本文選題：吳鞠通　切入點：濕熱陰傷　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：本文通過查閱相關(guān)文獻(xiàn)及資料,對吳鞠通著作及醫(yī)案中有關(guān)氣血同治的論述進(jìn)行分析、歸納、總結(jié),進(jìn)而探求其氣血同治思想的時代背景及理論特色,以求對吳氏氣血同治思想深入發(fā)掘、系統(tǒng)全面的認(rèn)識,從而有效指導(dǎo)當(dāng)今臨床實踐。本課題從以下幾方面進(jìn)行探討:1研究背景:氣血是中醫(yī)學(xué)重要內(nèi)容之一,氣血同治是其中特色的治療方法,歷代醫(yī)家圍繞補(bǔ)益和祛邪形成了兩種不同的氣血同治法。自仲景創(chuàng)立傷寒論六經(jīng)辨證,將外感疾病治療統(tǒng)歸其中,因寒邪易傷陽氣導(dǎo)致以氣血虧虛為主的病機(jī),故倡導(dǎo)補(bǔ)益氣血使之恢復(fù)正常。然針對熱邪傷人引起的以邪實為主的病機(jī),傷寒之法論述不詳,后至劉和間開始探求治溫之法,經(jīng)過歷代醫(yī)家發(fā)展,明清時期對溫病的認(rèn)識趨向系統(tǒng)完整,葉天士創(chuàng)立衛(wèi)氣營血辨證體系,將人體生理、病理分為衛(wèi)分、氣分、營分、血分進(jìn)行辨證論治。吳鞠通全面繼承了葉氏的氣血理論,在此基礎(chǔ)上進(jìn)一步發(fā)揮其學(xué)說,創(chuàng)立三焦辨證體系,使溫病學(xué)理論體系趨于完善,在此過程中,吳氏形成了自己獨具特色的氣血同治思想,在其著作中對氣血同治論述頗多,其醫(yī)案中也存在大量行之有效的氣血同治案例,可見吳鞠通深諳氣血同治之理。在濕熱、陰傷體質(zhì)居多的現(xiàn)代社會當(dāng)中,熱性病發(fā)病率增高且其中多出現(xiàn)氣血同病的病機(jī),治療時須氣分、血分兼顧。2吳鞠通氣血同治思想的特色吳鞠通為清代著名溫病學(xué)家,其學(xué)術(shù)思想繼承了前賢的理論基礎(chǔ),其理論源于《內(nèi)經(jīng)》,發(fā)揮自張仲景,闡發(fā)劉完素、葉桂諸家,結(jié)合自己在臨床實踐中的感悟,創(chuàng)立了溫病的有效治法。吳氏著作有《溫病條辨》、《醫(yī)醫(yī)病書》、《吳鞠通醫(yī)案》等,將其的學(xué)術(shù)思想及成就囊括在內(nèi),包括其理論與治法創(chuàng)新。吳鞠通從衛(wèi)氣營血一體觀的角度認(rèn)識氣血同治并廣泛用于臨床,將衛(wèi)氣營血置于三焦辯證體系中,在外感熱病、內(nèi)傷雜病中靈活應(yīng)用,效果良好。3吳鞠通氣血同治法的現(xiàn)代臨床應(yīng)用現(xiàn)代人生活環(huán)境、飲食習(xí)慣等因素使?jié)駸�、陰傷體質(zhì)越來越多,感邪后使得疾病有化濕、化熱、化燥、傷陰的趨勢,因而多出現(xiàn)濕熱陰傷為主的氣血同病病機(jī)。因此吳鞠通氣血同治思想對現(xiàn)代臨床有很大的理論指導(dǎo)和臨床實踐價值,值得我們深入發(fā)掘、加以應(yīng)用。導(dǎo)師張福利教授將吳鞠通氣血同治思想拓展延伸,廣泛用于臨床各類疾病的治療,取得了良好的效果。
[Abstract]:By consulting relevant documents and materials, this paper analyzes, induces, summarizes and explores the epoch background and theoretical characteristics of Wu Ju Tong's works and medical records on the treatment of qi and blood with the same blood, and then explores the historical background and theoretical characteristics of his thoughts on the same treatment of qi and blood. In order to explore Wu's thought of treating qi and blood in depth and to understand it systematically and comprehensively so as to effectively guide current clinical practice, this paper discusses the research background of "1" from the following aspects: Qi and blood is one of the important contents of traditional Chinese medicine. The treatment of qi and blood is one of the characteristics of the treatment. Physicians of all dynasties have formed two different methods of treating qi and blood in the same way around tonifying and dispelling evil. Since Zhongjing founded the syndrome differentiation of the six meridians of febrile fever, the treatment of exogenous diseases was integrated into it. Because cold evil easily injures yang qi, it leads to the pathogenesis of deficiency of qi and blood, so it is advocated to replenish qi and blood so that it can return to normal. However, the method of typhoid fever is unknown, and then Liu he begins to explore the method of treating temperature. After the development of physicians in the past dynasties, the understanding of febrile disease in the Ming and Qing dynasties tended to be systematic and complete. Ye Tianshi established the system of differentiation of Wei Qi and Ying Blood, dividing human physiology and pathology into Wei points, Qi points, and Ying points. Wu Jutong inherited Ye's theory of qi and blood in an all-round way. On this basis, he further developed his theory, established the system of syndrome differentiation of the three coke, and made the theoretical system of febrile disease more perfect. In the process, Wu had formed his own unique thought of simultaneous treatment of qi and blood. In his works, he discussed the same treatment of qi and blood quite a lot, and there were a large number of effective cases of simultaneous treatment of qi and blood in his medical records. It can be seen that Wu Ju Tong is well versed in the theory of simultaneous treatment of qi and blood. In a modern society with a high incidence of fever and venereal diseases, in which the incidence of heat and venereal diseases is increased and the pathogenesis of Qi and blood is synonymous with disease, it is necessary to take account of the characteristics of Wu Ju Tong and Wu Ju Tong, a famous febrile disease scientist in the Qing Dynasty. His academic thought inherits the theoretical basis of the former sages, whose theory is derived from the Internal Classic. It is derived from Zhang Zhongjing, explains Liu Wansu and Ye Gui's family, and combines his own understanding in clinical practice. The effective treatment of febrile disease was established. Wu's works include "differentiation of febrile diseases", "Medical books on medicine and diseases", "Wu Jutong's medical case", and so on, including his academic thoughts and achievements. Including the innovation of its theory and treatment method. Wu Jutong, from the point of view of the integration of Wei Qi and Ying blood, recognized the same treatment of qi and blood and widely used it in clinical practice, put Weiqi and Ying blood in the dialectical system of tri-coke, and applied them flexibly in external febrile diseases, internal injuries and miscellaneous diseases. The modern clinical application of Wu Ju Tong Qi and Blood simultaneous treatment method in modern clinical application of modern living environment, eating habits and other factors, such as dampness and heat, Yin injury body more and more, after feeling evil causes the disease has the tendency of dehumidification, heat, dryness, injury yin, etc. Therefore, Wu Ju's thought of treating qi and blood together with Qi and blood is of great theoretical guidance and clinical practical value to modern clinical practice, and it is worth our further exploration. Professor Zhang Foley, a tutor, extended Wu Ju's thought of treating qi and blood together, and widely used it in the treatment of various kinds of clinical diseases, and achieved good results.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R249

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