作　　者： (杨文喆）; (张再良）;

机构地区： 上海中医药大学基础医学院

出　　处： 《上海中医药杂志》 2017年第9期33-36,共4页

摘　　要： 从分析杂病与卒病、伤寒杂病合一、杂病与中医内科学等议题切入。认为《伤寒杂病论》成书当时为临证实录,针对的是热病证治,杂病应是对伤寒的补充与发展。《金匮要略》经后人改编或补充的成分很多,使得它的原貌模糊不清,真正被改造成了杂病证治的专书。杂病的概念后来发生改变,甚至偏向于七情内伤。从临床角度看伤寒与杂病联系密切。因此《伤寒杂病论》是基础,后世医家流派是对它的扩展延伸,并最终发展成为今天的"中医内科学"。 From the topic analysis such as miscellaneous diseases and sudden onset diseases,unification of cold pathogenic and miscellaneous diseases,miscellaneous diseases and internal medicine of traditional Chinese medicine and so on,this paper puts forward some views as follow: Treatise on Cold Pathogenic and Miscellaneous Diseases was written during the clinical practice which aimed at the syndrome and treatment of fever diseases,while miscellaneous diseases should be its supplement and development. A lot of sections in Synopsis of Golden Chamber were adapted or supplemented by descendants,which made its original appearance blurred and really transformed into the specific book of syndrome and treatment of miscellaneous diseases. The concept of miscellaneous diseases had changed later,even tended to internal injury caused by excess of seven emotions. From the clinical perspective,there is close relationship between cold pathogenic and miscellaneous diseases. Therefore,Treatise on Cold Pathogenic and Miscellaneous Diseases is the base,and the later schools of physicians are the expanding and extending,and finally internal medicine of traditional Chinese medicine at present is developed and formed.

关 键 词： 金匮要略 杂病 伤寒 六经