吴鞠通临床用药特色研究

发布时间：2018-07-23 09:52

【摘要】：吴鞠通(1758--1836),是清代杰出的温病学家,生于江苏淮阴,名瑭,字佩珩,号鞠通。因父病不起,遂购方书,潜心医药。吴氏一无家传,二无师授,伏案苦读,勤于临证,敢于创新,并结合自己多年的临证经验,创立三焦辨证理论体系,著成《温病条辨》一书。晚年著有《吴鞠通医案》、《医医病书》,记载了丰富的临床实践及经验总结。《温病条辨》一书为理论指导临床实践,《吴鞠通医案》则以实践去印证理论,相辅相成,互为补充。《医医病书》述其未完,除论述相关外感疾病,另外也阐述了许多内伤杂病的证治大法,及用药之道。本文主要围绕吴鞠通流传于世的三本著作进行研究,归纳、整理了吴氏在三焦辨证理论指导下的用药特色,总结在治疗外感病及内伤杂病方面的用药经验,为基础研究和指导临床实践提供可靠的理论依据。研究内容主要包括五大方面:1、剂量灵活,在治上焦如羽、治中焦如衡、治下焦如权的治疗大法指导下,用药轻则几分,重则数斤,灵活多变。另有特殊情况,需特别对待。2、剂型多变,因丸剂、散剂、膏剂、丹剂各有千秋,吴氏因人因病施药,重在取得疗效。3、巧用引药,药物素来有归经理论,吴氏在此基础上有所发挥,他尤其重视天人相应理论,充分利用动物药、植物药之所长,发挥引经功效,以助药到病所。4、重视煎服方法,根据不同的病情,不同的药物,选择不同的煎服方法,有利于发挥药效,有助于疾病恢复。5、内外合治,分为内服外敷和针药并举两部分,吴氏擅长内服中药治疗疾病,并常根据病情需要,确定具体治疗方案,或配合药物外敷、或施针灸治疗等。采用多种疗法相结合的治疗方式,优势明显,既能取长补短,又可通过多种途径达到最终的治疗目的。上述方法,对前人有继承、有发展。通过对上述内容的整理,能够对吴鞠通用药特色与策略有更深的了解,有利于指导我们在临床实践中恰当的、合理的用药,提高我们运用温病学理论指导临床实践水平。
[Abstract]:Wu Ju Tong (1758-1836) was an outstanding febrile scientist born in Huaiyin, Jiangsu Province. Because the father can not afford to buy books, concentrate on medicine. Wu had no family, no teacher, a hard study, diligent in clinical evidence, dare to innovate, and combined with his many years of clinical experience, the establishment of the three Jiao syndrome differentiation theory system, a book into "febrile disease discrimination." In his later years, he was the author of Wu Ju Tong's Medical case and the Book of Medicine and Diseases, which recorded a wealth of clinical practice and experience. A book on the differentiation of febrile diseases served as a theoretical guide for clinical practice, while Wu Ju Tong's medical case proved the theory by practice and complemented each other. In addition to expounding the related exogenous diseases, it also expounds the methods of syndrome and treatment of many internal injuries and miscellaneous diseases, and the ways of drug use. This article mainly focuses on Wu Jutong's three books, summarizes the characteristics of Wu's medication under the guidance of the Tri-Jiao syndrome differentiation theory, and sums up his experience in the treatment of exogenous diseases and internal injuries and miscellaneous diseases. To provide a reliable theoretical basis for basic research and clinical practice. The main contents of the research include five aspects: 1, the dosage is flexible, in the treatment of coke such as feather, in the treatment of Jiao Ruheng, under the treatment of Jiao Ruyong under the guidance of the great law, medicine is light, heavy, a few jin, flexible. There are other special cases, which require special treatment. The dosage forms are changeable, because pills, powders, plasters, and saltans have their own merits. Wu's application of medicine due to human illness is focused on obtaining curative effect .3. using skillfully the medicine, the medicine has always had the theory of returning to the classics. Wu gave play to this foundation. He attached particular importance to the corresponding theory of nature and man, fully utilized the advantages of animal medicine and plant medicine, brought into full play the effect of channelling classics, and paid attention to the method of decoction, according to different conditions, different drugs, in order to help the medicine to go to the sick place. The choice of different methods of decoction is beneficial to the exertion of drug effect, to the recovery of disease .5. it can be divided into two parts: internal and external application and acupuncture and medicine. Wu is good at taking traditional Chinese medicine to treat diseases, and often determines the specific treatment plan according to the need of illness. Or cooperate with medicine external application, or apply acupuncture and moxibustion treatment and so on. The combination of multiple therapies has obvious advantages, which can not only complement each other's weaknesses, but also achieve the ultimate therapeutic goal through various ways. The above method has inherited and developed to the predecessors. Through the arrangement of the above contents, we can have a deeper understanding of the characteristics and strategies of Wu Ju Tong's medication, which is helpful to guide us to use appropriate and reasonable drugs in clinical practice, and to improve our clinical practice level by using the theory of febrile disease.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249

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