陈逊斋伤寒学术思想研究

发布时间：2018-01-25 21:09

本文关键词： 陈逊斋伤寒论学术思想张仲景　出处：《南京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：陈逊斋为清代著名伤寒医家陈修园的七世孙,于二十世纪三四十年代在南京、重庆等地行医,因擅用经方而名盛一时。二十世纪三十年代,陈逊斋在南京成立"逊斋国医馆"并举办国医讲座,在《伤寒论》的整理研究上颇有造诣,著有《伤寒论改正并注》、《新本草》等著作。其中《伤寒论改正并注》一书随文释义,将原文中的讹文错字加以改正,或调整条文文法,但不破坏《伤寒论》原文整体结构。陈氏旨在让学者易以理解《伤寒论》中的基本理论方法,使理论服务于临床需要。《伤寒论改正并注》一书是陈逊斋研习《伤寒论》多年的成果,理论联系临床而著成。《新本草》则是陈逊斋在中药学研究方面的著作,书后附有《新本草补篇》,总共记载了 93种药,为陈逊斋就日常用药仿《神农本草经》而编成,意在删繁就简,弃文存义,便于初学者记忆。书中所载药物,均为张仲景《伤寒论》和《金匮要略》中所用,其中有65种见于《伤寒论》中。陈逊斋的主要学术思想有:1.伤寒是广义上的伤寒;2.六经总持百病;3.仲景脉法与八纲相应;4.重视津液存续;5.发皇古义,中西汇通。在学术渊源上,陈逊斋重视"津液存续"的学术思想、维护旧论的立场皆继承于先祖陈修园。但陈逊斋《伤寒论改正并注》一书衷中参西注解《伤寒论》,注解的评语中常见当时西医学术语,《新本草》中亦屡见西医解剖学、生理学、病理学、诊断学、药理学术语,其著作与张锡纯、陆渊雷、恽铁樵等同时期的医家类似,均带有明显的衷中参西的时代特征。陈逊斋的临床用药经验,主要反映在《新本草》上,其中的用药经验、医案颇有研究价值。此外,戴执礼发表的《陈逊斋医学笔记》记录了陈逊斋的部分用药、用方、辨证等心得,也是反映陈逊斋临床思维的重要文献。在临床实践上,陈逊斋深谙药性,辨证准确,不守成规,擅长用经方但不拘束于经方。
[Abstract]:Chen Xunzhai, the seventh grandson of Chen Xiuyuan, a famous typhus doctor in the Qing Dynasty, practiced medicine in Nanjing, Chongqing and other places in the 1930s and 40s on 20th century. Chen Xunzhai set up "Xunzhai National Medical Museum" in Nanjing and held a lecture on Chinese medicine. He was quite accomplished in the collation and research of the Treatise of febrile Diseases, and wrote the book "on the Correction of febrile Diseases and Notes". "New herbs" and other works. Among them, the book "Treatise on febrile Diseases and Notes" is interpreted along with the text to correct the inaccuracies in the original text, or to adjust the grammar of the text. But it does not destroy the whole structure of the original text of the Treatise of febrile Diseases. Chen's purpose is to make it easy for scholars to understand the basic theoretical methods in the Treatise of febrile Diseases. To make the theory serve the clinical needs. The book on Correction of febrile Diseases and Notes is the result of many years' study of the Theory of febrile Diseases by Chen Xunzhai. "New herbs" is Chen Xunzhai's work on the study of traditional Chinese medicine. At the end of the book is a supplement to New herbs, which records a total of 93 kinds of medicines. Chen Xunzhai was compiled for the daily drug parody of Shen Nong's Herbal Classic, with the intention of abridging the text and keeping meaning, so as to facilitate the beginners' memory. The medicines contained in the book are all used in Zhang Zhongjing's Treatise of febrile Diseases and the synopsis of the Golden Chamber. Among them, 65 kinds are found in the Treatise of febrile Diseases. Chen Xunzhai's main academic thought is: 1. Typhoid fever is a kind of typhoid fever in a broad sense. 2. The six meridians are suffering from all kinds of diseases; 3. Zhongjingmai method is corresponding to Bhagang; 4. Pay attention to the survival of body fluid; 5.Fa Huang Guyi, East and West Huitong. In academic origin, Chen Xunzhai attached importance to the academic thought of "body fluid exists". The standpoint of maintaining the old theory is inherited from the forefather Chen Xiuyuan. But Chen Xongzhai's book on the Correction of febrile Diseases and the Notes on it is often used in the commentary of the Western medicine at that time. Western medicine anatomy, physiology, pathology, diagnostics, pharmacology terminology are also frequently seen in the New herbs. Their works are similar to those of Zhang Xichun, Lu Yuanlei, Yun Tieshao and other doctors of the same period. Chen Xongzhai's clinical drug use experience is mainly reflected in "New herbs", in which the experience of medication, medical records are quite valuable. Chen Xunzhai's medical notes published by Dai recorded some of Chen Xunzhai's experiences in medicine, prescription, syndrome differentiation, and so on, and they are also important documents reflecting Chen Xunzhai's clinical thinking. In clinical practice, Chen Xunzhai is well versed in medicine. Dialectical accurate, do not abide by the rules, good at using the side but not restricted to the Jing Fang.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R22

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