黎有卓扶正思想在越南北部地区的临床应用探讨

发布时间：2018-02-24 11:47

本文关键词： 黎有卓正气真水相火后天脾胃扶正思想　出处：《广州中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：古代时名为交趾地区,亦属于岭南小部分,是岭南之极南位置,属热带地区,日照时间长,夏长而冬暖,导致人之腠理常开,汗液易出,耗散气津。越南北部不仅天气炎热,而且东边沿海,长期受暖湿气流的影响,多雨而潮湿,且四季划分不明显,故当地人易病于湿热邪气。医者治病见热症、发热则用寒凉之药以攻伐,见湿邪则用淡渗之品以利水祛湿,甚至有言“岭南麻黄桂枝汤绝不可用”。如今越南刚开放不久,正属于发展中国家,现代生活使人民的思想理念、生活方式以及饮食习惯、就医求药与古人相差甚远,造成人体长属于亚健康状态,体内阴虚阳衰、正气常不足。因此本文欲通过探讨越南当地著名医家黎有卓的扶正思想,并从其所推崇的医学理论即先天水火论和后天脾胃论及其医案中治疗用药的习惯来分析,从而论证黎有卓的扶正思想在现代越南北部地区对临床上诊疗的可行性。且通过此研究更深一步的挖掘中越之间的传统医学源流关系,有利于两国之间的传统医学学术上的交流。方法：本研究主要以文献分析为主,再借助古代各中医学家及著作的研究,来分析探讨黎有卓的医学著作及其扶正思想,以“扶正”为专题、以先天水火及后天脾胃为重点研究目标,第一章对黎有卓及其著作《海上医宗心领》进行梳理研究,借此剖析他扶正思想的渊源。第二章是进一步对黎有卓撰写的书籍中对各家学术思想的继承及其所在临床用药的特色来剖析其扶正思想的涵义及体现。第三章是进行分析越南北部地区种种影响人体正气的因素并阐述黎有卓扶正思想在当地的可行性的理论根据。第四章是黎有卓的临床医案,从中可更详细地了解其扶正思想的灵活运用。结论：通过四部分的阐述,可见越南北部地区人体体质较差,加上致病的客观与主观因素繁多,正气常处于虚损状态。通过分析黎有卓的扶正思想以及其用药的特点亦可得知。而黎有卓的扶正思想即调和先天水火与后天脾胃处在一个平衡状态为基础。故在越南北部地区治疗疾病的过程中扶正思想在临床是非常有意义。
[Abstract]:Objective: in ancient times, it was named Jiao toe area, which is also a small part of the south of the five ridges. It is a tropical region with long sunshine, long summer and warm winter, which leads to the frequent opening of striae and the easy exhalation of sweat. The northern part of Vietnam is not only hot in weather, but also in the east coast. Affected by warm and humid air currents for a long time, it is rainy and humid, and the division of four seasons is not obvious, so the local people are susceptible to dampness and heat evil. The fever is attacked by the medicine of cold and cool, and when the evil of dampness is seen, it is easy to remove water and dampness with the product of light seepage. There is even a saying that "Lingnan Ephedra Guizhi decoction must not be used". Today, Vietnam is just opening up, it is a developing country, and modern life has made the people's ideology. Lifestyle and eating habits, seeking medicine for medical treatment are very different from the ancients, resulting in the human body being in a state of sub-health, Yin vacuity and yang declining, and deficiency of vital energy. Therefore, this article intends to discuss the idea of reviving the health of Le Youzuo, a famous local doctor in Vietnam. And from the medical theory that he respected, that is, the theory of congenital water and fire, the theory of acquired spleen and stomach, and the habit of treating drugs in his medical records, In order to demonstrate the feasibility of Li Youzhuo's idea of strengthening the Zheng Zheng in clinical diagnosis and treatment in the northern part of modern Vietnam, and through this study, we can further explore the traditional medical relationship between Vietnam and Vietnam. Methods: this study mainly focused on literature analysis, and then analyzed and discussed Li Youzhuo's medical works and his thoughts of rectifying them with the help of ancient Chinese medicine experts and works. Taking "Fuzheng" as a special topic and focusing on innate water and fire and acquired spleen and stomach, the first chapter combs and studies Li Youzhuo and his work "the Heart of Sea Medicine". The second chapter is to analyze the meaning and embodiment of Li Youzhuo's books on the inheritance of various academic thoughts and their clinical characteristics. Chapter three is. This paper analyzes the factors that affect the health of the human body in the northern part of Vietnam and expounds the theoretical basis for the feasibility of Li Youzhuo's idea of nourishing health in the region. Chapter 4th is Li Youzhuo's clinical medical records. Conclusion: through the four parts of elaboration, we can see that the human body in the northern part of Vietnam is poor, coupled with a variety of objective and subjective factors for pathogenicity. Zheng qi is often in the state of deficiency and damage. It can be known by analyzing Li Youzhuo's thoughts of rectifying the spirit and the characteristics of his medication. Li Youzhuo's thought of nourishing qi is based on the balance between innate harmony of water, fire and acquired spleen and stomach. In the northern part of Vietnam, the process of curing diseases is of great significance in clinical practice.
【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】：2016
【分类号】：R249

【参考文献】