華佗傷寒에 關한 小考

A Study of Huatuo’s Shang-han (Cold Damage) Theory

This study investigated Hua Tuo’s Shang-han theory,which precedes the period of Zhang ZhongJing’s Shang-han theory, and considers the relationship between the two approaches. Researchers compared terminology and language of Hua Tuo’s Shang-han theory as published in Theory in Qian Jin Yao Fang and Wai Tai Mi Yao, with Zhang Zhong Jing’s Shang-han theory. In HuaTuo’stheory, Shang-han involves pathogenic invasion of the body surface, where the pathogen transform to 6 differentstages,Pi(皮), Fu(膚),Ji(肌), ),Xiong(胸), Fu(腹), Wei(胃). Amongthese, thestagesofPi(皮),Fu(膚),Ji(肌)can be considered as exterior syndrome(表證). Those that invade the lower chest can be considered as lower chest disease, and those that violate the abdomen or stomach can be considered as Interior heat excess syndrome(裏熱實證). Stomach heat excess syndrome(胃中實熱證) is the most severe and is similar to septicaemia or bubonic plague. HuaTuo’s treatment used three methods which are 汗(perspiration), 吐(emesis), 下(purgation). In the case of Phlegm syndrome(痰飲證), HuoTuo’stheory was similar to Zhang Zhong Jing’s Shang-han exterior syndrome(傷寒表證) andtherefore used Zhuling-powder(猪苓散) . In the case of deficiency hot flush Syndrome(虛煩證) in Shang-han disease, Huo Tuouses ZhuYe-decoction(竹葉湯), of which the drug contents is the same as ZhangZhongJing’s ZhuYeShiGao-decoction(竹葉石膏湯), which was used for the same condition.