摘要
富有创新精神的新安医家,在理、法、方、药诊疗思维的各个环节都有创新发明。笔者认为,在治法创新上除"固本培元"外,新安医家在长期临床实践中还形成了"调理脾胃"、"养阴护阴"、"准《伤寒》法"等特色治法。"调理脾胃"法与"固本培元"法一源双流,以"后天元阴元阳不足"论治为分野,从培补"脾胃元气"到"脾胃分治",从脾虚分阴阳论治到脾胃各分阴阳论治,以吴澄理脾阴、叶天士养胃阴最具特色,弥补了李东垣《脾胃论》之不足,拓宽了从脾胃论治的临床思路;"养阴护阴"法从新安固本培元派滋阴以扶阳的考虑出发,由"补水滋阴"到"理脾阴",由治疫治杂症重"养胃阴"到"养阴清肺"治白喉再到"养阴润燥"治燥疫,以清代叶天士、郑氏喉科、余国珮等为代表,俨然形成新安养阴清润派;"准《伤寒》法"从"杂病准《伤寒》"到"温病不废《伤寒》",从分"乱伤寒"、"杂伤寒"到分正伤寒为"述古"、类伤寒为"新法",最终完成了由"温病属伤寒"到"寒温根叶相连"的进化,丰富和发展了中医治法体系。
With full of creativeness, Xin＇an doctors have made innovations on all aspects-pathology, treatment, prescription, and medicines. The author believes that in addition to ＇consolidating vital base and supplementing primordial qi＇, through long-term clinical practice, Xin＇an doctors have developed a lot of characteristic therapeutic methods, including ＇spleen and stomach regulation＇, ＇vital essence replenishing and protecting＇, and ＇typical therapies for exogenous febrile disease＇, etc. The methods of ＇regulating spleen and stomach＇ and ＇consolidating vital base and supplementing primordial qi＇ are of the same origin in different subfields, with diagnosis of ＇acquired deficiency in kidney-yin and kidney-yang＇ as the dividing line, from replenishing ＇spleen and stomach vitality＇ to ＇separate treatments of spleen and stomach＇, from ＇yin and yang treatments respectively on spleen deficiency＇ to ＇yin and yang treatments respectively on spleen and stomach separately＇, with ＇WU Cheng＇s methods dealing with spleen yin＇ and ＇YE Tian-shi＇s methods nourishing stomach yin＇ as the most iconic feature, thus remedying the shortcomings of LI Dong-heng＇s On Spleen and Stomach, broadening the clinical practice of diagnosis from spleen and stomach; for the therapy of ＇replenishing and protecting yin＇, setting out from the perspective of ＇nourishing yin to strengthening yang＇ as proposed by the Xin＇an school of consolidating vital base and supplementing primordial qi, from ＇water replenishing for yin nourishing＇ to ＇direct treatment on spleen yin＇, from focusing on ＇nourishing stomach yin＇ for treatment of miscellaneous diseases and epidemic diseases to ＇nourishing yin and clearing away the lung heat＇ in case of diphtheria and to ＇nourishing yin to moisten dryness＇ for treatment of dry heat disease, the typical representatives of YE Tian-shi, ZHENG Shi, and YU Guo-pei in Qing dynasty had obviously formed yin nourishing and refrigerant school of Xin＇an; the treatment method of ＇typical therapies for exogenous febrile disease＇, from ＇typical exogenous febrile disease of various illnesses＇ to ＇exogenous febrile disease still of warm disease＇, from the division of ＇disorderly exogenous febrile disease＇ and ＇exogenous febrile disease of various illnesses＇ to the separation of seasonal cold disease, has ultimately accomplished the evolution of the theory of ＇warm disease belonging to exogenous febrile disease＇ to ＇inter-correlating coldness-warmness in essence＇, thus enriching and developing traditional Chinese medical therapeutic system.
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2013年第10期2980-2987,共8页
China Journal of Traditional Chinese Medicine and Pharmacy
关键词
新安医家
治法
调理脾胃
养阴护阴
准《伤寒》法
Xin＇an doctors
Therapeutic methods
Spleen and stomach regulation
Yin nourishing and protection
Typical therapy for exogenous febrile disease
