| 张思雅,金子开,刘心月,等.明代温补学派痈疽诊疗思路探微[J].浙江中医药大学学报,2021,45(7):787-791. |
| 明代温补学派痈疽诊疗思路探微 |
| Study on the Diagnosis and Treatment of Carbuncle Gangrene in Warm School in Ming Dynasty |
| DOI：10.16466/j.issn1005-5509.2021.07.018 |
| 中文关键词: 痈疽 明代温补学派 汪机 薛己 孙一奎 外科理例 外科枢要 赤水玄珠 |
| 英文关键词: carbuncle gangrene Warm school in Ming Dynasty WANG Ji XUE Ji SUN Yikui Surgical Principles Surgical Essentials Chishui Xuanzhu |
| 基金项目:安徽省教学质量工程项目(ylzy056)；大学生创新创业训练计划国家级项目(2019085)；大学生创新创业训练计划省级项目(S202010369065) |
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| 中文摘要: |
| [目的]探讨明代温补学派痈疽诊疗思路与特色。[方法]从中医文献整理、研究的角度，对明代温补学派代表医家汪机、薛己、孙一奎的著作《外科理例》《外科枢要》《赤水玄珠》中以温补治疗痈疽的论述、医案、具体药方、针刺手法进行系统分析，归纳和总结其痈疽论治思路和特色。[结果]三位医家以温补论治，可使痈疽消之，不至寒凉太过耗损人体正气；扶正固本以助恢复，不致病情反复。汪机在内外兼治的基础上，强调经络辨证结合刺灸外治；薛己善辨痈疽脉象，以清补兼施为用药特色；孙一奎把握病程发展及病情转归，注重温补脾肾，用香药行气血以治痈疽。[结论]明代温补学派从温补角度论治痈疽，不对痈疽单纯以“火毒”论治，不使寒凉之剂攻伐太过，以补益脾胃、扶正固本为祛邪外出之法。而今日医家多治以寒凉，故进一步挖掘温补学派治法，于临床启发良多。 |
| 英文摘要: |
| [Objective]To explore the ideas and characteristics of carbuncle gangrene diagnosis and treatment of Warm school in Ming Dynasty.[Methods]From the point of view of literature collation and research of traditional Chinese medicine， this paper systematically analyzes the discussion， medical cases， specific prescriptions and acupuncture techniques of treating carbuncle gangrene in the works of WANG Ji， XUE Ji and SUN Yikui of Ming Dynasty.[Results]The Warm school of Ming Dynasty treated carbuncle and gangrene from the perspective of warm， which could make carbuncle and gangrene disappear， and should not be too cold to damage the healthy human body; and it was effective in preventing the disease from lingering repeatedly， and strengthening the body and the health to improve the prognosis. On the basis of internal and external treatment， WANG Ji emphasized meridian syndrome differentiation combined with external treatment of acupuncture and moxibustion. XUE Ji was good at identifying the pulse condition of carbuncle and gangrene， and was characterized by both clearing and tonifying. SUN Yikui grasped the development of the disease course and the outcome of the disease， paid attention to warm and tonify the spleen and kidney， and used fragrant medicine to promote Qi and blood circulation in treatment of carbuncle and gangrene. [Conclusion]The Warm school of Ming Dynasty discussed the treatment of carbuncle and gangrene from the perspective of warming and tonifying. It did not only treat carbuncle and gangrene from “fire poison”， and did not cause too many cold attack prescriptions. It took tonifying the spleen and stomach， strengthening the body and the root as the method of eliminating pathogenic factors. Today， doctors often treat it with coldness， and further explore the warm school of treatment， which has a lot of inspiration in clinical practice. |
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