中西医“疟”病辨析
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摘要
随着屠呦呦团队提取、研发"青蒿素"而获得诺贝尔生物医学奖,疟疾再次进入公众视野。提起"疟疾",公众了解其为一种传染病,治疗以西医干扰手段优先。经查阅资料发现,中西医对其认识不尽相同。西医认为"疟疾"是以"发热、间歇性寒战、腹泻"等症状为特征的一种传染病;中医则从辨经、辨证角度去认识"疟",本着"整体观念""辨证治疗"的原则治疗。"疟"在中医认识里是几类症状的集合,依据症状分类为间日疟、温疟、瘅疟等;依据辨经为六经疟,中医治疗涵盖了中药和针灸两方面。中西医在治疗上有所交叉,既相互补充又各自独立,达到联合控制发病、提高疗效、愈后良好的目的。
As the TU Youyou's team received the Nobel Prize in Biomedical Sciences from the extraction, malaria has been concerned by the public once again. When it comes to malaria, the public understands that it is an infectious disease, and a prioritized treatment is an interference means in western medicine. Consulting some materials, the author found that Chinese and western doctors have different understanding of it. Malaria is an infectious disease characterized by fever, intermittent chills, and diarrhea in western opinion, while traditional Chinese doctors learns about malaria dialectically by discrimination of meridians and treat them according to the principle of integrated concept and dialectical treatment. Malaria is a collection of several symptoms in traditional Chinese medicine. According to the classification of symptoms, it includes vivax malaria, summer-heat malaria, pure-heat malaria, etc. Based on meridians discriminate, there are 6 kinds of Malaria known collectively as Liujingnue which treated by traditional Chinese medicine and acupuncture. Both Chinese and western medicines are overlapping, complementary and independent, with a view to jointly controlling the morbidity, improving curative effect, and gaining good recover effect.
As the TU Youyou's team received the Nobel Prize in Biomedical Sciences from the extraction, malaria has been concerned by the public once again. When it comes to malaria, the public understands that it is an infectious disease, and a prioritized treatment is an interference means in western medicine. Consulting some materials, the author found that Chinese and western doctors have different understanding of it. Malaria is an infectious disease characterized by fever, intermittent chills, and diarrhea in western opinion, while traditional Chinese doctors learns about malaria dialectically by discrimination of meridians and treat them according to the principle of integrated concept and dialectical treatment. Malaria is a collection of several symptoms in traditional Chinese medicine. According to the classification of symptoms, it includes vivax malaria, summer-heat malaria, pure-heat malaria, etc. Based on meridians discriminate, there are 6 kinds of Malaria known collectively as Liujingnue which treated by traditional Chinese medicine and acupuncture. Both Chinese and western medicines are overlapping, complementary and independent, with a view to jointly controlling the morbidity, improving curative effect, and gaining good recover effect.
引文
[1]曹俊,刘耀宝,曹园园,等.中国消除疟疾的持续挑战:输入性疟疾[J].中国寄生虫学与寄生虫病杂志,2018,36(2):93-96.
[2]田睿,徐惠芳,朱小燕,等.全球疟疾流行现状及我国输入性疟疾疫情态势分析[J].中国国境卫生检疫杂志,2013,36(6):425-427.
[3]刘耀宝,曹俊,周华云,等.江苏省境外输入性疟疾疫情分析及防控策略探讨[J].中国血吸虫病防治杂志,2013,25(1):44-47.
[4]孙景異,陈瑜,王月仲.北京地区336例输入性疟疾病例流行病学特征分析[J].国际医学寄生虫病杂志,2015,42(4):214-216,248.
[5]张学艳,孙伯超.2011-2015年盐城市输入性疟疾疫情分析[J].中国血吸虫病防治杂志,2017,29(6):746-748.
[6]刘翔翊,任文锋,许聪辉,等.广州市2011—2017年报告疟疾病例流行病学分析[J].中国热带医学,2018,18(4):379-382.
[7]张培男,何龙英,李令保.江苏昆山口岸首例输入性恶性疟疾报告[J].中国国境卫生检疫杂志,2018,41(1):69-70.
[8]刘光华,艾华,吴振起.《内经》疟病源流[J].中国中医基础医学杂志,2006,12(1):17,21.
[9]马王堆汉墓帛书整理小组.马王堆汉墓帛书[肆]·释文[M].北京:文物出版社,1985:89.
[10]姚存荣.疟疾治疗的基本常识和心得体会[J].中国医药指南,2017,15(10):292-293.
