王孟英的舌诊特色及相关临床观察

发布时间：2018-09-12 05:11

【摘要】：清代医家王孟英在舌诊上有其独到的见解,与前人不同,且在其医案中有多处舌象记录,很适用于现代临床诊治。这就使研究王孟英的舌诊特色成为当前中医界的重中之重之事。本论文通过传统文献梳理与现代文献分析相结合的方法探讨舌诊相关理论的源流,内涵和外延;通过研究与总结王孟英所著《温热经纬》中有关舌诊的内容,与之前的舌诊理论做比较来发现王孟英有关舌诊的独特思想:苔白不尽为寒;舌红绛润泽则体内有痰饮;芒刺舌也主外感挟食;黑苔有属阴虚;伏气温病治疗得当舌苔变化为:舌红绛无苔→厚腻黄浊→苔退舌淡。通过研究王孟英医案里有关舌诊的医案来总结王孟英临证时运用舌诊的规律。本文还通过对临床病例的观察研究来验证王孟英的"苔白不尽为寒"舌诊特色理论。结论是王孟英的"苔白不尽为寒"是正确的,可以运用于现代临床。
[Abstract]:Wang Mengying, a doctor in Qing Dynasty, had his own unique views on tongue diagnosis, which was different from his predecessors, and had many tongue records in his medical records, which was very suitable for modern clinical diagnosis and treatment. This makes the study of Wang Mengying's tongue diagnosis characteristics a top priority in the field of traditional Chinese medicine. This paper discusses the origin, connotation and extension of the relevant theories of tongue diagnosis by combining traditional literature combing with modern literature analysis, and studies and summarizes the contents of tongue diagnosis in Wang Mengying's "warm and warm Warp and Weft". Comparing with the previous theory of tongue diagnosis, we find that Wang Mengying's unique thoughts on tongue diagnosis are: the white fur is not cold, the red tongue is moist and there is phlegm and drink in the body, the prickly tongue is also the main external food, the black fur is yin deficiency; The change of tongue coating after treatment of latent temperature sickness is: red crimson tongue without fur thick, greasy, yellow turbid and light tongue. The law of using tongue diagnosis in Wang Mengying's medical case is summarized by studying the case of tongue diagnosis in Wang Mengying's medical case. This paper also verifies Wang Mengying's characteristic theory of tongue diagnosis by observing clinical cases. The conclusion is that Wang Mengying's "White fur is not cold" is correct and can be used in modern clinical practice.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R241

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