石寿棠以燥湿为纲辨证理论体系研究

发布时间：2018-06-23 21:43

本文选题：石寿棠 + 《医原》　；参考：《河北医科大学》2016年硕士论文

【摘要】：石寿棠,清代著名医家,医学世家,在父亲的严格教诲之下,自幼儒医兼修,学习十分刻苦,成年后文武全才、德才兼备,被公认为“才识既高,学术并茂”。石寿棠十分重视经典的学习,崇尚《黄帝内经》、《难经》、《金匮要略》及《伤寒杂病论》等经典著作,并认真学习和研究,在总结自己多年临床实践的基础上提出以燥湿为纲的辨证理论,丰富了中医辨证论治理论体系。石寿棠一生主要有两部著作,分别为《医原》和《温病合编》,其中《医原》为其代表作,全书分为上下两卷,注重天人相应之理,提出了以燥湿为纲论治百病的因机证治。石寿棠以燥湿为纲的辨证理论具有较强的实用性,对临床治疗具有十分重要的指导意义。本文主要从以下几个方面对其以燥湿为纲的辨证理论进行研究:1石寿棠的生平简介石寿棠出生于医学世家,七世业医,家庭医学氛围十分浓厚,自幼在父亲的影响下,“儒医兼修”,励志成为“文武全才”之人,师承著名医家吴鞠通,是山阳医派的代表人物之一,中医史上百大名医。他曾举孝廉,后官至淮安府候选同知,同年又被江苏巡抚李鸿章招募为幕僚。石寿棠善于思考,学有所悟,著书立说,一生著书多部,现存的只有两部,分别为《医原》和《温病合编》。因其医德高尚、医术精湛而声名远播,擅长治疗妇科、内科、温病、儿科等。2石寿棠以燥湿为纲辨证理论探析石寿棠提出以燥湿为纲的辨证理论,将燥湿上升到了与寒热并驾齐驱的纲领性地位,立论新颖,而且理、法、方、药十分完备,进一步丰富了中医辨证论治理论体系,具有十分重要的临床指导意义。燥湿辨证理论以阴阳、五行、八卦等理论为基础,认为人身是一小天地,以燥湿来感悟天地之理,提出以燥湿为纲论治百病,分析病因病机,确立治则治法,提出无论外感还是内伤,都是以外解为要,即给邪以出路,治法总以轻开肺气为主。石氏认为燥邪具有“硬、动、缩、干”的特点,湿邪所具有的“重、浑浊不清、软”的特点。石氏以燥湿理论为指导,对203种药物进行了详细的分类,指出病分燥湿而药分润燥,润药分为辛润、寒润、温润、平润、凉润;燥药又分为平燥、辛燥、温燥、凉燥、寒燥。3石寿棠以燥湿为纲辨证理论学术思想的继承和发扬石寿棠学术思想的传承者主要是安徽省六安市的印氏中医,也是山阳医派最具代表性的传承之一。印氏中医师承于晚清医家石寿棠之孙石抚生,当代印氏中医的传承人为印虎和印俊。当代著名中医家任应秋在其主编的《中医各家学说》中称石寿棠的《医原》:“议论风发,分析入微”,“极为精审”。路志正教授也对石寿棠的观点十分赞同,其在《中医湿病证治学》认为“议论精辟”,为“临证典范”,同时他也提出了自己独到的见解,认为湿邪不仅在南方多见,北方亦多见,提出“百病皆由湿作祟”的观点。4石寿棠以燥湿为纲辨证理论的临床应用石寿棠提出以燥湿为纲的辨证理论对后世临床应用具有十分重要的指导意义,除了在外感及内伤杂病的诊疗当中具有重要价值,在妇科、儿科及养生保健中也十分重要。后世医家对燥湿辨证理论的继承和应用主要表现在以燥湿理论为指导,治疗消化系统、呼吸系统及内分泌系统等方面的疾病,包括2型糖尿病、湿热神昏、慢性胃炎等。
[Abstract]:Shi Shoutang, a famous medical practitioner and a medical family in the Qing Dynasty, under the strict teachings of his father, was very hard-working at his own childhood and studied very hard. After his adulthood, he was generally accepted as "high talent and academic excellence". Shi Shi Tang attached great importance to classical learning, advocated "Huangdi Neijing", "difficult", < Golden Chamber > and < typhoid and Miscellaneous Diseases >. On the basis of summarizing his years of clinical practice, he put forward the theory system of syndrome differentiation and treatment of traditional Chinese medicine on the basis of summing up his years of clinical practice and enriched the theory system of syndrome differentiation and treatment in traditional Chinese medicine. There are two main works in Shi Shoutang's life, namely, "medical original >" and "the combination of febrile diseases", of which the medical original is the representative of the traditional Chinese medicine, and the whole book is divided into two volumes, which pays attention to the nature and human phase. According to the reason, the paper puts forward the mechanism of treating hundred diseases with the principle of "drying wet" as the outline. Shi Shoutang's theory of syndrome differentiation with the principle of "wet and wet" has strong practicability and has a very important guiding significance for clinical treatment. This paper mainly studies the syndrome differentiation theory based on the principle of "wet and wet" from the following aspects: the birth of the 1 stone life brief introduction of Shi Shoutang was born In the medical world, the seventh industry medicine and the family medical atmosphere are very strong. Under the influence of the father, "Confucianism and medicine" is the one of the famous doctor Wu Jutong. He is one of the representative figures of the Shanyang medical school, one of the most famous doctors in