Peng J
Hunan College of Traditional Chinese Medicine, Changsha.
Zhonghua Yi Shi Za Zhi. 1999 Apr;29(2):70-3.
The systems of diagnosis and treatment of exopathogenic diseases has a long history. The six channel pattern identification and the defense - qi- construction - blood and triple - jiao pattern identifications are the most famous but not complete. The exterior, interior, excess and heat pattern identification and the six channel qi transformation pattern identification, founded by Liu Hejian, Yang Lishan, Yu Shiyu and Yu Genchu et al. during the Jin and Qing dynasties, should be considered the other two important systems, which can be used as supplements to schools of Shanghan (cold damage) and Wenbing (warm disease). Moreover, it should be pointed out that treatment according to the pattern identification is not the only way to treat exopathogenic disease. Rather, treatment according to the disease, which chiefly are the experience of folk doctors recorded in formulary books during the Jin and Tang dynasties, supplied many effective formulas for various systems of the treatment according to the pattern identification in later ages. One of them lays emphasis on the technics of thinking, the other on the accumulation of personal experience. The combination of the two is the right way to promote the therapeutic effect of exopathogenic disease.
外感病诊治体系有着悠久的历史。六经辨证以及卫气营血辨证和三焦辨证最为著名但并不完备。由刘河间、杨栗山、余师愚、余根初等在金元明清时期创立的表里寒热虚实辨证以及六经气化辨证,应被视为另外两个重要体系,可作为伤寒学派和温病学派的补充。此外,应当指出,辨证论治并非治疗外感病的唯一方法。而辨病论治,主要是晋唐时期方书所载民间医生的经验,为后世各种辨证论治体系提供了许多有效方剂。其中一个侧重于思维技巧,另一个侧重于个人经验的积累。两者结合才是提高外感病治疗效果的正确途径。