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李士懋“溯本求源、平脈辨證”學術觀點初探

Discussion on LI Shimao’s Academic View of “Tracing the Origin and Differentiating the Pulse and Syndrome”

【作者】 馮瑞雪張紫微張再康

【Author】 FENG Ruixue;ZHANG Ziwei;ZHANG Zaikang;Preclinical Medical School,Hebei University of Chinese Medicine;

【機構】 河北中醫學院基礎醫學院

【摘要】 總結李士懋"溯本求源、平脈辨證"學術觀點為6個方面。1)論診斷重脈診:創立了脈診辨證大綱說、虛實脈診大綱說、氣血脈理大綱說,提出了脈診新說;2)論三法重汗法:將辛溫發汗法既用于治療實寒證,也用于治療虛寒證;3)論傷寒重陽虛:認為內傷陽虛證是外感風寒侵襲的重要原因;4)論溫病重火郁:首次明確指出溫病的本質為郁熱,善用以透為核心的清、透、滋三法治療溫病,創制新加升降散治療郁熱;5)論疑難重痰瘀:認為現代臨床疑難雜病的特點與中醫的痰證和瘀血證有相似性,喜用導痰湯、張仲景和王清任逐瘀諸方、桃紅四物湯化裁治療痰瘀證;6)論搶救重急癥:認為中醫善于治急癥,中醫急癥學的研究要善于借助現代科學技術手段。

【Abstract】 This article summarizes LI Shimao’s academic view of "tracing the origin and differentiating the pulse and syndrome"in six aspects. 1) Emphasizing pulse in diagnosis: he put forward the new theories of pulse diagnosis such as "differentiating syndrome by pulse diagnosis"outline theory,"deficiency and excess pulse diagnosis"outline theory and "interpreting pulse mechanism with Qi and blood"outline theory. 2) Emphasizing sweat promotion method in the "three methods"( including sweat promotion,emetic method and purgative method) : he promoted sweat with acrid-warm drugs not only in the treatment of excess cold syndrome,but also in the treatment of deficiency cold syndrome. 3) Emphasizing Yang deficiency in cold damage syndrome: he regarded Yang deficiency as an important reason for the attack of externally-contracted wind-cold. 4) Emphasizing fire constraint in warm disease: he was the first to pinpointed that the nature of warm disease is stagnated heat,he was good at treating warm disease with clearing,venting and enriching methods of which venting is the core and he invented Xinjia Shengjiang San( 新加升降散) to treat stagnated heat; 5) Emphasizing treating phlegm and stasis in the complicated diseases: he thought the difficult and complicated diseases in modern medicine were similar to the phlegm syndrome and stasis syndrome in Chinese medicine,so he liked modifying Daotan Tang( 導痰湯),ZHANG Zhongjing’s formulae,WANG Qingren’ s formulae for removing blood stasis and Taohong Siwu Tang( 桃紅四物湯) to treat phlegm and stasis syndromes; 6) Emphasizing emergencies in rescue period: he thought Chinese medicine did a great work in treating emergencies,and modern scientific and technological methods should be used in studying emergencies in Chinese medicine.

【基金】 河北省高校百名優秀創新人才支持計劃(CPRC029)
  • 【文獻出處】 中醫雜志 ,Journal of Traditional Chinese Medicine , 編輯部郵箱 ,2017年17期
  • 【分類號】R249
  • 【下載頻次】138
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