the history of traditional Chinese medicine. He once took Xiao Lian, the post officer to Huaian Prefecture, the same knowledge, and the same year Jiangsu. Li Hongzhang, the governor, was recruited as an aide. Shi Shoutang was good at thinking, learning to understand, writing books and writing books, writing many books in his life. There are only two extant books. They are "medical ethics" and "warm diseases". They are famous for their virtuous medical ethics and excellent medical skills. They are good at treating gynecologic, internal medicine, febrile diseases and pediatrics with the theory of ".2" and "dry wet" as the outline dialectical theory of Shi Shoutang On the basis of the theory of dryness and moisture as the outline of the syndrome differentiation theory, the dryness and dampness have been raised to the programmatic status of the cold and heat, and the theory, law, prescription, and medicine are very complete, and the theory system of TCM syndrome differentiation and treatment is enriched further. The theory of dryness and dampness is based on the theory of yin and Yang, five lines, eight diagrams and so on. It is a small world to realize the reason of the heaven and earth in the dry and wet way. It puts forward the principle of treating hundred diseases by the principle of dryness and dampness, analyses the pathogenesis of the disease, establishes the rule of treatment, and puts forward that both external and internal injuries are outside the solution, that is to give the evil to the outlet, and the treatment is always the light of the lung qi. Some of the "heavy, cloudy and soft" characteristics. With the guidance of the theory of dryness and dampness, Shi's 203 kinds of drugs are classified in detail, pointing out that the disease is dry and wet, moistening, warm, warm, smooth and cool, and the dryness medicine is divided into dry, dry, warm, dry, cold dry, and cold dryness,.3 Shi ShiShun's theory of dialectical theory following the theory of dryness and dampness. The inheritor of Shi Shoutang's academic thought is mainly the Indian traditional Chinese medicine in Lu'an, Anhui province. It is also one of the most representative inheritance of the Shanyang medical school. At the same time, Professor Lu Zhizheng also agreed on Shi Shoutang's view, and he thought "argumentative discussion" in "TCM damp disease", and he also put forward his own view that wet evil was not only seen in the south, but in the north. The clinical application of "all kinds of diseases are wet with wet", the clinical application of the theory of "wet and wet", ".4 stone", "dry wet" theory, Shi Shoutang proposed that the theory of syndrome differentiation based on wet and wet has a very important guiding significance to the future clinical application. Besides the important value in the diagnosis and treatment of external and internal injuries, it is in gynecology, pediatrics and health care. The inheritance and application of the theory of dampness syndrome is mainly manifested in the treatment of the digestive system, the respiratory system and the endocrine system, including type 2 diabetes, dampness and fever, chronic gastritis and so on.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R241

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