张景岳妇科诊疗特色与贡献的研究

发布时间：2018-04-09 03:10

本文选题：张景岳　切入点：妇科　出处：《河北医科大学》2017年硕士论文

【摘要】：张介宾,字会卿(又作惠卿),号景岳,今浙江绍兴人。张氏为明代著名中医学家,他不但精于内、外、儿、五官科等各科疾病的治疗,而且在妇科病症的治疗方面有独到的见解和建树。张氏在长期临床实践中对妇科疾病的治疗积累了丰富的经验,并最终形成了一套全面、系统、精炼的理论体系,颇具特色。张氏在晚年汇成《景岳全书》,《妇人规》即是该书中有关妇产科的专篇,共两卷,因其所占篇幅甚少,未引起后人极大的重视,实际上《妇人规》是很有参考价值的妇科专著,是既有继承又有发展创新且较系统的妇科专篇。该篇内容涵盖十分广泛,其中包括总论、经脉、胎孕、产育、产后、带浊、乳病、子嗣、ve瘕、前阴十大类证治,每一类又分有数病,先述理,后辨证立方。《妇人规》在中医妇科史上有较大的影响,集中体现了张景岳妇科诊疗思想和诊疗特色。张景岳妇科学术思想深受《素问》、《灵枢》、《伤寒杂病论》和明代著名医家薛立斋的影响,张氏在勤求古训但师古不泥古,诊疗妇科病颇具特色,形成了一套独特、完整的理论体系,如诊病重四诊,辨证贵精一、辨证阴阳虚实为要、认为妇人多情志致病、治疗妇人病首重调经且调经尤重脾肾等。景岳博览古方并创制新方,用药精专。至今其中一些方剂大量应用于妇科临床并取得了满意疗效,如附录《张景岳妇科新方集录》即总结了妇科临床常用方如妇人产后便秘应用济川煎、血虚经滞应用决津煎、气血俱虚的不孕应用毓麟珠、胎元不固应用胎元饮等。张氏的妇科学术思想对现代妇科如月经病、妊娠病、产后病,杂病等常见疾病的治疗有极大的指导意义和参考价值。本文据张氏原著及有关的古现代文献对张氏关于妇科方面诊疗特色、创制新方及常见病症进行了系统研究,以期通过总结张氏在妇科方面的诊疗特色能够对于中医妇科的发展有所裨益。
[Abstract]:Zhang Jiabin, the word will Qing (also as Huiqing, Jingyue, now Shaoxing Zhejiang Province.Zhang is a famous Chinese medicine scientist in Ming Dynasty. He is not only good at the treatment of diseases such as internal, external, infantile and five organs, but also has unique views and achievements in the treatment of gynecological diseases.Zhang has accumulated rich experience in the treatment of gynecological diseases in long-term clinical practice, and finally formed a comprehensive, systematic and refined theoretical system, which is characteristic.In his later years, Zhang came together into "the Book of Jingyue", the "Women's Rule", which is a special article on obstetrics and gynaecology in the book, which consists of two volumes. Because of its very small space, it has not attracted great attention from later generations. In fact, the Women's Rule is a gynaecological monograph of great reference value.Is not only inherits but also has the development innovation and the more systematic gynecology specialized article.This article covers a wide range of topics, including an overview, meridian, pregnancy, childbirth, postpartum, turbid, milky, and mass mass treatment of the first ten types of yin, each of which is divided into several diseases.The "Women's Rule" has great influence in the history of gynecology of traditional Chinese medicine, which embodies Zhang Jingyue's thought and characteristics of gynecology diagnosis and treatment.Zhang Jingyue's academic thoughts on gynecology were deeply influenced by "asking questions", "Lingshu", "on the miscellaneous diseases of typhoid fever" and Xue Lizhai, a famous doctor in the Ming Dynasty. Zhang sought ancient training but did not stick to the ancient times, so the diagnosis and treatment of gynecological diseases had its own characteristics and formed a unique set.The complete theoretical system, such as the diagnosis of four diseases, the differentiation of the essence of one, the deficiency of yin and yang as the main, think that a woman is sentimental and pathogenic, the treatment of women with the first heavy menstrual and meridian, especially the spleen and kidney, and so on.Jingyue expo ancient prescription and create a new prescription, drug-specific.So far, some of the prescriptions have been widely used in gynecological clinic and have obtained satisfactory curative effect. For example, the appendix "Zhang Jingyue gynecology new prescription", that is, summing up the commonly used gynecological clinical prescriptions such as Jichuan decoction for women's postpartum constipation, and blood deficiency syndrome stagnation for applying jichuan decoction.Deficiency of qi and blood use of infertility Yulin Zhu, unsolid application of fetal drink, and so on.Zhang's academic thoughts on gynecology have great guiding significance and reference value for the treatment of modern gynecological diseases such as menstrual disease, pregnancy disease, postpartum disease, miscellaneous disease and so on.According to Zhang's original works and relevant ancient and modern literature, this paper makes a systematic study on Zhang's diagnosis and treatment of gynecology, the creation of new prescriptions and common diseases.In order to summarize the characteristics of Zhang's diagnosis and treatment in gynecology, it can be beneficial to the development of gynecology of traditional Chinese medicine.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R22

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