《张氏医通》郁证探析

发布时间：2018-05-29 16:06

本文选题：张氏医通 + 张璐　；参考：《浙江中医药大学学报》2017年01期

【摘要】：[目的]总结《张氏医通》中论治郁证之经验,以求诊治本类疾病时取得更好效果。[方法]通过对《张氏医通》"诸气门"中郁证相关论述的评析及郁证医案的赏析,提炼出张氏对郁证的认识理解及证治经验。[结果]张氏对于郁证的认识,从病因、症状到证治等都有较深刻的理解,并对郁证的传变和治法作了重要发挥,强调证分虚实,郁不例外,治疗郁证讲究或通或通补兼施;且十分重视脉诊,详细论述郁证常见脉象,将脉诊作为审查病机,拟定治法,选方用药,判断预后的重要依据。[结论]《张氏医通》中论治郁证的相关经验,值得借鉴应用于郁证类病症的临床诊治,对于指导后世医家对该证的诊治有着十分重要的作用。
[Abstract]:Objective: to summarize the experience of treating depression in Zhang Shi Yitong so as to obtain better results in the diagnosis and treatment of this kind of diseases. [methods] based on the analysis of the related exposition of depression syndrome and the appreciation of the medical cases of depression syndrome in Zhang Shi Yitong, the author abstracted Zhang's understanding of depression syndrome and his experience of syndrome treatment. [results] Zhang had a deeper understanding of depression syndrome from etiology, symptoms to syndrome treatment, and made an important play on the spread and treatment of depression syndrome, emphasizing the deficiency and reality of syndrome, depression is no exception, the treatment of depression is fastidious or combined therapy; And pay much attention to pulse diagnosis, discuss the common pulse phenomenon of depression syndrome in detail, take pulse diagnosis as an important basis for examining pathogenesis, formulating treatment method, choosing prescription and medication, and judging prognosis. [conclusion] the relevant experience of treating depression syndrome in Zhang Shi Yitong is worthy of being used for reference in clinical diagnosis and treatment of depression syndrome, and it is very important to guide the diagnosis and treatment of depression syndrome by future physicians.
【作者单位】：浙江省中医药研究院;浙江省立同德医院;浙江中医药大学;
【基金】：浙江省中医药管理局基金资助课题(2016ZA013)~~
【分类号】：R249;R277.7

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