《顾氏医镜》虚劳论治特点初探.pdfVIP

《顾氏医镜》虚劳论治特点初探 曾志平;徐光星 【摘要】[Objective]To explore the consumptive disease treating experience in Gushi Yijing, written by Gu Songyuan who lived in the Qing Dynasty. [Methods]By studying consumptive disease related content in the book, discussing and summing up the consumptive disease treating experience. [Results] On the basis of pointing out seven kinds of error method that doctor treating consumptive disease at that time, Gu Songyuan put forward the opinion that consumptive disease was usual y caused by the internal injury of Zang and Fu organs which resulted into Yin deficiency as the main pathogenesis. The article contained other details as fol ows: the basic symptoms of consumptive disease of the five internal organs, three main therapeutic methods on treatment of consumptive disease, the preference of nourishment combined drugs with food, habit of using some sweet and cold durgs which can clear heat, the use of fles and blood of sentient beings and so on. So the key idea of this article focused on the method of nourishing Yin to enrich Jing and blood whic could cure the consumptive disease effectively.[Conclusion]Gu Songyuan inherited predecessor ’s theory, analysed the etiology of consumptive disease of the five internal organs, pointed out Yin deficiency is the main pathogenesis, and then put forward the therapeutic method, which has some medical knowledge on modern clinic.%[ 目的]探讨清代医家顾松园《顾 氏医镜》中虚劳论治特点。[方法]通过对《顾氏医镜》一书的认真研读，整理、分 析书中虚劳相关内容，阐述、归纳顾松园对于虚劳论治的学术特色，并总结出顾氏 治疗虚劳一证的独特经验。[结果]顾氏在指出当世之医治虚七误的基础上，提出虚 劳是脏腑内伤以阴虚为主要病机，列出五脏虚劳之本症、立治疗虚劳三要法，主张 药食同补忌辛热及火灸，用药以甘寒清热为主、注重血肉有情之品的运用，以保阴 使精血充沛来治疗虚劳。[结论]顾氏承前人之说，阐发五脏受损为虚劳病之病因， 指出阴虚为虚劳病之病机，提出保阴使精血充沛为虚劳病之治法，其学术经验对现 代临床有一定参考价值，值得传承发展。 【期刊名称】《浙江中医药大学学报》 【年(卷),期】2014(000)002 【总页数】3 页(P140-141,142) 【关键词】顾氏医镜;顾松园医镜校注;顾松园;虚劳;阴虚;滋阴 【作者】曾志平;徐光星 【作者单位】浙江中医药大学 杭州 310053;浙江中医药大学 杭州 310053 【正文语种】中 文 【中图分类】R245-9 《顾氏医镜》系清代医家顾松园所著，又名《医镜》或《顾松园医镜》，成书于 清·康熙五十七年（1718 ）。顾氏以岐黄仲