吴佩衡对《伤寒论》理法方药的运用及其发展研究

发布时间：2018-05-10 21:12

本文选题：吴佩衡 + 《伤寒论》　；参考：《云南中医学院》2017年硕士论文

【摘要】：吴佩衡先生长期从事中医临床和教学,积累了丰富的临证经验和学术理论,被誉为当代扶阳派的代表人物,主温药亦不排斥寒凉。先生多年精研《伤寒论》,深得仲景医理和方术要旨,以阴阳为核心,遵守辨证论治准则,为多种疑难病症的诊治提供了思路和方法。研究目的通过对吴佩衡先生《伤寒论讲义》《吴佩衡医案》及相关文献的梳理,归纳总结先生对《伤寒论》的理解认识及临证运用规律,以更好继承和发扬先生对仲景伤寒研究的学术贡献和临床辨治的指导作用及领悟对中医临床思维养成的启迪意义。研究方法1.本课题运用文献整理研究的方法,以《伤寒论讲义》《吴佩衡医案》《麻疹发微》《医药简述》作为蓝本,参考现行《伤寒论选读》《中医内科学》等教材资料,梳理讲义和医案,尤其是挖掘出先生对讲义的阐释及补充发展之处,归纳总结其重视的基础理论及其学术思想。2.整理归类先生医案诊治的病种、证型、方药等,总结先生治则治法、方药等运用的经验和特色。3.归纳总结先生学术和临证对《伤寒论》理法方药的传承和创新并对其进行较为客观的学术评价和临床意义分析。研究内容1.吴佩衡先生对《伤寒论》的补充和创新内容研究。2.吴佩衡先生临证辨治思想规律的研究。3.吴佩衡先生选方用药、治则治法的研究。研究结果1.吴佩衡先生编著的《伤寒论讲义》,结合临床深究经典,论证以阴阳为纲,对仲景学术思想作了补充和完善,阳主阴从,阴阳并重的辨证思维模式处处可见。2.吴佩衡先生重视圆运动理论和气化理论在中医经典研究和临床应用中的学术价值。3.吴佩衡先生临证十分注重神、舌、脉表现,精辨寒热,脉证合参。4.吴佩衡先生针砭时弊,从辨证论治出发,制定扶阳抑阴、扶阴抑阳等治疗法则,强调“有是证用是药”,故不畏麻桂之辛、姜附之热;大黄、芒硝、石膏等之寒而当机立断,应手取效。5.吴佩衡先生崇阳而顾阴,擅温热也擅寒凉,以八纲辨证、六经辨证、脏腑辨证为主,诊治疾病涉及内、外、妇、儿多科。研究结论吴佩衡先生作为经方理学大家,虽擅于扶阳,但其理法根本实质凸显了以阴阳为纲的辨治思维,执法于寒热两端,并结合六经辨证、脏腑辨证等辨证方法,扶阳或扶阴的最终目的是为达到阴阳平衡,这对我们研究经典和临证均有很大的启发和实际运用的指导意义。
[Abstract]:Mr. Wu Pei Heng has been engaged in the clinical and teaching of traditional Chinese medicine for a long time, and has accumulated rich clinical experience and academic theory. After many years of intensive research on febrile Diseases, Mr. Zhongjing obtained the essence of Zhongjing's medical theory and prescription, taking Yin and Yang as the core and obeying the criteria of syndrome differentiation and treatment, which provided the train of thought and method for the diagnosis and treatment of various difficult and difficult diseases. Objective to summarize Mr. Wu Peiheng's understanding and understanding of the theory of febrile fever and the rules of his clinical application through combing his lecture on febrile diseases and the medical records of Wu Peiheng and related documents. In order to better inherit and carry forward Mr. Zhongjing's academic contribution to the study of typhoid fever and the guiding role of clinical differentiation and treatment and the enlightening significance of understanding to the cultivation of clinical thinking of traditional Chinese medicine. Method 1. This subject applies the method of literature research, taking Wu Peiheng's medical case > < measles microcosm > as the blueprint, referring to the current teaching materials, such as selected readings of the Theory of febrile Diseases and Internal Medicine of traditional Chinese Medicine, and combing out the handouts and medical records. In particular, he excavated the explanation and supplementary development of his handout, and summarized his basic theory and academic thought. Sort out and classify the types of diseases, syndrome types, prescriptions, etc., sum up the experience and characteristics of the use of Mr. This paper sums up and summarizes the inheritance and innovation of Mr. Scholars' academic and clinical syndromes in the theory of febrile diseases and prescriptions, and makes an objective academic evaluation and clinical significance analysis on them. Research content 1. Wu Pei Heng's supplement and innovation to the Treatise of febrile Diseases. Wu Pei Heng's thought law of discrimination and treatment of clinical evidence. 3. Wu Peiheng selected prescription medicine, treatment principle treatment research. Results 1. Wu Peiheng's "on the Treatise of febrile Diseases", combined with the classical clinical research, demonstrates that Zhongjing's academic thought is supplemented and perfected with Yin and Yang as the outline, and the dialectical thinking mode of "Yang dominating Yin" and "Yin and Yang equally emphasizing" can be seen everywhere. Wu Peiheng attaches importance to the academic value of circle motion theory and gasification theory in the classical research and clinical application of traditional Chinese medicine. Wu Peiheng very pay attention to the clinical symptoms of God, tongue, pulse performance, fine differentiation of cold heat, pulse syndromes combined with reference. 4. Mr. Wu Pei-heng pointed out the disadvantages of the times. Starting from syndrome differentiation and treatment, he formulated treatment principles such as "nourishing yang to suppress yin, and helping yin to suppress yang, and stressed that" there is a syndrome that is used as a medicine, "so he did not dread the cold of rhubarb, mirabilite, gypsum, and so on, so he did not dread the cold of rhubarb, mirabilite, gypsum, and so on." Take effect by hand. Mr. Wu Peiheng Chongyang and Gu Yin, good at heat and cold, with the eight syndrome differentiation, six meridian differentiation, zang-fu syndrome differentiation, diagnosis and treatment of diseases involved in the internal, external, women, children many subjects. The conclusion is that although Mr. Wu Pei-heng is good at nourishing Yang, the essence of his theory highlights the thinking of differentiating and treating Yin and Yang, enforcing the law at both ends of cold and heat, and combining the dialectical methods of six meridians and viscera, and so on. The ultimate goal of Fuyang or Fuyin is to achieve the balance of yin and yang, which has great enlightening and practical significance for us to study classics and clinical certificates.
【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249

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