Characteristics of the Differentiation and Treatment of Lung-Related Syndromes and Diseases According to Zhang Jianzhai
-
摘要: 介绍民国名医张简斋先生治疗肺系病证的辨治特点,选取咳嗽、喘哮、肺痨三种疾病作为代表分别论述。关于咳嗽,张简斋常用的治法有辛宣疏化、清肃平逆、健脾化痰、益气托化等;关于喘哮,首辨虚实新久,治疗以宣肃及摄纳为主;关于肺痨, 重视辨病体与本虚之异同, 治疗则以和养为主,重视脏腑之间的传变关系及气血阴阳的亏损。张简斋治疗肺系疾病,灵活运用托化、和养、清肃、疏化、辛宣、育阴潜阳等多种治法,用药轻灵,不伤正气。
-
关键词:
- 张简斋 /
- 金陵医派 /
- 肺系病证 /
- 邹云翔手录孤本张简斋医案
Abstract: This study introduces the characteristics of the differentiation and treatment of lung-related syndromes and diseases according to Zhang Jianzhai, a famous doctor in the Republic of China. Besides, we select three diseases including cough, asthma, and lung consumption as representatives and discuss them separately. Regarding cough, Zhang Jianzhai's common treatment methods include diffusing and rectifying the lung with acrid medicine, purifying the lung and directing counterflow downward, fortifying the spleen, and dissolving phlegm, as well as boosting qi to eliminate pathogens. As for asthma, doctors should first differentiate whether the syndromes are newly contracted or formerly contracted, deficient or excess, and then treat the diseases with main methods of diffusing and purifying the lung along with receiving and containing qi. For lung consumption, doctors should identify the differences and similarities between the disease body and the deficient root based on regulating and nourishing treatment, emphasize transmission and change relationships between viscera, and take into account the loss of qi, blood, yin, and yang. In conclusion, Zhang Jianzhai's treatment of lung-related diseases is based on a variety of therapeutic methods including boosting qi to eliminate pathogens, regulating and nourishing, purifying and rectifying the lung, applying acrid medicine to diffuse the lung, as well as nourishing yin and suppressing the excessive yang. In addition, his treatments are characterized by applying light medicines without hurting the healthy qi. -
[1] 张介宾. 景岳全书集要[M]. 沈阳: 辽宁科学技术出版社, 2007: 270. [2] 丁甘仁. 丁甘仁医案[M]. 北京: 人民卫生出版社, 2007: 86. [3] 何梦瑶. 医碥[M]. 北京: 人民卫生出版社, 1993: 14. [4] 林佩琴. 类证治裁[M]. 北京: 人民卫生出版社, 1988: 97. [5] 黄英志. 叶天士医学全书[M]. 北京: 中国中医药出版社, 1999: 131. [6] 李用粹. 证治汇补[M]. 太原: 山西科学技术出版社, 2011: 201. [7] 王树泽. 金元四大家医学全书[M]. 天津: 天津科学技术出版社, 1994. [8] 汪绮石. 理虚元鉴[M]. 北京: 人民卫生出版社, 1988: 19.
点击查看大图
计量
- 文章访问数: 194
- HTML全文浏览量: 56
- PDF下载量: 92
- 被引次数: 0