岭南医家苏世屏《伤寒论原文真义》学术思想研究

发布时间：2018-05-17 02:03

本文选题：苏世屏 + 伤寒论原文真义　；参考：《广州中医药大学》2017年硕士论文

【摘要】：目的:苏世屏,号离尘。近代岭南伤寒派医家。其代表作《伤寒论原文真义》共8卷17万字。全书诠释《伤寒论》用六经气化学说,进一步提出气化与形质的关系,并在气形两个方面对书中理法方药进行解释。目前关于岭南伤寒医家苏世屏的及其著作《伤寒论原文真义》研究甚少,该书出版后未能广为人知。苏世屏《伤寒论原文真义》的学术思想产生于特定的时代背景,带有时代的烙印,对当时推动岭南医学乃至中医学有一定意义,为当今岭南中医药乃至中医药学的发展提供借鉴。本论文研究《伤寒论原文真义》书中伤寒学术观点,立足书中核心思想——气化和形质的思想作出探讨。方法:1.文献分析法:包括文献的查找,资料的收集、鉴别、整理、汇编等。本论文所使用的方法基本是文献分析法,如有关阐述气化学说相关医家著作资料的收集汇总。并且按照医史文献的传统研究方法,重视一手资料的收集、整理。如联系苏世屏再传弟子方恩泽医生,查阅复印苏世屏遗留的手稿并对其进行访谈。2.理论评述法:是采用归纳分析、归纳演绎、传统阐释、相关对比等方法。理论评述法是本论文对苏世屏《伤寒论原文真义》学术思想的主要方法。其中参照了采用气化学说的医家著作学术观点的对比,提炼归纳书中内容并分点阐述。如参考《张志聪医学全书》、《陈修园医学全书》、《唐容川医学全书》《伤寒论崇正篇》等。成果:苏世屏《伤寒论原文真义》这部医学著作所表达的学术思想,属于维护旧论派,其中又是维护旧论派中持气化学说的医家。继承并发扬了六经气化学说,原书体例参照陈修园《伤寒论浅注》的编次特点,并且以六经思想为核心对其进行分章节。并且用"以经注经"、"以论释论""以临证解论"的方式对《伤寒论》进行注释。苏氏先从气化形质两个层面分析人体中气的种类——经气和谷气,不同的形质系统——五脏六腑、经隧、经筋、经络、血脉,揭示出六经本标中气理论。病因为人体正气不足,太阳经经气阴阳失衡,导致六淫中寒邪侵袭。本气不足是致病的本因,而寒邪是六淫致病之首,其他燥湿热邪气则需通过寒邪带领才能进入人体致病。后续的病机变化则是有关传经的问题。病邪进太阳经经气层后,则进入到他经,苏氏归纳为有"转"和"属",并且探索了《伤寒论》中传经的方式和日数,归纳了传经与日数的规律。这是一个创新点。因此,苏氏认为,《伤寒论》以太阳伤寒为主要之立说,以寒之标气中风为分说,以合病并病为合说。结论:苏世屏《伤寒论原文真义》中的学术思想继承了"钱塘二张"为代表的维护旧论派,并发扬了维护旧论派中用六经气化思想来解释《伤寒论》。加上西医逐渐普及的背景下,更明辨中医中气化与形质之别,与西医系统的比较阐述了《伤寒论》的理论体系,对岭南伤寒的发展有一定意义。
[Abstract]:Objective: Su Shiping, no. Modern Lingnan Typhoid School of Medicine. His masterpiece, the True meaning of the original text of febrile Diseases, consists of 8 volumes and 170000 words. The book interprets the theory of six meridians gasification, further puts forward the relationship between gasification and form, and explains the rational prescription and medicine in the two aspects of gas form. At present, there is little research on the Lingnan typhoid doctor Su Shiping and his book "the True meaning of the original text of the Treatise of febrile Diseases", which has not been widely known since the publication of the book. The academic thought of Su Shiping's "the True meaning of the original text of the Treatise of febrile Diseases" originated from the specific background of the times and had the brand of the times, which was of certain significance to the promotion of Lingnan medicine and even traditional Chinese medicine at that time. To provide reference for the development of Lingnan traditional Chinese medicine and even Chinese medicine. This paper studies the academic viewpoint of typhoid fever in the book "the True meaning of the original text of febrile Diseases", and discusses it based on the core thought of the book-Gasification and formality. Method 1: 1. Literature analysis: including document search, data collection, identification, collation, compilation, etc. The method used in this paper is literature analysis, such as collection and collection of literature about the theory of gasification. And according to the traditional research methods of medical history literature, attach importance to the collection and collation of primary materials. For example, contact Dr. Fang Enze, a disciple of Su Shiping, read and interview Su Shiping's manuscripts. Theoretical review method: inductive analysis, inductive deduction, traditional interpretation, correlation contrast and so on. The theory comment method is the main method of this thesis to the academic thought of Su Shiping's the True meaning of the original text of the Treatise of febrile Disease. Referring to the comparison of the academic viewpoints of the works of physicians adopting the theory of gasification, the contents of the book are abstracted and elaborated. For example, refer to Zhang Zhicong medical book, Chen Xiuyuan medical encyclopedia, Tang Rongchuan medical book, Chongzheng article on febrile fever, etc. Results: the academic thought expressed in Su Shiping's "the True meaning of the Treatise of febrile Diseases" belongs to the school of preserving the old theory, among which is the doctor who maintains the theory of gasification in the school of the old theory. It inherits and develops the theory of six classics gasification. The original book style refers to the arrangement characteristics of Chen Xiuyuan's A brief Note on febrile Diseases, and it is divided into chapters with the core of the six Classics thought. It also annotates the Treatise of febrile Disease in the way of "annotating the Classic with the Classic", "on the interpretation of the Theory of explanation" and "on the interpretation of the Clinical evidence". Su first analyzed the types of qi in human body from two aspects of gasification form and quality-meridian qi and valley qi, different form system-five viscera and six fu organs, through tunnel, meridian, blood vessel, and revealed the theory of qi in the original standard of the six meridians. The etiology is the deficiency of body qi and the imbalance of Yin and Yang of the sun meridian, leading to the invasion of the cold evil in the six harlots. The deficiency of this qi is the cause of disease, and the cold evil is the first of the six diseases, and the other dampness and heat evil need to be led by the cold evil in order to enter the human body. Subsequent pathogenesis changes are related to the transmission of the classics. After the disease evil entered the meridian and qi layer of the sun, it entered into other sutras. Su's sutra was summed up as "turn" and "genus", and explored the way and number of days to transmit the sutras in Treatise of febrile, and summarized the law of transmitting the sutras and the number of days. This is an innovation. Therefore, Su thinks that the theory of typhoid fever is mainly based on solar typhoid fever, the standard of cold is apoplexy, and the combination of disease and disease is the joint theory. Conclusion: the academic thought in Su Shiping's the True meaning of the Treatise of febrile Diseases inherits the "Qiantang Erzhang" as the representative of the old school of maintenance, and carries forward the idea of "six meridians and gasification" to explain the "theory of febrile fever" in the school of the maintenance of the old theory. Under the background of the gradual popularization of western medicine, the differentiation between gasification and form in traditional Chinese medicine and the theoretical system of typhoid fever in Lingnan are expounded in comparison with western medicine system, which is of certain significance to the development of typhoid fever in Lingnan.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R222

【参考文献】