中醫藥研究論叢

251.3 台灣鼠疫漢醫專書:黃玉階《疙瘩瘟治法新編》
TJ TCM.25(1) : 35-50, 2022
台灣鼠疫漢醫專書:黃玉階《疙瘩瘟治法新編》
Treatise on Taiwan’s Plague Monograph of
Chinese Medicine-Huang Yujie’s “The New
Edition of the Treatment of Pimple Plague”
殷揚智1 孫茂峰2.3 殷維亨4 蔡佳翰5 林昭庚1*
中國醫藥大學中醫學系暨碩博士班,台中,台灣
中國醫藥大學中醫學院,台中,台灣
中國醫藥大學附設醫院中醫部,台中,台灣
4Henry Yin Acupuncture & Chinese Herbal Medicine
中國醫藥大學中西醫結合研究所,台中,台灣
【摘要】
目的:1855 年鼠疫在中國爆發,隨著戰亂及貿易,1896 年登陸台灣,當時日本殖民政府雖排斥漢醫,然漢醫以臨床成效,得到民眾和殖民政府的認同,黃玉階更是其中的代表人物,其撰寫的《疙瘩瘟治法新編》更是台灣目前唯一本漢醫治療鼠疫的專書,本文將分析該書對鼠疫的論述及治療鼠疫的方藥來瞭解當時台灣漢醫如何治療鼠疫,同時對比羅汝蘭的《鼠疫彙編》,來比較兩岸在鼠疫治則上的異同。
方法:本文將使用「文獻分析法」來對《疙瘩瘟治法新編》一書進行研究,並對比同一時期,清國羅汝蘭的《鼠疫彙編》,來分析兩岸傳統醫學之異同;在方藥的部分亦將尋找現代文獻佐證,藉此瞭解書中方藥的治病之理。
結果:《疙瘩瘟治法新編》於1898 年撰寫而成,在當時已出現「鼠疫」一詞,然黃玉階因殖民政府之故,使用「疙瘩瘟」來為該書命名,隱晦的顯出中醫與漢醫系出同源的精神內涵。
  在致病原因和方藥上,《疙瘩瘟治法新編》和《鼠疫彙編》雖都以「地氣論」為主,且治療方針也是以清熱解毒、活血逐瘀為治療方向,但我們發現前者有出現《傷寒論》的專有名詞,且有使用「菌」來形容不可見之疫氣,及大量使用台灣的本土青草藥及人部藥物。
結論:《疙瘩瘟治法新編》和《鼠疫彙編》二書雖有不少相同之處,但前者可見不少現代醫學名詞,如:菌或血管等,且在方藥上使用將中醫傳統方劑和台灣本土青草藥結合,可說是當時漢醫一大特色。
【關鍵詞】黃玉階、疙瘩瘟、鼠疫、Yersinia pestis、中醫
Yang-Chih Yin1Mao-Feng Sun2,3Wei-Heng Yin4
Chia-Han Tsai5Jaung-Geng Lin1*
1School of Chinese Medicine & Graduate Institute of Chinese Medicine, China Medical University
2College of Chinese Medicine, China Medical University
3Department of Chinese Medicine, China Medical University Hospital
4Henry Yin Acupuncture & Chinese Herbal Medicine
5Graduate Institute of Integrated Medicine , China Medical University
【Summary】
Objective: The plague broke out in China in 1855. Following war and trade, it landed in Taiwan in 1896. Although the Japanese colonial government rejected Traditional Chinese Medicine (TCM) at the time, TCM was recognized by the public and the colonial government for its clinical effects, and Dr Huang Yujie was one of them. A representative figure, his “New Edition of the Treatment of Plague” is the only book on the treatment of plague by Chinese medicine in Taiwan at present. This article will analyse the book’s discussion of plague and the prescriptions for treatment of plague to understand how Taiwan’s unique Traditional Chinese Medicine treated plague at that time. Additionally, this article will analyse Luo Ruran’s “Plague Compilation” to compare the similarities and differences in plague treatment between the two sides of the Taiwan Strait.
Method: This article will use the “document analysis method” to study the book “The New Edition of the Treatment of Pimple Plague”, and compare the “Plague Compilation” by Luo Rulan of the Qing Dynasty in the same period. This article will analyze the similarities and differences of traditional medicine between the two sides of the strait; part of it will also look for evidence from modern documents to understand the principles of the Chinese prescriptions in the book.
Results: The “New Compilation of the Treatment of Lump Plague” was written in 1898. At that time, the term “plague” had appeared. However, because of the colonial government, Huang Yujie used “Lump Plague/bubonic plague” to name the book. Traditional Chinese medicine and Chinese medicine have the same spiritual connotation.
In terms of the causes and prescriptions of the disease, although the “New Edition of the Treatment of Pimple Plague” and the “Compilation of Plague” both focus on the theory of “Earth Qi”, and the treatment policy is also to clear away heat and detoxify, and promote blood circulation to remove blood stasis as the treatment direction, we found the in the former, proper nouns such as “bacteria” from “Treatise on Febrile Diseases” to describe invisible epidemics, and the extensive use of Taiwan’s indigenous herbs and medicines.
Conclusion: Although there are many similarities between the “New Edition of the Treatment of Pimple Plague” and the “Compilation of Plague”, many modern medical terms, such as bacteria or blood vessels, can be seen in the former, and the traditional Chinese medicine prescriptions are used in the prescriptions. The combination with Taiwan’s native herbs can be said to be a major feature of Chinese medicine at that time.
【Keywords】Huang Yujie; Pimple Plague; Bubonic Plague; Plague; Yersinia Pestis; Chinese Medicine