明代新安医家伤寒学术思想与临床经验研究

发布时间：2018-03-08 11:00

本文选题：明代新安医家　切入点：伤寒学术思想　出处：《安徽中医药大学》2014年硕士论文　论文类型：学位论文

【摘要】：明朝时期,由于政治、经济、文化和社会等因素的影响,新安医家对仲景学说的研究和发挥超越前贤,在继承的基础上颇多发明创造。明代新安医家采用辑录、考证、校勘、重整、编次等方法,从不同侧面对仲景学说作了深入细致地研究,留下了宝贵的伤寒文献。其中包括伤寒专著、专篇专论和经方医案等。本文选择具有现存著作的明代新安医家及其原著为研究对象,运用文献研究、描述性研究、个案分析等方法,分析新安医学发展兴盛的原因、简要介绍新安医学的学派和流派、整理明代新安医学伤寒文献、考察明代新安医家伤寒学术思想的源流、归纳其伤寒学术思想、总结明代新安医家辨治伤寒类病证的临床经验。研究结果表明：现存明代新安医家伤寒专著4部13卷,专篇专论2篇,经方医案100则。明代新安医家伤寒学术思想是在广泛汲取各家学验,总结自已多年实践经验的基础上形成的。明代新安医家发扬“学贵疏通,不可执泥”的精神,不断将仲景学说发扬创新,形成了治伤寒重视脾胃、气血双补；主张四诊合参、重视脉诊；论治伤寒,以明证为首务；阐发伤寒,援入儒医之理；男子热入血室说；“错简重订”说；“风寒中伤营卫”说等伤寒学术思想。明代新安医家善于将“仲景法”灵活运用于外感病证和临床各科的辨证治疗中,形成了治伤寒类病证,擅长温补；扩充伤寒治法,重视三焦和命门元气；选方“合法不执方”,用药慎用寒燥淡渗；擅于攻邪等临床经验和用药特色。总之,明代新安医家在继承前人的基础上大胆创新,丰富和发展了仲景学说,为我们研究和应用仲景学说提供了多种思路和方法。
[Abstract]:During the Ming Dynasty, due to the influence of political, economic, cultural and social factors, the study and play of the theory of Zhongjing by Xin'an doctors surpassed the former ones, and many inventions were invented on the basis of inheritance. By means of compiling, textual research, collation, reorganization and arrangement, Xinan physicians in Ming Dynasty made a thorough and detailed study of Zhongjing's theory from different aspects, leaving valuable literature on typhoid fever, including a monographs on typhoid fever. Monographs and prescriptions, etc. In this paper, Xinan doctors and their original works in Ming Dynasty are chosen as the research objects, and the reasons for the development and prosperity of Xin'an medicine are analyzed by the methods of literature research, descriptive research and case analysis. This paper briefly introduces the school and school of Xin'an medicine, arranges the literature on typhoid fever in Xin'an medicine of Ming dynasty, investigates the origin of the academic thought of typhoid fever of Xin'an doctor in Ming dynasty, sums up its academic thought of typhoid fever, and summarizes the clinical experience of treating typhoid fever syndrome by Xin'an doctor in Ming dynasty. The results show that: there are 4 monographs on typhoid fever, 2 monographs on typhoid fever, 100 cases on traditional Chinese medicine and 100 cases on traditional Chinese medicine in Ming Dynasty. The academic thought of Xin'an doctor on typhoid fever in Ming Dynasty is based on the experience of various schools. On the basis of summing up their many years of practical experience, the Xin'an doctors of the Ming Dynasty carried forward the spirit of "learning is expensive, not holding mud," and constantly carried forward the theory of Zhongjing and innovated, which resulted in the treatment of typhoid fever paying attention to the spleen and stomach, and both qi and blood, and advocated that the four diagnoses should be combined with reference. Pay attention to pulse diagnosis; treat typhoid fever with clear evidence; explain the principle of typhoid fever and assist Confucianism and medicine; Men's fever into the blood room; "wrong simple revision" theory; "wind cold injury camp Wei" theory and other typhus academic thinking. The Ming Dynasty Xin'an doctors are good at applying "Zhongjing method" in the treatment of external disease syndrome and clinical syndrome differentiation, forming the treatment of typhoid fever syndrome, Good at temperature-supplement; expand typhoid treatment, attach importance to Sanjiao and vital Qi; choose the prescription "legal not to hold the prescription", use cold dryness and osmosis carefully; be good at fighting evil and other clinical experience and drug characteristics. In a word, the Xin'an doctors in Ming Dynasty made bold innovations on the basis of inheriting the predecessors, enriched and developed the theory of Zhongjing, and provided various ideas and methods for us to study and apply the theory of Zhongjing.
【学位授予单位】：安徽中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R249

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