本文選題：張子和　切入點(diǎn)：攻邪論　出處：《北京中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：張子和是中國(guó)醫(yī)學(xué)史上一位卓爾不群的杰出醫(yī)家,金元四大家之一,為"攻邪派"的代表。目前對(duì)張子和學(xué)術(shù)思想的研究挖掘不夠精深,對(duì)其病因、病機(jī)、辨治機(jī)理認(rèn)識(shí)未作深入系統(tǒng)探討,對(duì)攻邪論學(xué)術(shù)思想仍然缺乏全面客觀評(píng)價(jià)。張子和攻邪論學(xué)術(shù)思想尚待系統(tǒng)整理闡述,需要分析歸納其內(nèi)涵機(jī)理。通過(guò)對(duì)張子和學(xué)術(shù)理論和應(yīng)用進(jìn)行整理研究,歸納辨治機(jī)理,總結(jié)方藥特色,闡述后世對(duì)張子和學(xué)術(shù)評(píng)價(jià)和傳承發(fā)展情況,以對(duì)進(jìn)一步研究、發(fā)揚(yáng)張子和學(xué)術(shù)思想有所助益。研究方法采用傳統(tǒng)文獻(xiàn)研究方法、比較研究法、文獻(xiàn)統(tǒng)計(jì)法。通過(guò)對(duì)張子和攻邪論學(xué)術(shù)思想有重要影響的經(jīng)典著作與醫(yī)家學(xué)術(shù)思想溯源,探討張子和對(duì)虛實(shí)攻補(bǔ)的繼承與發(fā)展情況。將疾病按病因分為"始因氣動(dòng)而內(nèi)有所成者"、"始因氣動(dòng)而外有所成者"、"不因氣動(dòng)而病生于內(nèi)"、"不因氣動(dòng)而病生于外"四類,整理張子和醫(yī)理、醫(yī)案,歸納其辨治機(jī)理,對(duì)比后世醫(yī)家對(duì)疾病病因、病機(jī)、治法觀點(diǎn)。整理張子和婦、兒、五官科證治特色。歸納張子和攻補(bǔ)理法內(nèi)涵。對(duì)《儒門事親》醫(yī)案所載方藥進(jìn)行全面歸納整理,使內(nèi)容更為完整與條理。對(duì)六門制方用藥特色進(jìn)行分析。整理后世對(duì)張子和學(xué)術(shù)發(fā)展情況,客觀認(rèn)識(shí)張子和學(xué)術(shù)思想對(duì)后世的影響。張子和攻邪論學(xué)術(shù)思想將《內(nèi)經(jīng)》、《難經(jīng)》理論作為闡釋病證及治療方法重要依據(jù),善用張仲景治法方藥,尊崇劉完素學(xué)術(shù)思想。張子和將疾病按病因分為四類,"始因氣動(dòng)"有病發(fā)于內(nèi)、外之分,"不因氣動(dòng)"有內(nèi)因、外因之分,通過(guò)病案理法方藥分析,具體理解攻邪論學(xué)術(shù)思想的臨證運(yùn)用。后世診治風(fēng)痹痿厥、九氣為病、疝病、暴瀉諸病多遵張子和所論。張子和治療婦、兒、五官科疾病以清熱利水、和血調(diào)經(jīng)為要。張子和攻補(bǔ)理法內(nèi)涵豐富,以汗、吐、下三法為綱,能兼眾法。攻法包括汗、吐、下三法,發(fā)表、攻里祛邪治法,疾病病機(jī)從火和濕認(rèn)識(shí)治以清瀉火熱、淡滲利濕、辛通潤(rùn)燥,五郁(風(fēng)木郁、暑火郁、濕土郁、燥金郁、寒水郁)為病治以汗法、吐法、下法、利小便、折沖逆。補(bǔ)法包括祛邪即是補(bǔ)正、養(yǎng)生以食補(bǔ)、權(quán)衡平補(bǔ)、五味以補(bǔ)臟腑。調(diào)治法包括以水調(diào)諸藥的經(jīng)驗(yàn),調(diào)治陰陽(yáng)、調(diào)養(yǎng)胃氣、通經(jīng)調(diào)血、隨證調(diào)治。整理補(bǔ)充按三法六門、"兼治"、"獨(dú)治"、"調(diào)治"分類的方劑,根據(jù)四氣五味分類三法用藥,統(tǒng)計(jì)六門方劑用藥頻次。后世醫(yī)家對(duì)張子和學(xué)術(shù)評(píng)價(jià)褒貶不一,但在臨證診治中攻邪祛病為重要的治療方法,不離廣義的汗、吐、下三法,隨著中醫(yī)學(xué)發(fā)展進(jìn)一步細(xì)化病因、病機(jī)的認(rèn)識(shí),治療緩和并具有針對(duì)性,補(bǔ)充疾病的虛寒證治。
[Abstract]:Zhang Zi is an unique and outstanding doctor China medical history, and one of the four, as the representative of xiepai ". The current research on Zhang Zi's academic thought and mining is not profound, its etiology, pathogenesis, syndrome differentiation and treatment mechanism is not an in-depth discussion on the attack system, evil academic thoughts still lack of comprehensive and objective evaluation. Zhang Zi attack on academic thought has yet to be systematically expounded, analyzed and summarized its connotation. The mechanism needs through the Zhang Zi and the academic theory and application research, induction differentiation mechanism, summarizes the characteristics of this prescription, Zhang Zi later on and academic evaluation and development, to further research, develop a child and the academic thought is helpful. The method of using traditional methods of literature research, comparative research method, literature analysis method. Through the academic thoughts of Zhang Zi and attack evil has important effects on the classics and doctor of Science 鏈，

本文編號(hào)：1589379