《金匮要略》“妇人三篇”研究

发布时间：2018-06-24 17:11

本文选题：《金匮要略》 + 妇人妊娠病　；参考：《长春中医药大学》2016年硕士论文

【摘要】：中医经典著作《黄帝内经》中详细的论述了女子的生理病理特点。《内经》中不仅论述了肾气、天癸、冲任脉、太冲脉、三阳脉的盛衰是如何以七岁为周期作用于女子的生理,还论述了女子胞及脏腑、气血、情志因素等与女子之间的病理特点,及妊娠期辨证用药的原则。《难经》指出命门具有主持生殖的作用。这些都对张仲景认识和治疗妇人病产生了重要的影响。《金匮要略》妇人三篇分别为妊娠病篇、产后病篇、杂病篇。“气机失和”为妊娠病的病机关键,根据气机失和的病因可分为阴阳不调、实邪阻滞、血虚失养、肝脾不和。“虚”为产后病的根本,因产后血虚可分别导致成“热”“寒”“满”“实”“瘀”“表里皆虚”。妇人杂病则以“多因多证多法”为特点,其特点主要为情志的失常、“水”“血”的不利、内失“和”“养”及特殊的疗法。后世医家不仅继承了《金匮要略》妇人病篇的脉证方论,并且还有所发展。后世之著沿用了仲景以妊娠、产后、杂病的分类方法,并在此基础之上详分科目成为多证多型。后世医家继承并采用、新用仲景治疗妇人病的脉证思想,进一步补充了仲景未诉之病因病机。在妇人病的治疗上,大量的应用仲景原方是最为显著的特点,并在原方基础之上进行加减变化,变成多证多方多用。这些都在后世为妇人病的理论发展和临床研究提供了重要的基奠,逐渐形成了如今广为人知的中医妇科学。
[Abstract]:The classic book of traditional Chinese medicine, Huangdi Neijing, discusses in detail the physiological and pathological characteristics of women. It not only discusses the physiological characteristics of women, but also discusses not only the kidney qi, Tiangui, Chong Ren pulse, Tai Chong pulse, and San Yang pulse, but also how the rise and fall of the three yang veins affect the physiology of a woman in a cycle of seven years of age. This paper also discusses the pathological characteristics between women's cysts and viscera, qi and blood, emotional factors and women, and the principles of differentiation of symptoms and signs during pregnancy, and points out that the Shengmen have the function of presiding over reproduction. All these have an important influence on the understanding and treatment of women's diseases by Zhang Zhongjing. The synopsis of the Golden Chamber is the pregnancy disease, the postpartum disease and the miscellaneous diseases. Qi qi disharmony is the key to the pathogenesis of pregnancy disease. According to the etiology of qi disharmony, it can be divided into three categories: yin and yang unregulation, real evil block, blood deficiency loss of nourishment, liver and spleen disharmony. Deficiency is the root of postpartum disease, because postpartum blood deficiency can lead to heat, cold, fullness, blood stasis and deficiency of both internal and external respectively. The complex diseases of women are characterized by "multi-cause, multi-syndrome and multi-method", which are mainly characterized by emotional disorders, "water", "blood" disadvantage, internal loss, "nourishment" and special treatment. The physicians of later generations not only inherited the theory of pulse and syndromes in synopsis of the Golden Chamber, but also developed. Later works followed Zhongjing's classification method of pregnancy, postpartum and miscellaneous diseases, and on this basis, it became multi-syndrome and multi-type. Later physicians inherited and adopted the new pulse syndrome thought of Zhongjing for treatment of women's disease, which further supplemented Zhongjing's etiology and pathogenesis. In the treatment of women's disease, the application of Zhongjingyuan prescription is the most obvious characteristic, and the addition and subtraction change on the basis of the original prescription, becoming multi-syndrome and multi-use. All these have provided important foundation for the theoretical development and clinical research of women's disease in later generations, and gradually formed the widely known gynecology of traditional Chinese medicine (TCM).
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R222.3

【相似文献】