《金匮要略》“妊娠病篇”沿革与现代应用价值探讨

发布时间：2018-11-10 23:36

【摘要】：目的基于妊娠常见疑难病的高水平诊治需求,分析《金匮要略》“妊娠病篇”及其方药后世沿革,探讨“妊娠病篇”的现代应用价值。方法结合临床实践,对《金匮要略》“妊娠病篇”原文进行分析讨论；剖析唐·孙思邈《千金要方》、宋·陈自明《妇人大全良方》对张仲景《金匮要略》“妊娠病篇”的继承与发展；结合个人及前辈经验,继承创新仲景治法方药用于妊娠病诊治。结果《金匮要略》“妊娠病篇”所列的十张处方多含有后世所谓的妊娠禁忌药与慎用之品。唐、宋时期在张仲景“妊娠病篇”基础上,经过数代医家医著传承发展,创制了大量妊娠病治疗新方药,促进了中医妇产科学的发展与进步。在当前的医疗大环境下,对于“妊娠病篇”方药仍有诸多争议,医者治疗妊娠病而应用“妊娠病篇”原方者极少,多对其进行加减改良。然而近年来我们持续继承并创新,结合西医对妊娠生理、病理的新认识进展,重新审视并发现“妊娠病篇”当归、川芎、赤芍等药物应用的价值所在。结论1、《金匮要略》“妊娠病篇”方药历经一千八百年,对现代临床仍有指导意义与参考价值。2、仲景妊娠病篇作为妊娠病治疗的先驱,尚不能尽愈诸病,后世对其方药进行了有效的补充与完善。3、结合现代诊治妊娠疾病新进展,证明了“妊娠病篇”方药的科学性、合理性,值得深入挖掘整理,进行临床与科研研究,更好的服务于临床。
[Abstract]:Objective to analyze the history of pregnancy diseases and their prescriptions based on the requirement of high level diagnosis and treatment of common difficult diseases of pregnancy, and to explore the value of modern application of pregnancy diseases. Methods based on the clinical practice, the original text of pregnancy disease in synopsis of the Golden Chamber was analyzed and discussed. This paper analyzes the inheritance and development of Tang Sun Simiao's Qianjin important prescription and Song Chen Ziming's good prescription for Women's Great Quan to Zhang Zhongjing's synopsis of Golden Chamber. Combined with personal and previous experience, inherited and innovated Zhongjing prescription for the diagnosis and treatment of pregnancy disease. Results the ten prescriptions in synopsis of Chamber of Golden Chamber contained the contraindications and careful use of pregnancy drugs. In the Tang and Song dynasties, on the basis of Zhang Zhongjing's pregnancy Disorders, through the inheritance and development of several generations of doctors' books, a large number of new prescriptions for the treatment of pregnancy diseases were created, which promoted the development and progress of gynecology and obstetrics of traditional Chinese medicine. In the current medical environment, there are still many controversies about the prescription of "pregnancy disease article". Few doctors treat pregnancy disease and only a few use the original prescription of "pregnancy disease article", and most of them are modified by addition or subtraction. However, in recent years, we continue to inherit and innovate, combined with the new understanding of pregnancy physiology and pathology in Western medicine, and reexamine and find out the value of drug application of Angelica sinensis, Ligusticum chuanxiong and Radix Paeoniae Rubra. Conclusion 1. The prescriptions of pregnancy Diseases in synopsis of Chamber of Golden Chamber have a guiding significance and reference value for modern clinical practice after 1800 years. 2. As the forerunner of pregnancy disease treatment, Zhongjing pregnancy disease article can not cure all diseases. In combination with the new progress in the modern diagnosis and treatment of pregnancy diseases, it has proved that the prescriptions of pregnancy diseases are scientific and reasonable, and it is worth digging and sorting in depth, and carrying out clinical and scientific research. Better serve the clinic.
【学位授予单位】：浙江中医药大学
【学位级别】：博士
【学位授予年份】：2016
【分类号】：R222.3

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