[11]杨珂,初明,王月丹.疟疾与疟原虫[J].生物学通报,2016,51(3):8-10.
[12]冯丽玲,罗晓莉,周耀芳,等.疟疾治疗方案的创新研究[J].中药新药与临床药理,2016,27(3):445-447.
[13]王家文,韦明标,廖豪峰,等.阿奇霉素治疗或预防疟疾的研究进展[J].热带医学杂志,2017,17(1):129-132+137.
[14]张效东.《温病条辨》疟病诊治特色探析[J].江苏中医药,2012,44(7):4-5.
[15]王利芬,许文忠.缪希雍治疗疟疾特色[J].吉林中医药,2008,28(3):162-163.
[16]冀雨芳,张京瑜,郭继龙,等.关于《素问》针灸适宜病症的探析[J].世界中西医结合杂志,2017,12(3):305-308.
[17]蔡卫根,曹树琦,陈荷光.《黄帝内经》中应用于急症的刺血处方[J].中华中医药学刊,2013,31(9):1943-1946.
[18]赵银龙.《黄帝内经》刺络血量述要[J].浙江中医杂志,2017,52(1):1-2.
[19]李海峰,曹凌坤.《内经》与现代对“疟”认识的比较[J].上海中医药大学学报,2004,18(1):11-13.
[20]刘玉强,黄运生.针刺联合青蒿素类药物治疗非洲地区疟疾34例临床观察[J].江苏中医药,2017,49(6):49-50.
[2]田睿,徐惠芳,朱小燕,等.全球疟疾流行现状及我国输入性疟疾疫情态势分析[J].中国国境卫生检疫杂志,2013,36(6):425-427.
[3]刘耀宝,曹俊,周华云,等.江苏省境外输入性疟疾疫情分析及防控策略探讨[J].中国血吸虫病防治杂志,2013,25(1):44-47.
[4]孙景異,陈瑜,王月仲.北京地区336例输入性疟疾病例流行病学特征分析[J].国际医学寄生虫病杂志,2015,42(4):214-216,248.
[5]张学艳,孙伯超.2011-2015年盐城市输入性疟疾疫情分析[J].中国血吸虫病防治杂志,2017,29(6):746-748.
[6]刘翔翊,任文锋,许聪辉,等.广州市2011—2017年报告疟疾病例流行病学分析[J].中国热带医学,2018,18(4):379-382.
[7]张培男,何龙英,李令保.江苏昆山口岸首例输入性恶性疟疾报告[J].中国国境卫生检疫杂志,2018,41(1):69-70.
[8]刘光华,艾华,吴振起.《内经》疟病源流[J].中国中医基础医学杂志,2006,12(1):17,21.
[9]马王堆汉墓帛书整理小组.马王堆汉墓帛书[肆]·释文[M].北京:文物出版社,1985:89.
[10]姚存荣.疟疾治疗的基本常识和心得体会[J].中国医药指南,2017,15(10):292-293.
[11]杨珂,初明,王月丹.疟疾与疟原虫[J].生物学通报,2016,51(3):8-10.
[12]冯丽玲,罗晓莉,周耀芳,等.疟疾治疗方案的创新研究[J].中药新药与临床药理,2016,27(3):445-447.
[13]王家文,韦明标,廖豪峰,等.阿奇霉素治疗或预防疟疾的研究进展[J].热带医学杂志,2017,17(1):129-132+137.
[14]张效东.《温病条辨》疟病诊治特色探析[J].江苏中医药,2012,44(7):4-5.
[15]王利芬,许文忠.缪希雍治疗疟疾特色[J].吉林中医药,2008,28(3):162-163.
[16]冀雨芳,张京瑜,郭继龙,等.关于《素问》针灸适宜病症的探析[J].世界中西医结合杂志,2017,12(3):305-308.
[17]蔡卫根,曹树琦,陈荷光.《黄帝内经》中应用于急症的刺血处方[J].中华中医药学刊,2013,31(9):1943-1946.
[18]赵银龙.《黄帝内经》刺络血量述要[J].浙江中医杂志,2017,52(1):1-2.
[19]李海峰,曹凌坤.《内经》与现代对“疟”认识的比较[J].上海中医药大学学报,2004,18(1):11-13.
[20]刘玉强,黄运生.针刺联合青蒿素类药物治疗非洲地区疟疾34例临床观察[J].江苏中医药,2017,49(6):49-50.