文章摘要
俞叶娜,徐新宇,蒋婉,等.基于《医学心悟》探讨程钟龄辨治妇人产后病经验特色[J].浙江中医药大学学报,2022,(6):607-612.
基于《医学心悟》探讨程钟龄辨治妇人产后病经验特色
To Explore CHENG Zhongling‘s Experience in Distinguishing and Treating Postpartum Diseases Based on Medical Heart Enlightenment
DOI:10.16466/j.issn1005-5509.2022.06.005
中文关键词: 医学心悟  产后病  脾胃  气血  医家经验  程钟龄
英文关键词: Medical Heart Enlightenment  postpartum diseases  spleen and stomach  Qi and blood  doctor‘s experience  CHENG Zhongling
基金项目:滁州市科技计划项目(2020ZN017)
作者单位
俞叶娜 安徽中医药大学附属滁州中西医结合医院 安徽滁州 239000 
徐新宇 浙江中医药大学第三临床医学院 
蒋婉 安徽中医药大学附属滁州中西医结合医院 安徽滁州 239000 
王允琴 安徽中医药大学附属滁州中西医结合医院 安徽滁州 239000 
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中文摘要:
      [目的] 探究清代著名医家程钟龄辨治妇人产后病的经验特色,为临床辨治产后诸疾提供一定思路。[方法] 以《医学心悟·卷五》中记载的14类产后病为研究对象,结合《黄帝内经》《金匮要略》《血证论》《傅青主女科》《经效产宝》等相关著作中对于产后病的认识,以及程氏在《医学心悟·医门八法》中的相关论述,对程氏辨治妇人产后病的经验特色进行分析。[结果] 程氏认为脾胃虚弱、气血不足是妇人产后的体质根本,外邪易感、瘀血停滞是产后诸疾形成的关键,在产后病的治疗上具有“健运脾胃补气血,善用四君四物”“活血化瘀止诸痛,善用失笑归芎”“产后诸疾辨证看,化裁用药精当”以及“产后将护有数法,性情饮食皆顾”的特色,不仅重视气血亏虚、瘀血停滞、外邪侵袭,亦重视脏腑功能的失衡和调节,使得产后病的辨治体系更加全面、系统。[结论] 程氏辨治产后病具有独到经验,理法明确,方药精当。深入研究程氏治疗产后病特点,对临床指导产后疾病的治疗均有重要价值,有助于提高此类疾病的临床诊治水平。
英文摘要:
      [Objective] To explore the experience of CHENG Zhongling, a famous doctor in Qing Dynasty, in the treatment of postpartum diseases, and provide some ideas for clinical treatment of postpartum diseases. [Methods] With 14 classes of postpartum diseases recorded by the Five Volume of Medical Heart Enlightenment as the research object, combining the understanding of the related books for postpartum diseases of The Inner Canon of Huangdi, Synopsis of Golden Chamber, Blood Syndrome Theory, FU Qingzhu Works on Obstetrics and Gynecology, Proven Efficacy to Production and so on, as well as CHENG Zhongling‘s relevant view in the Eight Methods of Medical Door of Medicine Heart Enlightenment, CHENG Zhongling‘s experience and characteristics in the differentiating and treating postpartum diseases were analyzed. [Results] CHENG Zhongling thought weak spleen and stomach, Qi and blood deficiency were the constitution of the woman postpartum diseases, external evil invasion, stagnation of blood stasis were the key to all postpartum diseases formation, and formed many characteristics, such as “tonifying the spleen and stomach, replenishing Qi and blood, and good at using Sijunzi Decoction and Siwu Decoction”“stopping the pain by activating blood circulation and making good use of Shixiao Powder, Chuanxiong Rhizoma and Paeoniae Radix Rubra”“all postpartum diseases differentiation, drugs modified precisely and appropriately”and“postpartum care covering several methods, and taking care of both temperament and diet” in the treatment of postpartum diseases. CHENG Zhongling not only paid attention to Qi and blood deficiency, blood stasis stagnation, external evil invasion, but also paid attention to the imbalance and regulation of viscera function, which made the diagnosis and treatment system of postpartum disease more comprehensive and systematic. [Conclusion] CHENG Zhongling had unique experience, clear theory and prescription in the differentiation and treatment of postpartum diseases. In-depth study on the characteristics of CHENG Zhongling‘s treatment of postpartum diseases should be of great value to clinical guidance of the treatment of postpartum diseases, and helpful to improve the level of clinical diagnosis and treatment of such diseases.
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