中医药研究论丛

252.3 「鼠疫」传统医学古籍中鼠疫病名之沿革

  TJ TCM.25(2) : 35-50, 2022

「鼠疫」传统医学古籍中鼠疫病名之沿革
Plague: Evolution of Plague Terms in Traditional Chinese Medicine Literature
1 中国医药大学中医学系暨硕博士班,台中,台湾
2 中国医药大学中医学院,台中,台湾
3 中国医药大学附设医院中医部中医针灸科,台中,台湾
4Henry Yin Acupuncture & Chinese Herbal Medicine
5 中国医药大学附设医院中医部中医内科,台中,台湾
【摘要】
目的:鼠疫为啮齿目动物与人类共通的疾病,其主要是依靠跳蚤将鼠疫杆菌(Yersinia pestis)传递至不同个体间,其历史非常悠久,多次影响人类文明发展,而中国多次的瘟疫中,部分与鼠疫有关,然「鼠疫」一词出现要追溯到1891 年吴存甫的《治鼠疫法》,而在这之前,传统医学又是如何称呼这种疾病?本文希望透过典籍回溯,了解传统医学对鼠疫病名之沿革。
方法:本文对於「鼠疫」病名的筛选将分成两个方法在传统医学典籍中寻找,第一是直接搜寻与鼠有关联的病名,并搭配其症状是否有符合现代鼠疫;第二则是直接透过鼠疫常见的症状对应典籍中有类似症状的病名分析;找出这些名词後,我们也会对比西医名词传入後,西医对传统医学的影响。
结果:从历代典籍中,我们发现有鼠一词的病名包含鼠,且有可能是鼠疫的过去病名的有「鼠瘻」等;而症状尚来判断的话,我们认为「疙瘩瘟」、「大头瘟」、「探颈瘟」、「核瘟」这些病症都包含了颈部肿大或是身体有明显肿块的症状,这些症状可对应腺鼠疫产生的淋巴结红肿结块,所以我们认为这些病名虽然没有直接提及老鼠或是其致病原,但有可能是鼠疫的古病名。
  18 世纪末19 世纪初,华南鼠疫的流行也带动清末的中国及日治的台湾,中西医的交流,西医的病名Plague 被翻成百斯笃、ペスト、魄司脱在两岸之间流传,但随着「鼠疫」一词的出现,结合现在微生物学的观察,让中西医对鼠疫一词的成述一致化,变成现在所熟知的鼠疫。
结论:「鼠疫」不论在东西两方都是令人恐惧的传染病,在对其传染源不明的年代,传统医家们使用其外在症状来做为其病名的来源,而到人们逐渐发现治病源可能来自老鼠时,才出现「鼠疫」一词,并结合鼠疫杆菌(Yersiniapestis)的发现,将传统医学和现代医学的名词一致化。
【关键词】鼠疫、瘟疫、疙瘩瘟、耶尔辛杆菌(Yersinia pestis)
Yang-Chih Yin1Mao-Feng Sun1,2,3Wei-Heng Yin4
Chia-Han Tsai1,5Jaung-Geng Lin1*
 
1School of Chinese Medicine & Graduate institute of Chinese Medicine, China Medical
University, Taichung, Taiwan
2College of Chinese Medicine, China Medical University, Taichung, Taiwan
3Division of Chinese Acupuncture Medicine, Department of Traditional Chinese Medicine,
China Medical University Hospital, Taichung, Taiwan
4Henry Yin Acupuncture & Chinese Herbal Medicine
5Division of Chinese Internal Medicine, Department of Traditional Chinese Medicine, China
Medical University Hospital, Taichung, Taiwan
【Summary】
Objective: Plague is a common disease between rodents and humans. It mainly relies on fleas to transmit the pathogen, Yersinia pestis to different individuals. It has a very long history and has affected the development of human civilization numerous times. However, there have been many plagues in China’s history, some of which are related to the Plague itself. However, the appearance of the term “plague” dates back to Wu Cunfu’s “Plastic Plague Law” in 1891. The study aims to explore the history of Plague in Chinese medicine by referring to and study the classics.
Methods: We screen the disease name “Plague” in the Classics of Traditional Chinese medicine with two research methods. We first search the disease names related to rats and whether the symptoms are consistent with modern plague directly. We also search through the common symptoms of plague corresponding to the analysis of disease name with similar symptoms in the classics. After identifying these terms, we then compare the influence of Western medicine on Chinese medicine after the introduction of Western medicine terms.
Results: From the Classics of Traditional Chinese Medicine, we found that the terms for the disease included the term “rat”, and the past disease name of the plague may be “rat fistula”, etc. If we classify from the symptoms, the terms such as “pimple plague”, diseases referred to as “big head plague”, “neck plague” and “peach stone plague” all include symptoms of neck swelling or obvious lumps on the body. These symptoms can correspond to the redness and swelling of lymph nodes caused by bubonic plague, so we think these diseases are related and was named despite there being no direct mention of rats or Yersinia Pestis which might be the ancient name for the plague. It may be the ancient name for the plague. At the end of the 18th century and the beginning of the 19th century, the South China Plague also led to the exchange of Chinese and Western medicine between China in the late Qing Dynasty and Taiwan under Japanese rule. With the emergence of the modern term “Plague”, combined with the observations of current microbiology, the formation and description of the definitions for plague in Chinese and Western medicine, these terms have been unified and became the term that we are now familiar.
Conclusion: “The plague” is a terrifying infectious disease in both the Eastern and the Western medicine. In an era where the source of its infection was unknown, traditional physicians used its external symptoms as the source of its disease name. With the development of the medicine, people gradually discovered the term “plague” only appeared when the source of the disease came from rats. With the discovery of Yersinia pestis, it unifying of the term in both traditional and modern
medicine
【Keywords】Plague; Pimple plague; Yersinia pestis