中医药研究论丛

201.10中医治疗流感之近年回顾性文献探讨
中医治疗流感之近年回顾性文献探讨
Literature Review of Influenza Treatment from Traditional Chinese Medicine in Recent Years
林宜铮1 吴龙源1 蔡金川1,2 林立伟1*
1 义守大学学士後中医学系,高雄,台湾
2 财团法人义大医院中医部,高雄,台湾
【摘要】
随着现代医学的进步,公共卫生的概念普及,许多传染性疾病多半可以在大规模爆发前受到控制,但造成流感的流感病毒,因其构造可以不断重新组合进而产生变异,过一段时间便会卷土重来造成疫情的大流行,这始终是医事人员及医疗研究专家无法解决的难题。虽然在中医古籍里并没有「流感」这个病名的记载,但是自《黄帝内经》开始便有许多与「流感」的证型、致病原因、发病特点或症状相似的疾病记录,流感在中医可归类为疫毒之邪,如疫气、疫戾、疠气或戾气等范畴。这说明了中医药治疗流感的经验已有几千年的历史,中医根据不同体质的失衡给予不同的治疗调理,以期达到身心皆平衡的健康状态。
而流感开始受到台湾中、西医界的注意及引起民众的恐慌,莫过於2003年爆发的SARS,甚至国际上、两岸也纷纷投入研究,但当SARS 的疫情渐受控制後,随之而来的是禽流感与新型流感的流行。故本研究搜集国际与两岸的医学期刊对流感之研究文献,整理并归纳出可行的治疗流感方针,且与临床的运用分析比对,以期加入现代医学的行列中,提供实证医学研究,使中医更符合现代的需求,提升现代临床医生运用思维,给予民众更完善的医疗环境。
【关键词】
中医、流感、疫病、疠气
 
I-Cheng Lin1 Lung-Yuan WU1 Chin-Chuan Tsai1,2 Li-Wei Lin1*
1The School of Chinese Medicine for Post-Baccalaureate of I-Shou University, Kaohsiung
2The Department of Chinese medicine of E-DA Hospital, Kaohsiung, Taiwan
【Summary】
With the advancement of the Western medicine, and the more popularity of the concept of public health, most of the epidemic diseases can be controlled before a large-scale outbreak. However, the structure of the influenza virus can continually undergo antigenic shift and drift, over a period of time, the emergence of new viral pathogen will cause the pandemic disease again. Up to now, the influenza has been still an obsession for the medical personnel and experts. In ancient Chinese medical books which have no recording of the word “influenza”, but there are many symptoms, causes, and syndromes similar to the characteristics and causes of the influenza disease since the Yellow Emperor’s Inner Classic(Huangdi Neijing, 黄帝内经). Therefore, the cause of influenza in Chinese medicine should belongs to the epidemic pathogen, pestilence or latent qi etc. According to this, we understand that the experience of the influenza treatment in TCM has been for thousands of years. The treatments in the Chinese medicine are depending on the imbalanced constitution of patients and achieving the equilibrium health state of body and mind.
The influenza began to attract the Western and Chinese medical fields’attention and cause the panic of population since the outbreak of SARS in 2003,moreover, the international and the both sides of the straits’ researchers have delved into the study of SARS. When the SARS epidemic was under control gradually, the bird flu and new influenza epidemic happened consequently. This study collected, organized and summarized the useful treatment of influenza from the modern TCM data by searching the network of international and Chinese medical journals, and even our native study about the flu. Therefore, this study also analyzed and compared with the clinical treatment in order to let the TCM join the modern medical study and provide the research of evidence-based medicine. In conclusion, we believe that making the TCM correspond with the modern needs and enhancing the TCM clinicians’ thinking of treatment can give people a better medical environment.
Keywords:Traditional Chinese Medicine(TCM), Influenza, Epidemic pathogen, Pestilence