| 王亦奇,朱乔青.《景岳全书》论齿牙[J].浙江中医药大学学报,2025,49(2):160-165. |
| 《景岳全书》论齿牙 |
| Dentition Discussed in Jingyue Quanshu |
| DOI：10.16466/j.issn1005-5509.2025.02.006 |
| 中文关键词: 中医口腔医学 《景岳全书》 齿牙 病因病机 论治 预防保健 理论观点 特色 |
| 英文关键词: TCM stomatology Jingyue Quanshu dentition etiology and pathogenesis treatment preventive health care theoretical perspectives characteristics |
| 基金项目:浙江省课程思政教学研究项目(浙教函〔2022〕51号)；浙江中医药大学2024年度省哲学社会科学重点培育研究基地(浙江中医药文化研究院)自设课题(2024JDYB07)；教育部产学合作协同育人项目(240900627050335) |
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| 中文摘要: |
| [目的] 推动《景岳全书》齿牙理论的研究，促进其古为今用，并提高齿牙疾患的临床疗效。[方法] 通过全面整理《景岳全书》的齿牙理论，从病因病机、论治、剂型与给药法、预防保健等方面开展文献研究，总结其理论观点与特色。[结果] 辩证地把握局部病症与整体病机的对立统一关系，是《景岳全书》齿牙理论贯彻始终的原则。从火、虫与肾虚三证论齿牙的病因病机，突出内伤病因以及齿牙与肾、胃、大肠、脾，尤其是与肾、胃的密切联系。从整体治疗、局部治疗、整体与局部并疗三维论治齿牙疾患；倚重辨证论治，并寓辨证论治于局部治疗之中；高度重视外治法，外治用药具有多辛热药、多动物类药、多矿物类药、多毒药、多用盐的特点；艾灸、数量可观的辛热外用方剂以及固齿外用方剂的应用，生动地诠释了“火郁发之”“以脏补脏”等治法的临床应用。剂型与给药方法多样，护齿固牙观念独到，而且保健措施多样、易行有效。[结论] 《景岳全书》对于齿牙病证的论述丰富且颇多特色，对后世具有重要的指导和启迪意义，值得学习借鉴，应该将其作为中医口腔医学的主要参考资料加以重视。 |
| 英文摘要: |
| [Objective] To promote the study of the dental theory of Jingyue Quanshu， to facilitate its use in the present day and to improve the clinical efficacy of dental diseases. [Methods] By comprehensively collating the dental theories of Jingyue Quanshu， a literature study was carried out on the etiology and pathogenesis， treatment， dosage forms and delivery methods， and preventive health care to summarize the theoretical perspectives and characteristics of the theories. [Results] Dialectically grasping the unity of opposites between local diseases and the overall diseases mechanism is the principle of the dental theory of Jingyue Quanshu. The etiology and mechanism of tooth is discussed from the three syndromes of fire， bacteria and kidney deficiency， highlighting the cause of internal injuries as well as the close connection between tooth and kidney， stomach， large intestine and spleen， especially with kidney and stomach. The three-dimensional treatment of dental diseases is combining overall treatment， local treatment， and overall with local treatment; attach great importance to external treatment， and external treatment drugs with the characteristics of more acrid heat drugs， more animal drugs， more mineral drugs， more poisons， and more salts; The application of moxibustion， a considerable number of external prescriptions for pungent and external prescriptions for tooth fixing， vividly illustrating the clinical application of treatment methods such as “remove pathogenic heat from the body” and “supplementing the viscera with the viscera”. The dosage forms and delivery methods are varied, the concepts of dental care and tooth-fixing are unique, and the healthcare measures are diverse, practical, and effective. [Conclusion] Jingyue Quanshu is rich and distinctive in exposition of dental diseases， which is of great significance in guiding and enlightening later generations. It is worthy of study and should be valued as the primary reference material of traditional Chinese medical(TCM) stomatology. |
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