吴鞠通关于气血同治的学术思想研究

发布时间：2018-03-31 11:54

本文选题：吴鞠通　切入点：湿热阴伤　出处：《黑龙江中医药大学》2017年硕士论文

【摘要】：本文通过查阅相关文献及资料,对吴鞠通著作及医案中有关气血同治的论述进行分析、归纳、总结,进而探求其气血同治思想的时代背景及理论特色,以求对吴氏气血同治思想深入发掘、系统全面的认识,从而有效指导当今临床实践。本课题从以下几方面进行探讨:1研究背景:气血是中医学重要内容之一,气血同治是其中特色的治疗方法,历代医家围绕补益和祛邪形成了两种不同的气血同治法。自仲景创立伤寒论六经辨证,将外感疾病治疗统归其中,因寒邪易伤阳气导致以气血亏虚为主的病机,故倡导补益气血使之恢复正常。然针对热邪伤人引起的以邪实为主的病机,伤寒之法论述不详,后至刘和间开始探求治温之法,经过历代医家发展,明清时期对温病的认识趋向系统完整,叶天士创立卫气营血辨证体系,将人体生理、病理分为卫分、气分、营分、血分进行辨证论治。吴鞠通全面继承了叶氏的气血理论,在此基础上进一步发挥其学说,创立三焦辨证体系,使温病学理论体系趋于完善,在此过程中,吴氏形成了自己独具特色的气血同治思想,在其著作中对气血同治论述颇多,其医案中也存在大量行之有效的气血同治案例,可见吴鞠通深谙气血同治之理。在湿热、阴伤体质居多的现代社会当中,热性病发病率增高且其中多出现气血同病的病机,治疗时须气分、血分兼顾。2吴鞠通气血同治思想的特色吴鞠通为清代著名温病学家,其学术思想继承了前贤的理论基础,其理论源于《内经》,发挥自张仲景,阐发刘完素、叶桂诸家,结合自己在临床实践中的感悟,创立了温病的有效治法。吴氏著作有《温病条辨》、《医医病书》、《吴鞠通医案》等,将其的学术思想及成就囊括在内,包括其理论与治法创新。吴鞠通从卫气营血一体观的角度认识气血同治并广泛用于临床,将卫气营血置于三焦辩证体系中,在外感热病、内伤杂病中灵活应用,效果良好。3吴鞠通气血同治法的现代临床应用现代人生活环境、饮食习惯等因素使湿热、阴伤体质越来越多,感邪后使得疾病有化湿、化热、化燥、伤阴的趋势,因而多出现湿热阴伤为主的气血同病病机。因此吴鞠通气血同治思想对现代临床有很大的理论指导和临床实践价值,值得我们深入发掘、加以应用。导师张福利教授将吴鞠通气血同治思想拓展延伸,广泛用于临床各类疾病的治疗,取得了良好的效果。
[Abstract]:By consulting relevant documents and materials, this paper analyzes, induces, summarizes and explores the epoch background and theoretical characteristics of Wu Ju Tong's works and medical records on the treatment of qi and blood with the same blood, and then explores the historical background and theoretical characteristics of his thoughts on the same treatment of qi and blood. In order to explore Wu's thought of treating qi and blood in depth and to understand it systematically and comprehensively so as to effectively guide current clinical practice, this paper discusses the research background of "1" from the following aspects: Qi and blood is one of the important contents of traditional Chinese medicine. The treatment of qi and blood is one of the characteristics of the treatment. Physicians of all dynasties have formed two different methods of treating qi and blood in the same way around tonifying and dispelling evil. Since Zhongjing founded the syndrome differentiation of the six meridians of febrile fever, the treatment of exogenous diseases was integrated into it. Because cold evil easily injures yang qi, it leads to the pathogenesis of deficiency of qi and blood, so it is advocated to replenish qi and blood so that it can return to normal. However, the method of typhoid fever is unknown, and then Liu he begins to explore the method of treating temperature. After the development of physicians in the past dynasties, the understanding of febrile disease in the Ming and Qing dynasties tended to be systematic and complete. Ye Tianshi established the system of differentiation of Wei Qi and Ying Blood, dividing human physiology and pathology into Wei points, Qi points, and Ying points. Wu Jutong inherited Ye's theory of qi and blood in an all-round way. On this basis, he further developed his theory, established the system of syndrome differentiation of the three coke, and made the theoretical system of febrile disease more perfect. In the process, Wu had formed his own unique thought of simultaneous treatment of qi and blood. In his works, he discussed the same treatment of qi and blood quite a lot, and there were a large number of effective cases of simultaneous treatment of qi and blood in his medical records. It can be seen that Wu Ju Tong is well versed in the theory of simultaneous treatment of qi and blood. In a modern society with a high incidence of fever and venereal diseases, in which the incidence of heat and venereal diseases is increased and the pathogenesis of Qi and blood is synonymous with disease, it is necessary to take account of the characteristics of Wu Ju Tong and Wu Ju Tong, a famous febrile disease scientist in the Qing Dynasty. His academic thought inherits the theoretical basis of the former sages, whose theory is derived from the Internal Classic. It is derived from Zhang Zhongjing, explains Liu Wansu and Ye Gui's family, and combines his own understanding in clinical practice. The effective treatment of febrile disease was established. Wu's works include "differentiation of febrile diseases", "Medical books on medicine and diseases", "Wu Jutong's medical case", and so on, including his academic thoughts and achievements. Including the innovation of its theory and treatment method. Wu Jutong, from the point of view of the integration of Wei Qi and Ying blood, recognized the same treatment of qi and blood and widely used it in clinical practice, put Weiqi and Ying blood in the dialectical system of tri-coke, and applied them flexibly in external febrile diseases, internal injuries and miscellaneous diseases. The modern clinical application of Wu Ju Tong Qi and Blood simultaneous treatment method in modern clinical application of modern living environment, eating habits and other factors, such as dampness and heat, Yin injury body more and more, after feeling evil causes the disease has the tendency of dehumidification, heat, dryness, injury yin, etc. Therefore, Wu Ju's thought of treating qi and blood together with Qi and blood is of great theoretical guidance and clinical practical value to modern clinical practice, and it is worth our further exploration. Professor Zhang Foley, a tutor, extended Wu Ju's thought of treating qi and blood together, and widely used it in the treatment of various kinds of clinical diseases, and achieved good results.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249

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