杜松+张宇鹏+于峥+郑齐

摘要：文章总结了石寿棠治疗温病的学术思想，从辨析温病伤寒、否认伏邪发病、温病的传变、温病的诊断和辨证、温病的治法等方面展开论述。石氏认为，伤寒与温病无论在病因和感受途径等方面，均有很大的不同；并否认伏邪发病；在温病的传变认识上，亦本着吴有性之“九传”之说，并为之详作解释，认为虽有九传，但要认定三焦表里，传表者轻，传里者重；石氏推崇三焦辨证方法，重视鉴别诊断，在治法上强调使邪外解、切勿伤阴，老少应异治，明辨妇儿，其温病方面的学术思想值得深入挖掘传承。

关键词：石寿棠；温病理论；学术思想研究；《温病合编》

中图分类号：R249 文献标识码：A 文章编号：2095-5707（2017）05-0051-04

Academic Thoughts on Treating Warm Febrile Diseases By Shi Shou-tang

DU Song， ZHANG Yu-peng， YU Zheng， ZHENG Qi*

（Basic theory Institute for Chinese Medicine， Chinese Academy of Chinese Medical Sciences， Beijing 100700， China）

Abstract： This article summarized the academic thoughts of SHI Shou-tang in treatment of warm febrile diseases， and expounded from the analysis of warm febrile disease and exogenous febrile diseases， denying the occurrence of incubative pathogen， the development of the warm febrile diseases， the diagnosis and differentiation of the warm febrile diseases， and the treatment of the febrile diseases. SHI believes that exogenous febrile diseases and warm febrile diseases have great differences in terms of etiology and infectious ways. He also denies incubative pathogen； in understanding of transmission of warm febrile diseases， based on WU You-xings “Jiuchuan （Nine Infection） thoughts， he makes a detailed explanation about his thoughts； He believes that Sanjiao should be recognized in addition to “Jiuchuan” thoughts， which thinks that if the infection is in the exterior， the syndromes are moderate， while if the infection is in the interior， the syndromes are acute； SHI advocates Sanjiao differentiation， attaches importance to identification diagnosis， emphasizes treating diseases through exterior solutions without hurting yin qi， distinguishes different treatment for the elder and the young， women and children. His academic thoughts about the warm febrile diseases are worth to exploring and inheriting.

Key words： SHI Shou-tang； warm febrile disease theory； research on academic thoughts； Wen Bing He Bian

基金項目：中国中医科学院基本科研业务费自主选题（YZ-1711）

第一作者：杜松，副研究员，研究方向为中医诊法理论研究、重大疾病诊疗理论研究。E-mail： dusong965@126.com

*通讯作者：郑齐，副研究员，研究方向为中医基础理论框架结构与代表性医家学术思想研究。E-mail： guanwen_1@sina.com

石寿棠（公元19世纪，生卒年不详），又名湛棠，字芾南。斋名“留耕书屋”。清代道光、咸丰年间安东（今江苏省涟水县）人，晚清名医。石氏一生穷邃医学，颇有心得。平生有著作多种，现行世者有3种，即《温热学讲义》，有台湾印本；《医原》2卷（1861年）；《温病合编》4卷（1867年）。一直以来，寿棠之《医原》论治燥湿思想对后世颇有影响。其实，他在温病方面也颇多见解，其所著《温病合编》，被誉为温病著作中集诸家之精华，乃温病学入门之正阶。本文从以下几个方面讨论石寿棠温病学术思想。……