新安医家内科疫病学术思想及临床经验研究

发布时间：2018-04-29 15:36

本文选题：新安医家 + 内科疫病　；参考：《安徽中医药大学》2016年硕士论文

【摘要】：新安地区明清时期产生了大量医家,在继承的基础上又有所创新,这一时期的新安医家进行了整理和总结工作,不仅丰富了中医的理论,而且扩大了在临床方面的运用范围。本文主要以新安医家现存原著为主要研究对象,运用文献研究和个案分析等方法,整理、总结和挖掘新安医家对内科常见疫病的认识。考察新安医家内科疫病学术思想和临床经验研究,本研究以内科疫病的病名为点,以新安医家生活年代先后为纵线,从疫病病因病机、治则治法和方药角度,总结提炼新安医家内科各种疫病的学术思想和临床经验,从而深入挖掘其对医学的贡献和对疫病认识的创新之处。研究结果表明:新安医家现存有关内科疫病著述的医家40位,44部著作,其中专著2部,共14卷,94篇,医案550余则,1200余首方剂,其中自创方94首。新安医家内科疫病学术思想是在广泛汲取先贤各家学说经验,并结合自己临床实践经验的基础上形成的。对于内科疫病病因病机有所发挥创新,如新安医家提出“疫邪杂气致痢说”和“胎疟”的概念,及“热伏阴分致阴黄”的观点。同时扩展了治则治法的运用范围,如治霍乱转筋宜温化膀胱,导滞理气,不可补养气血的原则;顾护脾肾阳气,立温阳健脾治阴黄之法门,并创制了茵陈术附汤。如治泄大法宜温脾补中,渗湿利水;顾护阴津,不可用阿胶、地黄滋腻养阴液之药。如治疟善用参术芪甘温补中,顾护正气;大补营卫气血,以疏通少阳气机以去膜原之疟邪等学术思想和临床经验。在一些内科疫病论述方面新安医家重在继承总结,并有一些发展和创新。新安医家丰富了病因病机、治则治法和方药;善于将先贤的治则治法灵活运用临床实践,并形成了自己的特色,擅长扶助正气;同时强调分因治疗,辨证施治,并且创立了一些行之有效的方剂。总之,新安医家在继承前人经验的基础上又有所创新,从理论和临床经验方面丰富了内科各种疫病学,同时也为我们研究和应用中医疫病学说提供了多种思路和方法。
[Abstract]:During the Ming and Qing dynasties in Xin'an area, a large number of doctors were created and innovated on the basis of inheritance. In this period, the doctors of Xin'an carried out sorting and summing up work, which not only enriched the theory of traditional Chinese medicine, but also expanded the scope of clinical application. This article mainly takes the extant original work of Xin'an doctor as the main research object, using the methods of literature research and case analysis, summarizes and excavates the understanding of common diseases of internal medicine. To investigate the academic thought and clinical experience of medical blight in Xin'an, this study focuses on the name of disease in internal medicine, takes the life of Xinan doctor as the vertical line, from the perspective of etiology and pathogenesis of epidemic disease, treatment principle and treatment method, and prescription and medicine. This paper summarizes and abstracts the academic thought and clinical experience of various epidemic diseases in the internal medicine of Xin'an physician, and further excavates its contribution to medicine and the innovation of understanding of epidemic disease. The results show that there are 44 books written by 40 doctors of Xinan Medical School, including 2 monographs, 94 articles in 14 volumes, and more than 1200 prescriptions in more than 550 medical cases, among which 94 prescriptions are self-made. The academic thought of Xin-an physician's disease of internal medicine was formed on the basis of extensively absorbing the experience of the previous theories and combining with his own clinical practice experience. The etiology and pathogenesis of internal blight have been innovated, such as the concept of "dysentery caused by epidemic pathogen and mixed qi" and "fetal malaria", and the viewpoint of "Yin and yellow caused by heat, heat and yin". At the same time, the application scope of the treatment principle is expanded, such as the principle of treating cholera, such as changing tendons to warm the bladder, guiding stagnation and regulating qi, not replenishing qi and blood, protecting spleen and kidney yang qi, setting up the method of warming yang and invigorating spleen and treating yin and yellow, and creating the decoction of Yinchenshu. Such as the treatment of large-temperature spleen tonifying, seepage dampness and water; care to protect Yin, do not use Ejiao, Rehmannia glutinosa greasy Yin-nourishing liquid medicine. Academic thoughts and clinical experience such as treating malaria by making good use of Qi, Gan, warming and tonifying Qi, protecting qi and blood, and dredging Shaoyang Qi machine to remove membrane original malarial evil, etc. In some aspects of internal disease exposition, Xinan doctors focus on inheritance and summary, and there are some development and innovation. Xin'an doctors enriched the etiology, pathogenesis, principles, and prescriptions; were good at making use of the principles and methods of the sages in clinical practice flexibly, formed their own characteristics, and were good at helping the healthy and developing qi; at the same time, they emphasized the treatment of divided causes, differentiation of symptoms and signs, and treatment based on differentiation of symptoms and signs. And has created some effective prescription. In a word, Xinan doctors have innovated on the basis of inheriting their predecessors' experience. They have enriched all kinds of blight science in internal medicine from the aspects of theory and clinical experience. At the same time, they have provided many ideas and methods for us to study and apply the theory of epidemic disease of traditional Chinese medicine.
【学位授予单位】：安徽中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R259

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