| 题名 |
明代吳又可的達原飲是主治溶血性鏈球菌感染之良方 |
| 并列篇名 |
Wuyouker's Dayuanyin Is the Best Pharmacy for Hemolytic Streptococcus Infection in Ming Dynasty |
| 作者 |
謝楠光(Nan-Kuang Hsieh)；侯毓昌(Yu-Chang Hou)；何豐名(Feng-Ming Ho) |
| 关键词 |
明代 ； 吳又可 ； 達原飲 ； 溫疫 ； 溶血性鏈球菌感染 ； Ming dynasty ； Wuyouker ； Dayuanyin ； Epidemic ； Hemolytic streptococcus infection |
| 期刊名称 |
中西整合醫學雜誌 |
| 卷期/出版年月 |
18卷2期（2016 / 06 / 01） |
| 页次 |
1 - 13 |
| 内容语文 |
繁體中文 |
| 中文摘要 |
吳又可是明著名溫病學中醫藥家，曾治癒受瘟疫無數命危者，著《溫疫論》留傳後世，影響甚巨；實值探討主藥方達原飲與當年患者於中、西醫疾病名關係。以《溫疫論》所敘病患病徵及達原飲和徐等著《中國藥材學》、謝等著《中國藥材學》、與陳、顏著《中藥藥理學》之該藥材成分化合物暨其功效，再和戴著《中醫內科學》、與謝等著《一般醫學：病人與病徵》作辨症、病因與病理分析比較，再與歷史記載瘟疫災害相關實情，鑑別診斷並確認病名。結果：發現病患之中醫疾病乃屬溼熱入侵、氣鬱犯肺、胃火上逆與熱毒黃疸之疾病；然西醫以單一疾病名應屬乙型溶血性鏈球菌流行感染，至於兩種或以上疾病併發則缺檢驗。至於達原飲之藥材成分化合物與其功效之主成分藥材，除吳氏所敘之檳榔、濃朴與草果仁外，尚有黃芩與芍藥兩種，而知母與甘草為協助保護肝細胞以維護肝功能，促進恢復之得利藥。至於病患病程變化之調整藥材與加減劑量，讓人欽佩醫者對病患醫護之細心辨症與處方，追求痊癒，視病猶親之精神。結論：吳氏於三百多年前已具有加護病患之醫療行為。由此知當年流行病於中醫乃屬溼熱入侵肺經，內陷心包經，熱毒黃疸；於西醫屬乙型溶血性鏈球菌感染。由藥材化合物與功效論，驗證此藥方有效。 |
| 英文摘要 |
Wuyouker is a famous physician for plague. He is also a initiator for feverous diseases. He medical cure of a large amount of epidemic patients in Ming Dynasty. He had written a book for Epidemic Treatise, which showed the progressive program for epidemic treatment that year. To investigate the name of disease and to evaluate the drugs'effective compartment for the study of younger generation. This study reviews the analysis with comparison to make the decision of patients'diseases that year by the Epidemic Treatise, Hsus'the Chinese Medical Herbs, Hsiehs'the Chinese Medical Herbs, Chen and Yarns'the Pharmacology of Chinese Herbs, Daih's the Chinese Medicine, and Hsiehs'the General Medicine: Patients and Symptoms. Our findings were the disease belonging to sultry wet invasion, distemper gall, gastric reflux, and toxic jaundice in Chinese Medicine. The group A, β-type hemolytic streptococcus infection was considered single disease in Western Medicine. The combined diseases weren't considered for lack of laboratory data, although we take the differential diagnosis for many diseases, such as: malaria, hemolytic dengue, locust plague, and warfare in history. The main medical herbs are not only Wu's records of areca seed, officinal magnolia cortex, and villous amomum fruits, but also white paeony root, and baical skull cap root. Two associated herbs are glycyrrhizae radix and common anemarrhena rhizome. Conclusions in this study are it is respectable for Wu's intensive medical care in whole progressing course. Patients'disease belongs to sultry wet, invading lungs vessels'and pericardium meridian in Chinese Medicine. The group A, β-type hemolytic streptococcus infection is most likely in Western Medicine. The key herbs have five kinds. The associated herbs have two kinds. It is the excellent prescription for this disease that year. |
| 主题分类 |
醫藥衛生 >
醫藥總論 醫藥衛生 > 中醫藥學 |
| 参考文献 |
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