杜聰明的《傷寒論》相關學說內涵探討

A Research on Tsung-Ming Tu’s Relevant Theories of “Treatise on Cold Damage Diseases”（傷寒論）

《傷寒論》為中醫之重要臨床經典，不僅於傳統中醫藥學術中佔有重要地位，也在日本漢方醫學扮演著核心角色。杜聰明先生，臺灣第一位醫學博士、臺灣近代醫學之父，也是開創臺灣中西醫整合醫學的先鋒。然而目前多數對杜先生之中西醫一元化理念的研究，多限於其有關的中醫藥研究與教育推展中，鮮少對杜先生的中醫藥內涵進行深入研究。因此，本文便以杜先生在中醫藥的各項精華中，最為重視的《傷寒論》為核心，進行杜先生有關《傷寒論》學說內涵的研究。
從研究的成果可發現，儘管杜先生對中醫藥有深厚興趣，並有親身觀察中醫藥處理臺灣重大疫病療效的經驗，但限於當代中醫藥之教育與學習條件，使杜先生選擇本身較易接受的日本漢方醫學，作為架構本身中醫藥內涵的藍本！也因此，杜先生的《傷寒論》內涵，便有日本漢方醫學研究《傷寒論》的學術特色，即「方證對應」模式的《傷寒論》內涵，且缺少中醫基礎理論的《傷寒論》架構。
這樣的特色，不僅限制杜先生發展出獨特《傷寒論》見解的機會，也限制其對《傷寒論》有更精深造詣的可能。然而，杜先生卻仍能透過西方醫學與科學研究的角度，對《傷寒論》進行客觀的觀察，並讚揚與重視《傷寒論》在臨床治療中，體現出的療效以及邏輯之科學性、精確性！因此，或許我們可認為，杜先生對《傷寒論》研究的貢獻，在於其對《傷寒論》應用於臨床實際治療之療效及醫學研究的認同，並嘗試將這樣的理念落實在他的中西醫整合醫學規劃中，成為臺灣中西醫整合醫學研究與教育的開創基石。

“Treatise on Cold Damage Diseases”（傷寒論）is an important scripture in Chinese Medicine and plays an important role in Kampo Medicine. Dr. Tsung-Ming Tu, the first medical doctor of the history of Taiwan, is the father of modern medicine in Taiwan and a pioneer of Integrated Chinese and Western Medicine. Most researches on Dr. Tsung-Ming Tu target the emphasis on his contribution in his Integrated Chinese and Western Medicine research and education, rare pay attention to his conception of “Treatise on Cold Damage Diseases”. Thus, this research will discuss Dr. Tsung-Ming Tu’s conception of “Treatise on Cold Damage Diseases”.
Due to this research, we found that Dr. Tu construct his own conception of “Treatise on Cold Damage Diseases” from Kampo Medicine because the condition of Chinese Medicine education is deficient that time. And the result of this, make Dr. Tu’s conception of “Treatise on Cold Damage Diseases” lack of necessary theories of Chinese Medicine, and become the correspondence of syndromes and formulas. This feature limits Dr. Tu developing his own unique and deep conception of “Treatise on Cold Damage Diseases”. But, through Dr. Tu’s point of view to “Treatise on Cold Damage Diseases”, we found objectivity and scientificity toward it. And this may imply us, Dr. Tu’s most significant contribution to “Treatise on Cold Damage Diseases” is promoting it in the Integrated Chinese and Western Medicine research and education.