钦安卢氏医学对呕吐下利的证治研究

发布时间：2018-05-29 05:10

本文选题：扶阳 + 伤寒论　；参考：《广西中医药大学》2017年硕士论文

【摘要】：目的:结合《黄帝内经》中关于呕吐下利的病因病机认识,以仲景六经辨证的思想为指导,梳理《伤寒论》中各经所涉之吐利,并在此基础结合钦安卢氏医学相关学术思想深化对吐利的认识,最后联系扶阳学派在临证中对于吐利两证的辨治,以期指导于临床。方法:首先,论述《黄帝内经》中关于呕吐下利的病因病机认识,其次,结合《伤寒论》六经原文,总结和梳理仲景对于吐利的证治。再次,对钦安卢氏医学的传承脉络及主要学术思想进行整理,指出其扶阳思想之意蕴,并在此基础上梳理钦安卢氏医学对于《伤寒论》中吐利证治的继承性和发展性。结果:吐利二证是临床常见的病症,究其原因,无论外感六淫、饮食情志皆可致病。而仲景所作《伤寒论》为百病立法,以六经辨证为纲,更是广泛深入的探讨了吐利的证治。钦安卢氏医学,上承《周易》、《内经》、《伤寒》重阳之思想,强调阳主阴从,治疗遵循六经,临证善于应用辛温热药以扶其阳,并落实到阳气的体用两端,或扶阳体,或畅阳用,总在恢复此一气之周流。而六经所致吐利无外乎一元之气升降出入在六经各个层面的逆乱,因此恢复此一气的周转对于临证治疗吐利,进而和合阴阳都有积极的指导作用。结论:以《伤寒》六经钤百病天下式也,而仲圣所做大论非常强调对于呕吐下利两证的辨治,笔者以为其完美的继承了《内经》对于“胃气”的强调。《内经》指出:人无胃气曰逆,逆者死,而呕吐下利则是常见的胃气逆乱表现,也是常见的阴阳逆乱的表现。六经皆可影响中气而发为吐利,六经之吐利体现了阴阳逆乱的一种表里浅深的程度。钦安卢氏医学继承了仲景六经辨治的精神,并在此基础上强调六经乃一气所化,深刻反映了其对仲景思想的继承性和发展性。钦安认为此一气之畅流与坎离往来交媾密切相关,而确保水火既济中宫之畅达又至关重要。吐利虽有从上从下之异,然俱是中宫之逆乱,而此中宫之逆乱则由六经之表现而步步深入,安此中不仅很好的呵护了人体的正气,并且对于防治他病有着重要的指导作用。
[Abstract]:Objective: to study the etiology and pathogenesis of vomiting in Huangdi's Internal Classic, and to sort out the causes and pathogenesis of the syndrome differentiation of Zhongjing's six Meridians. On the basis of this, the author combines the related academic thoughts of Chin and Lu's medicine to deepen the understanding of Tuli, and finally to contact the Fuyang School to differentiate and treat the two syndromes of Tuli in clinical practice, in order to guide the clinical practice. Methods: firstly, the etiology and pathogenesis of vomiting were discussed in Huangdi Internal Classic. Secondly, the syndromes and treatment of vomiting in Zhongjing were summarized and combed with the original text of six channels. Thirdly, the inheritance and main academic thoughts of Qin'an Lu's medicine are sorted out, and the implication of his Fu Yang's thought is pointed out, and on this basis, the inheritance and development of Tuli syndrome and treatment in Chin'an Lu's Medicine are combed. Results: Twain syndrome is a common disease in clinic. Zhongjing's Treatise of febrile disease legislates for all kinds of diseases, taking the syndrome differentiation of six meridians as the outline, and probes into the syndrome and treatment of Tuli extensively and deeply. Qin'an Lu's medicine, Shang inherited "Zhouyi", "Internal Classic", "typhoid fever", "double yang" thought, emphasized Yang as the main body, followed the six meridians in treatment, was good at applying Xin Wen hot medicine to support Yang, and put it into practice to both ends of body of Yang Qi, or to support Yang body, or unobstructed Yang. Always in the restoration of this flow of energy. But the six meridians caused by Tuli is no more than the rise and fall of the six meridians in all levels of inverse chaos, so the recovery of this Qi for the treatment of Turi, and then Yin Yang has a positive guidance. Conclusion: with "typhoid fever", the six meridians are all over the world with a hundred diseases, and the great theory made by Zhong Sheng Yu emphasizes the differentiation and treatment of the two syndromes under vomiting. The author thinks that it perfectly inherits the emphasis of "stomach qi" in the "Internal Classic". It points out that people have no stomach qi to go against, people die against it, and vomiting is a common manifestation of stomach qi inverse disorder, as well as Yin and Yang inverse disorder. The six meridians can affect the medium qi and develop into profit, which embodies the shallow and deep degree of yin and yang converse disorder. Chin'an Lu's medicine inherited the spirit of Zhongjing's differentiation and treatment of the six Classics, and on this basis emphasized that the six Classics were unified and reflected his inheritance and development to Zhongjing's thought. Chin an believes that this flow of air is closely related to intercourse, and to ensure that water and fire both access to the palace and vital. Although Turi has the difference from the top to the bottom, both of them are the inverse disorder of the middle palace, and the inverse disorder of the middle palace is gradually deepened by the performance of the six meridians. It not only nurtures the healthy qi of the human body, but also plays an important guiding role in the prevention and cure of his disease.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R22

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