张介宾脑病学术思想研究

发布时间：2018-06-20 09:58

本文选题：张介宾 + 《景岳全书》　；参考：《山东中医药大学》2016年硕士论文

【摘要】：以《景岳全书》为主要研究对象,结合《类经》《类经图翼》《类经附翼》和《质疑录》中相关内容,通过文献学研究方法,整理归纳张介宾有关脑病的理论、病证认识、辨证处方和用药特点,探索脑病诊治的新思路。本文系统总结了《景岳全书》中所阐述的脑病学术思想:发病方面,重视内伤虚损是基础;病因上重视内伤虚损、外感六淫等对气机的影响;病机方面,提出正气不足和气机失常为关键机制;治疗方面,突出辨证、平秘阴阳、重视补虚、补阴益精为特色;遣方用药方面,习用古方,又另辟蹊径,创新方,依病机灵活化裁,择而用之。张氏在诊治脑病中重视辨证求本,尤其注重并且擅于审病求因,治疗以补虚为大法,擅用补虚药以扶正祛邪,为后世医家从虚论治脑病提供了思路。本研究填补了《景岳全书》脑病学术思想研究的空白,丰富了中医脑病学术的内容,为中医脑病的临床和科研提供新的思路和路径。
[Abstract]:Taking JingyueGuanshu as the main research object, combining the relevant contents of < Classical Classics > < Classical Classic Pictures > < attached Wing of Classical Classics > and questioning Records, the author summarizes Zhang Jiabin's theory on encephalopathy and the understanding of disease syndrome through the method of documentary research. To explore a new way of diagnosis and treatment of encephalopathy. This paper systematically summarizes the academic thought of encephalopathy described in JingyueGuanshu: in the aspect of disease, paying attention to the deficiency of internal injury is the basis; paying attention to the influence of internal injury and deficiency of internal injury, and the influence of six external factors on qi; the pathogenesis of the disease, and so on. The key mechanism is the deficiency of qi and the disorder of Qi engine; in the treatment, the differentiation of symptoms and signs is highlighted, the yin and yang are leveled, the deficiency of yin is emphasized, and the essence of tonifying yin and tonifying essence is paid attention to. In the aspect of prescribing medicine, the traditional prescription is used as an old way, and the formula is innovative and flexible according to the pathogenesis of the disease. Choose to use it. Zhang paid attention to syndrome differentiation in the diagnosis and treatment of encephalopathy, especially paid attention to and was good at judging the cause of disease, treated by tonifying deficiency as the great method, good at using tonifying deficiency medicine to strengthen the qi and dispel evil, and provided a way of thinking for the doctors of later generations to treat encephalopathy from deficiency. This study fills up the blank of the academic thought of encephalopathy in Jingyue Guanshu, enriches the academic content of TCM encephalopathy, and provides new ideas and paths for the clinical and scientific research of TCM encephalopathy.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R277.7

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