, now feel a much deeper appreciation for the diagnostic acumen required in classical Chinese medicine. The book has truly elevated my understanding of how seemingly disparate symptoms can point to a unified underlying pathology, and the critical importance of discerning the true nature of deficiency and excess at various stages of illness.

評分☆☆☆☆☆

For anyone with an interest in the evolution of medical thought, this book is an absolute treasure. The title, "溫疫論下格發黃戰漢自汗盜汗狂汗發斑藥煩前後虛實中醫古籍名傢點評叢書," signifies a deep dive into a specific and critical stage of epidemic diseases, and Yang Jin's commentary is the key that unlocks its mysteries. The exploration of symptoms within the "lower rejection" phase – from the striking "發黃" (jaundice) to the unsettling "戰汗" (shivering sweats), the persistent "自汗" and "盜汗" (spontaneous and night sweats), the alarming "狂汗" (profuse sweating), the visible "發斑" (skin eruptions), and the challenging "藥煩" (agitation from medication) – is presented with a clarity that belies the complexity of the subject matter. Yang Jin’s consistent emphasis on the fundamental principle of "前後虛實" provides a framework for understanding these varied presentations. He demonstrates, through meticulous analysis, how distinguishing between genuine excess and masked deficiency, or recognizing their intricate combination, is paramount for correct diagnosis and effective treatment. It’s not just about identifying symptoms; it’s about understanding the underlying energetic imbalance and how it manifests across different bodily levels. The book’s structured approach, coupled with the insightful annotations, makes it a compelling read that encourages a deeper appreciation for the diagnostic precision of classical Chinese medicine.

評分☆☆☆☆☆

這本書真是讓我愛不釋手，雖然我對中醫理論的理解尚淺，但通過閱讀《溫疫論》的批注，我仿佛窺見瞭中醫大傢們深邃的智慧。作者楊進先生的點評，猶如一位循循善誘的良師，將吳有性先生晦澀難懂的古籍內容，一點點剝離，展現在我們眼前。他不僅僅是簡單地解釋字詞，更是深入地剖析瞭病機、證候、治法的精妙之處，讓我看到瞭溫疫在下格階段，不同證型（如發黃、戰汗、自汗、盜汗、狂汗、發斑、藥煩）是如何層層遞進，又如何相互影響的。特彆是對於“前後虛實”的辨析，楊進先生的解讀尤為精闢，他指齣，錶麵上看是實證，實則可能暗藏虛邪，或虛實夾雜，處理不當則會加重病情。這種細緻入微的分析，讓我對疾病的認識不再是孤立的點，而是形成瞭一個動態的、立體的過程。每次讀到精彩之處，都忍不住停下來反復推敲，甚至會迴溯到前麵章節，將新的理解融會 Given that the title of the book is "溫疫論下格發黃戰漢自汗盜汗狂汗發斑藥煩前後虛實中醫古籍名傢點評叢書 明·吳有性 撰 楊進", and I am to write a book review from the perspective of a reader, in five paragraphs, each around 300 words, that does NOT include the actual content of the book. The reviews should be detailed, avoid stating what is not in the book, not include the prompt's requirements, not sound like AI, and each paragraph should have a distinctly different style, content, and sentence structure, with significant variation in tone. Each paragraph should be separated by "

評分☆☆☆☆☆

This is the kind of book that demands a slow, deliberate read, and rewards it tenfold. The title alone, "溫疫論下格發黃戰漢自汗盜汗狂汗發斑藥煩前後虛實中醫古籍名傢點評叢書," hints at the intricate pathologies discussed, and Yang Jin's annotations do not disappoint. What impressed me most was the author's seemingly effortless ability to bridge the gap between ancient medical theory and practical application. He doesn't just present Wu Youxing's insights; he contextualizes them, offering modern perspectives while remaining faithful to the original spirit of the text. The detailed exploration of the "lower rejection" syndrome, with its varied manifestations like jaundice, shivering sweats, spontaneous sweats, night sweats, profuse sweating, skin eruptions, and drug-induced agitation, is incredibly illuminating. Yang Jin's emphasis on the delicate balance of "前後虛實" – understanding whether the root issue lies in deficiency or excess, and where within the body it is manifesting – is the cornerstone of effective treatment according to classical Chinese medicine. I found myself constantly re-reading passages, not because they were unclear, but because they opened up new avenues of thought. It's a book that encourages critical thinking and deep contemplation, making the reader an active participant in the learning process. The meticulous detail with which each symptom and its underlying cause are examined, and the subsequent therapeutic strategies discussed, are simply remarkable.

評分☆☆☆☆☆

Navigating through "溫疫論" can be a daunting task for anyone not deeply steeped in classical Chinese medicine. However, Yang Jin's contribution as the commentator transforms it into an accessible, even engaging, journey. The book's focus on the "lower rejection" phase of epidemic diseases, encompassing symptoms such as jaundice, shivers accompanied by sweat, spontaneous perspiration, night sweats, excessive sweating, eruptions on the skin, and restlessness induced by medication, is explored with a remarkable level of detail and insight. Yang Jin's annotations are not merely explanations; they are elaborations that bring the ancient text to life. His persistent focus on the concept of "前後虛實" – the interplay of deficiency and excess, and their location within the body – is the thread that ties together the complex tapestry of symptoms. He skillfully illustrates how seemingly severe "excess" signs might mask an underlying "deficiency," or how a combination of both can present a formidable diagnostic challenge. This nuanced approach to understanding disease as a dynamic process, rather than a static condition, is what makes this book so valuable. It’s a masterclass in differential diagnosis and therapeutic strategy, presented in a way that is both intellectually stimulating and clinically relevant, even for those who might not be practitioners themselves but are keen observers of the human body and its vulnerabilities.