1.河北中医学院,河北省石家庄市桥西区新石南路326号,050200
2.河北省中医药科学院
3.河北省石家庄市人民医院
4.华北理工大学
5.天津中医药大学
6.石家庄学院
赵玉斌,drzhyubin@163.com
张伯礼,zhangbolipr@163.com
收稿:2023-02-15,
修回:2023-04-10,
纸质出版:2023-06-02
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刘凤爽,崔淑华,李娜等.“疫后诸证”的历史源流考证及理论初探[J].中医杂志,2023,64(11):1081-1084.
LIU Fengshuang,CUI Shuhua,LI Na,et al.Textual Research on Historical Origin and Theoretical Framework of “Post-Epidemic Syndromes”[J].Journal of Traditional Chinese Medicine,2023,64(11):1081-1084.
刘凤爽,崔淑华,李娜等.“疫后诸证”的历史源流考证及理论初探[J].中医杂志,2023,64(11):1081-1084. DOI: 10.13288/j.11-2166/r.2023.11.001.
LIU Fengshuang,CUI Shuhua,LI Na,et al.Textual Research on Historical Origin and Theoretical Framework of “Post-Epidemic Syndromes”[J].Journal of Traditional Chinese Medicine,2023,64(11):1081-1084. DOI: 10.13288/j.11-2166/r.2023.11.001.
中医药学在长期与瘟疫抗争中,针对疫病复发及愈后症状的防治逐渐形成了完整的理论体系。疫病恢复期的一系列症状称为“疫后诸证”,通过整理历代医家文献,以时间为主线,梳理各时期对“疫后诸证”理论的认识,认为先秦时期是“疫后诸证”理论的萌芽期,初步阐述了其病因、病机、治法;汉唐时期将“疫后诸证”分为复证和瘥后证;宋金元时期丰富和发展了疫病理论;明清时期则从因、证、脉、治各方面作了归纳与创新,形成了“疫后诸证”完整的理论和证治体系。基于此,结合新型冠状病毒感染疫情防控经验,初步架构了“疫后诸证”的理论体系,为中医疫病恢复期治疗提供临床指导。
During the long struggle with the epidemics, traditional Chinese medicine (TCM) has gradually formed a complete theoretical system for the prevention and treatment of recurrence and symptoms after recovery. A series of symptoms during the recovery period of the epidemic was referred as “post-epidemic syndromes”. This paper compiled the literature of physicians in the past generations, and sorted out the understanding of the theory of “post-epidemic syndromes” in each period according to the main line of time. In the pre-Qin period, the theory of “post-epidemic syndromes” is in its infancy, when the etiology, pathogenesis, and treatment were preliminarily expounded. In the Han and Tang dynasties, the theory was differentiated into two categories, namely, recurrent symptoms and symptoms after recovery. In the Song, Jin and Yuan dynasties, the theory of epidemic diseases was enriched and developed. During the Ming and Qing dynasties, a complete theory of “post-epidemic syndromes” and the syndrome differentiation and treatment system has been formed through summary and innovation in terms of causes, syndrome, pulse and treatment. On this thoery basis and the experience of the prevention and control of the COVID-19, the theoretical system of “post-epidemic syndromes” was initially constructed in order to provide clinical guidance for the prevention and treatment of epidemic disease in the recovery period with TCM.
中华人民共和国国家卫生健康委员会 . 新型冠状病毒感染诊疗方案(试行第十版) [J]. 中国合理用药探索 , 2023 , 20 ( 1 ): 1 - 11 .
The Royal Society . Long Covid:what is it,and what is needed? [EB/OL]. ( 2020-10-23 ) [ 2021-12-18 ]. https: //royalsociety.org/-/media/policy/projects/set-c/set-clong-covid.pdf https://royalsociety.org/-/media/policy/projects/set-c/set-clong-covid.pdf .
SORIANO JB , MURTHY S , MARSHALL JC , et al . WHO Clinical Case Definition Working Group on Post-COVID-19 Condition. A clinical case definition of post-COVID-19 condition by a Delphi consensus [J]. Lancet Infect Dis , 2022 , 22 ( 4 ): e102 - e107 .
赵玉斌 , 肖颖 , 崔淑华 , 等 . “新冠后状态”人群的中医综合康复研究策略 [J]. 中医杂志 , 2022 , 63 ( 14 ): 1313 - 1318 .
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