“湿热”病机在当今时代民所患各种病变中具有非常的普遍意义

＂Dampandhumid＂pathogenesisisofverycommonsignificanceinvariouslesionsintoday＇sera

杨俊耀先生2005年著的巜湿热证的证治》一文，打破了北方燥，南方湿的传统观察点，提出了湿热致病的特点和范围扩大及应对方法，是应对疾病谱的变化而总结出新的理念，是对湿热病辨证论治水准的创新、提高，可谓之是中医药学史上的第三次变革。

MrYangJunyaoin2005，thesyndromeofthecure，brokethenorth，thesouthwettraditionalobservationpoint，putforwardthecharacteristicsofthehotandheatdiseaseandscopeandresponsemethods，isthechangeofthediseasespectrumandsummarizesthenewidea，isthelevelofinnovation，improve，isthethirdchangeinthehistoryoftraditionalChinesemedicine．

先生言：湿热病虽多发于夏秋之令，但四时均可有之。如春温一证，为感受春季温热而致之时令热病，以里热症候及易伤阴液为主要特征。以上是千年古医文献的观点，但先生觉得不同往日，结合历史且遵循用发展用动态的的视角来观察来分析人类的疾病谱改变而应该是：“湿热”病机在当今时代民众所患各种病及病变中具有非常的普遍意义。每从霜降至立夏前尤其是在中间寒冷的冬季这一漫长的时期，却正是“湿热”在人体的最活跃期。由于长期的观念：冬季气候让南北方普遍气温低寒、干燥，故习惯以让人多饮水多食水果甚或并在室内按放加湿器以增水湿，殊不知，过多的水湿聚身是代替不了人身所居整体环境的干燥，水气裹身不泄便郁久化热演进成湿热，湿热壅滞，升降出入失常，产生水中毒而引发诸病证叠生；冬季的严寒气侯与人们的缺劳少做使人身很难汗出，玄府不得以通调，让人体的水湿排泄也少了一个途径。鉴于此，先生认为：平时要少喝水（茶水也在内）、少吃含水量大的食物（比如水果之类）；不定时（一周左右去洗桑拿、汗蒸等）让全身出出汗；依据每个人的体征状况，不时地适度服些穿心莲片、藿香正气水（胶囊）、仁丹等。

Mr．Asaid：althoughdampheatdiseaseofteninthesummerandautumn，butfourcanhave．Suchasspringtemperatureacertificate，inordertofeelthewarmspringandtheseasonalfever，withfeversyndromeandeasytohurtYinfluidasthemaincharacteristics．Theaboveistheviewofthemillenniumancientmedicalliterature，buthethinksthatitisdifferentfromthepast．Combiningthehistoryandfollowingtheanalysisofthediseasespectrumofhumandevelopmentshouldbe：＂hotandheat＂pathogenesishasverygeneralsignificanceinvariousdiseasesanddiseasessufferedbythepeopleintoday＇sera．Everylongperiodfromfrosttosummer，especiallyinthemiddlecoldwinter，isthemostactiveperiodof＂hotandheat＂inthehumanbody．Duetothelong－termconcept：winterclimatemakesthenorthandsouthtemperaturegenerallylowcold，dry，sousedtoletpeopledrinkmorewaterandeatmorefruitoreveninindoorhumidifiertoaddwaterwet，however，excessivewaterwetgatheringcannotreplacethedryoverallenvironment，thewaterwrappedbodydoesnotdischargetheheatevolutionintodampheat，dampheatstagnation，liftoutabnormal，producewaterpoisoningandcausethedisease；wintercoldandthelackofpeopledolesshardtosweat，xuangovernmentisnottoadjust，letthehumanwaterwetexcretionlessaway．Inviewofthis，youshoulddrinklesswater（includingwater）andeatlessfoodwithhighwatercontent（suchasfruit）；irregulartime（washsauna，sweatsteam）；accordingtoeveryone，takelotustablets，HuoxiangZhengqiwater（capsule）andRendan．

先生强调：在学术界，若是缺乏严谨治学精神和质疑精神的情况下，一个错误的思潮它很有可能流传上百年上千年。过量的饮水和人类生活条件的巨变及旧的观点理念长时期的误导（即让人多饮水）造成的“水中毒”而形成人体“湿热”是新时代民所患诸多病征之总纲；是造成人体微循环障碍和机能性疾病尤其是杂病乃至重大疾病之重要因素；“湿热”病机在当今时代民所患各种病变中具有非常的普遍意义。如何将湿热清利，以求气、血、津液、精、神畅达，自然成为临床治疗的一个主要目标和基本原则；然而“去菀陈莝，开鬼门，洁净府”三大原则在当今理论研究和临床应用中仍不失其重要的参考意义；最终的修复和维护机体正常代谢机能才是从根本上让失衡的免疫力得以重建而恢复恒衡，才是人体提高自身防卫能力的最基本最主要的举措。而中医药学所关乎的机体正常代谢机能无非就是通过正确的治则治法让人体始终或持久保持着升降出入有序的态势。

Mr．Asaid：althoughdampheatdiseaseofteninthesummerandautumn，butfourcanhave．Suchasspringtemperatureacertificate，inordertofeelthewarmspringandtheseasonalfever，withfeversyndromeandeasytohurtYinfluidasthemaincharacteristics．Theaboveistheviewofthemillenniumancientmedicalliterature，buthethinksthatitisdifferentfromthepast．Combiningthehistoryandfollowingtheanalysisofthediseasespectrumofhumandevelopmentshouldbe：＂hotandheat＂pathogenesishasverygeneralsignificanceinvariousdiseasesanddiseasessufferedbythepeopleintoday＇sera．Everylongperiodfromfrosttosummer，especiallyinthemiddlecoldwinter，isthemostactiveperiodof＂hotandheat＂inthehumanbody．Duetothelong－termconcept：winterclimatemakesthenorthandsouthtemperaturegenerallylowcold，dry，sousedtoletpeopledrinkmorewaterandeatmorefruitoreveninindoorhumidifiertoaddwaterwet，however，excessivewaterwetgatheringcannotreplacethedryoverallenvironment，thewaterwrappedbodydoesnotdischargetheheatevolutionintodampheat，dampheatstagnation，liftoutabnormal，producewaterpoisoningandcausethedisease；wintercoldandthelackofpeopledolesshardtosweat，xuangovernmentisnottoadjust，letthehumanwaterwetexcretionlessaway．Inviewofthis，youshoulddrinklesswater（includingwater）andeatlessfoodwithhighwatercontent（suchasfruit）；irregulartime（washsauna，sweatsteam）；accordingtoeveryone，takelotustablets，HuoxiangZhengqiwater（capsule）andRendan．

先生还讲：医道虽难，能难其所难，亦不见为难，凡医者只要是能抓住了疾病它所具时代属性之特点，能突破刻舟求剑的僵化教条之虞，能让思想理念适应客观形势的变化，则即无畏难也。

Mr．Aalsosaid：althoughthemedicalwayisdifficult，difficultisdifficult，alsonotdifficult，aslongasthedoctorscangraspthediseaseofthecharacteristicsoftheattributesofTheTimes，canbreakthroughtherigiddoctrineofthesword，canlettheideatoadapttothechangesoftheobjectivesituation，thatisfearlessdifficult．

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