从郑钦安学术思想论建中、理中二法及其临床应用

发布时间：2019-01-29 02:04

【摘要】：目的:建中、理中二法是郑钦安对仲景建中汤类方和理中汤的学术内涵和临床应用的发挥,本文旨在阐明郑钦安运用建中、理中二法的理论基础,总结郑钦安运用建中、理中二法的特点,为进一步加深对郑钦安学术思想的认识,提高临床诊疗水平。方法:建中、理中二法安立在“中”上,本文先通过中国传统文化有关对“中”的理解,再延伸到医理上对“中”的认识,加深对建中、理中二法的理解。然后通过建中汤类、理中汤类相关原文、郑钦安相关著作进行研究,找出郑钦安运用建中、理中二法的理论基础,并进行归纳、整理。最后,对郑钦安之著作进行分析,总结其临床辨证之特色,运用建中、理中二法的思路。结果:经过研究发现郑钦安重视“中土”的思想与传统文化对中的重视有着甚深的渊源,其运用建中、理中二法的理论基础,在于其对人身阴阳合一之道的深刻认识,注重在先天之元阴元阳上探取盛衰,重视后天以脾胃中土立极,认为形成人体的先天太极之体在人出生后就隐寓于中,即真气立极之所,人之宥密处,又称为黄庭黄中,与中宫脾胃有密切联系。在临床应用时,郑钦安重视以阴阳为实据,辨证施治,权衡轻重,分上中下三部扶阳之法,而且重视中焦道路之通畅,使上下交通,阴阳得以合和。结论:传统文化对“中”的认识,落实到医理上,则为求阴阳之合和,而钦安之学,始终强调要以探讨阴阳之消长盈虚为本,不可执于后天五行生克上。人身阴阳合一之道,当于此思索探悟,医道渐明,阴阳识透,方可不拘泥一方一药矣。
[Abstract]:Objective: Jianzhong, Li Zhonger method is Zheng Qinan's academic connotation and clinical application of Zhongjing Jianzhong decoction and its clinical application. The purpose of this paper is to clarify the theoretical basis of Zheng Qinan's application of Jianzhong and Lizhong two methods, and to summarize Zheng Qinan's application of Jianzhong. The characteristics of Lizhong two methods are to deepen the understanding of Zheng Qinan's academic thought and to improve the level of clinical diagnosis and treatment. Methods: Jianzhong, Lizhong and Anli were in "Zhong". This article, through the understanding of Chinese traditional culture about "Zhong", then extended to the understanding of "Zhong" in medical theory to deepen the understanding of Jianzhong and Lizhong two methods. Then through Jianzhong Tang, Li Zhong Tang related original, Zheng Qinan related works to study, find out Zheng Qinan application of Jianzhong, Lizhong two methods of the theoretical basis, and summarized, collated. Finally, the author analyzes Zheng Qinan's works, summarizes the characteristics of his clinical differentiation, and applies the methods of Jianzhong and Lizhong. Results: through the study, it was found that Zheng Qinan's thought of attaching importance to "China" had a deep origin with that of traditional culture. The theoretical basis of his application of Jianzhong and Lizhong methods lies in his profound understanding of the way of integrating yin and yang. Pay attention to exploring the rise and fall on the Yuan Yin and Yuan Yang, pay attention to the earth in the spleen and stomach the day after tomorrow, and think that the body of the innate Taiji that forms the human body is hidden in the place after the birth of the human being, that is, the place where the true qi stands the pole, and the secret place of the human being, also known as the Huang Ting Huang Zhong, It is closely related to the spleen and stomach of Zhonggong. In clinical application, Zheng Qinan attached importance to Yin and Yang as the actual evidence, dialectical treatment, weighing the weight, divided into three parts of the law of supporting Yang, but also attached importance to the smooth of the road, so that up and down the traffic, Yin and Yang can be reconciled. Conclusion: the understanding of "Zhong" in traditional culture is to seek the harmony of Yin and Yang, but the study of Qin Anzhi always emphasizes on the discussion of the deficiency of Yin and Yang, and cannot hold on to the five elements of the day after tomorrow. Body Yin-Yang integration of the way, when thinking and understanding, medicine gradually clear, Yin-Yang knowledge, can not be rigidly one side of the drug.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R242

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