民国时期伤寒家临证经验研究

发布时间：2018-05-20 00:09

本文选题：民国时期 + 伤寒医家　；参考：《辽宁中医药大学》2017年硕士论文

【摘要】：民国时期是经方运用的成熟时期,民国医家不仅继承了前人的经验和学术特色,并且有较大发展。部分医家受到西方医学影响,开始用西医理论解释外感疾病;在辨证方面,将辨方证与辨病机证相结合;不拘于《伤寒论》原书的治疗范围,在内、外、妇、儿、五官等各科均有运用,处方灵活化裁。民国时期是经方发展史上的一个巅峰,在临床上大放异彩,名医大家辈出,具有重要研究价值。本文运用传统文献学方法,对民国时期医家运用《伤寒论》方的临证特色加以研究。以生活在民国时期(包括清末到民国时期、民国到共和国时期)医家的医案专著、医案类书、医案丛书、医案合刊以及附有医案的其他论著作为研究对象,筛选《伤寒论》方相关医案,从伤寒辨证论治特点、用方特点、经方用药习惯、经方特殊煎服法四个方面进行分析探讨,梳理出具有较大价值的临证经验,以期为伤寒学术研究与临证应用提供资料。民国时期医家在伤寒辨证方面将六经辨证与脏腑辨证相结合,不少医家在辨证上本于《内经》,在治疗上用《伤寒论》中所载方剂,并且用《内经》理论阐释经方治法。在临床诊断上配合应用西医检查方法,另如辨寒热真假法等,对伤寒辨证方法有所发展。论治上重视合病,如从少阴阳明合病论治乳蛾。民国时期医家临证处方善于依据经方理法自拟新方,扩展用经方治疗范围,如用经方治疗瘟疫痘疹。在方药运用上积累了丰富经验,如重用附子回阳救逆,炙甘草汤引火归元,乌梅丸治疗虚火遗精,桂枝汤疏肝补脾治疗太阴病等。用药精简,擅用经方药对,擅用单味药,用药轻灵,不尚重剂。部分医家对经方煎服法有特殊要求,如回阳救逆之方提倡冷服,用肉桂多冲服,小青龙汤泡服治疗音哑等。民国时期,经方的临床运用日趋成熟,大量的经方医案付梓印刷,流传甚广,为经方临床应用研究提供了宝贵资料。
[Abstract]:The period of the Republic of China is the mature period of the application of the Confucian classics. The physicians of the Republic of China not only inherited the experience and academic characteristics of the predecessors, but also made great progress. Under the influence of Western medicine, some doctors began to use western medicine theory to explain exogenous diseases; in the aspect of syndrome differentiation, we should combine the differentiation of symptoms and signs with the differentiation of pathogenesis and syndromes; regardless of the scope of treatment in the original book of the Treatise of febrile Diseases, including, outside, women, children, Features and other departments have been used, flexible prescription. The period of the Republic of China is a peak in the history of the development of Confucian classics. This paper studies the clinical characteristics of Fang in the period of the Republic of China by using traditional philology. Taking the medical records monographs, medical records books, medical records series, medical records journals and other works with medical records as the objects of study during the period of the Republic of China (including the late Qing Dynasty to the Republic of China, the Republic of China and the Republic of China). In order to find out the clinical experience of syndrome differentiation and treatment of typhoid fever from four aspects, such as the characteristics of differentiation of symptoms and signs, the characteristics of prescription, the habit of medicine used by Jing Fang, and the method of special decoction by Jing Fang, the clinical experience of clinical syndrome with great value was analyzed and discussed by screening the relevant medical records of "Theory of febrile". In order to provide data for the academic research and clinical application of typhoid fever. In the period of the Republic of China, the doctors combined the syndrome differentiation of the six meridians with the syndrome differentiation of the viscera and the viscera. Many doctors used the prescriptions contained in the Theory of febrile Diseases in the treatment, and explained the prescriptions of the prescriptions in the theory of the Internal Classic. In clinical diagnosis combined with Western medicine examination method, such as differentiation of cold and heat true and false method, typhus syndrome differentiation method has been developed. On the treatment of disease, such as from less Yin Yang Ming disease treatment of milk moth. In the period of the Republic of China, doctors were good at drawing up new prescriptions according to the method of classics, expanding the scope of treatment, such as treatment of plague pox rash with the prescriptions of classics. It has accumulated rich experience in the application of prescription medicine, such as reusing Aconitum bumponii to recover Yang to save the inverses, burning and returning to Yuan with the decoction of burning liquorice, treating the essence of deficiency fire with Wumei pills, and treating Taiyin disease with Guizhi decoction of soothing the liver and reinforcing spleen, and so on. Simple use of medicine, good use of prescriptions, good at using single medicine, use light, not heavy agent. Some doctors have special requirements for the prescription of decoction, such as returning to Yang to save the inverse of the prescription to promote cold clothing, with more cinnamon, small Azure Dragon soup to treat voice mute and so on. During the period of the Republic of China, the clinical application of the prescription became more and more mature, and a large number of medical records of the prescriptions were printed and widely circulated, which provided valuable information for the study of the clinical application of the prescriptions.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249

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