李士懋“溯本求源、平脉辨证”学术观点初探

发布时间：2018-04-09 08:47

本文选题：溯本求源　切入点：平脉辨证　出处：《中医杂志》2017年17期

【摘要】：总结李士懋"溯本求源、平脉辨证"学术观点为6个方面。1)论诊断重脉诊:创立了脉诊辨证大纲说、虚实脉诊大纲说、气血脉理大纲说,提出了脉诊新说;2)论三法重汗法:将辛温发汗法既用于治疗实寒证,也用于治疗虚寒证;3)论伤寒重阳虚:认为内伤阳虚证是外感风寒侵袭的重要原因;4)论温病重火郁:首次明确指出温病的本质为郁热,善用以透为核心的清、透、滋三法治疗温病,创制新加升降散治疗郁热;5)论疑难重痰瘀:认为现代临床疑难杂病的特点与中医的痰证和瘀血证有相似性,喜用导痰汤、张仲景和王清任逐瘀诸方、桃红四物汤化裁治疗痰瘀证;6)论抢救重急症:认为中医善于治急症,中医急症学的研究要善于借助现代科学技术手段。
[Abstract]:Summing up Li Shi-mao 's academic point of view of "looking back to the source and differentiating the symptoms and signs of flat veins" is 6 aspects. 1) on the diagnosis of heavy pulse: the theory of outline of syndrome differentiation of pulse diagnosis, the outline of diagnosis of deficiency and reality, the outline of Qi and blood veins, the theory of outline of qi and blood veins,This paper puts forward a new theory of pulse diagnosis and discusses the three methods of heavy sweating: the method of Xinwen sweating is used to treat the cold syndrome,It is also used to treat deficiency of cold syndrome 3) on typhoid fever and heavy yang deficiency: it is believed that internal injury of yang deficiency syndrome is an important reason for the invasion of exogenous wind and cold. (4) on febrile disease with heavy fire depression: it is the first time that the essence of febrile disease is stagnation and heat, and that the essence of febrile disease is stagnation and heat.Three methods of Zizi treatment of febrile diseases, the creation of new plus Shengshang powder for the treatment of stagnation heat 5) on difficult and heavy phlegm stasis: think that the characteristics of complex diseases in modern clinical and TCM phlegm syndrome and blood stasis similar, prefer to use the decoction, Zhang Zhongjing and Wang Qingrenzhuyu Zhufang,Taohong Siwu decoction for treating phlegm and Blood stasis Syndrome No. 6) the author thinks that TCM is good at treating acute disease, and the research of TCM emergency should be good at using modern scientific and technological means.
【作者单位】：河北中医学院基础医学院;
【基金】：河北省高校百名优秀创新人才支持计划(CPRC029)
【分类号】：R249

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