本文選題：蘇世屏 + 傷寒論原文真義��； 參考：《廣州中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:蘇世屏,號離塵。近代嶺南傷寒派醫(yī)家。其代表作《傷寒論原文真義》共8卷17萬字。全書詮釋《傷寒論》用六經(jīng)氣化學(xué)說,進一步提出氣化與形質(zhì)的關(guān)系,并在氣形兩個方面對書中理法方藥進行解釋。目前關(guān)于嶺南傷寒醫(yī)家蘇世屏的及其著作《傷寒論原文真義》研究甚少,該書出版后未能廣為人知。蘇世屏《傷寒論原文真義》的學(xué)術(shù)思想產(chǎn)生于特定的時代背景,帶有時代的烙印,對當(dāng)時推動嶺南醫(yī)學(xué)乃至中醫(yī)學(xué)有一定意義,為當(dāng)今嶺南中醫(yī)藥乃至中醫(yī)藥學(xué)的發(fā)展提供借鑒。本論文研究《傷寒論原文真義》書中傷寒學(xué)術(shù)觀點,立足書中核心思想——氣化和形質(zhì)的思想作出探討。方法:1.文獻分析法:包括文獻的查找,資料的收集、鑒別、整理、匯編等。本論文所使用的方法基本是文獻分析法,如有關(guān)闡述氣化學(xué)說相關(guān)醫(yī)家著作資料的收集匯總。并且按照醫(yī)史文獻的傳統(tǒng)研究方法,重視一手資料的收集、整理。如聯(lián)系蘇世屏再傳弟子方恩澤醫(yī)生,查閱復(fù)印蘇世屏遺留的手稿并對其進行訪談。2.理論評述法:是采用歸納分析、歸納演繹、傳統(tǒng)闡釋、相關(guān)對比等方法。理論評述法是本論文對蘇世屏《傷寒論原文真義》學(xué)術(shù)思想的主要方法。其中參照了采用氣化學(xué)說的醫(yī)家著作學(xué)術(shù)觀點的對比,提煉歸納書中內(nèi)容并分點闡述。如參考《張志聰醫(yī)學(xué)全書》、《陳修園醫(yī)學(xué)全書》、《唐容川醫(yī)學(xué)全書》《傷寒論崇正篇》等。成果:蘇世屏《傷寒論原文真義》這部醫(yī)學(xué)著作所表達的學(xué)術(shù)思想,屬于維護舊論派,其中又是維護舊論派中持氣化學(xué)說的醫(yī)家。繼承并發(fā)揚了六經(jīng)氣化學(xué)說,原書體例參照陳修園《傷寒論淺注》的編次特點,并且以六經(jīng)思想為核心對其進行分章節(jié)。并且用"以經(jīng)注經(jīng)"、"以論釋論""以臨證解論"的方式對《傷寒論》進行注釋。蘇氏先從氣化形質(zhì)兩個層面分析人體中氣的種類——經(jīng)氣和谷氣,不同的形質(zhì)系統(tǒng)——五臟六腑、經(jīng)隧、經(jīng)筋、經(jīng)絡(luò)、血脈,揭示出六經(jīng)本標(biāo)中氣理論。病因為人體正氣不足,太陽經(jīng)經(jīng)氣陰陽失衡,導(dǎo)致六淫中寒邪侵襲。本氣不足是致病的本因,而寒邪是六淫致病之首,其他燥濕熱邪氣則需通過寒邪帶領(lǐng)才能進入人體致病。后續(xù)的病機變化則是有關(guān)傳經(jīng)的問題。病邪進太陽經(jīng)經(jīng)氣層后,則進入到他經(jīng),蘇氏歸納為有"轉(zhuǎn)"和"屬",并且探索了《傷寒論》中傳經(jīng)的方式和日數(shù),歸納了傳經(jīng)與日數(shù)的規(guī)律。這是一個創(chuàng)新點。因此,蘇氏認為,《傷寒論》以太陽傷寒為主要之立說,以寒之標(biāo)氣中風(fēng)為分說,以合病并病為合說。結(jié)論:蘇世屏《傷寒論原文真義》中的學(xué)術(shù)思想繼承了"錢塘二張"為代表的維護舊論派,并發(fā)揚了維護舊論派中用六經(jīng)氣化思想來解釋《傷寒論》。加上西醫(yī)逐漸普及的背景下,更明辨中醫(yī)中氣化與形質(zhì)之別,與西醫(yī)系統(tǒng)的比較闡述了《傷寒論》的理論體系,對嶺南傷寒的發(fā)展有一定意義。
[Abstract]:Objective: Su Shiping, no. Modern Lingnan Typhoid School of Medicine. His masterpiece, the True meaning of the original text of febrile Diseases, consists of 8 volumes and 170000 words. The book interprets the theory of six meridians gasification, further puts forward the relationship between gasification and form, and explains the rational prescription and medicine in the two aspects of gas form. At present, there is little research on the Lingnan typhoid doctor Su Shiping and his book "the True meaning of the original text of the Treatise of febrile Diseases", which has not been widely known since the publication of the book. The academic thought of Su Shiping's "the True meaning of the original text of the Treatise of febrile Diseases" originated from the specific background of the times and had the brand of the times, which was of certain significance to the promotion of Lingnan medicine and even traditional Chinese medicine at that time. To provide reference for the development of Lingnan traditional Chinese medicine and even Chinese medicine. This paper studies the academic viewpoint of typhoid fever in the book "the True meaning of the original text of febrile Diseases", and discusses it based on the core thought of the book-Gasification and formality. Method 1: 1. Literature analysis: including document search, data collection, identification, collation, compilation, etc. The method used in this paper is literature analysis, such as collection and collection of literature about the theory of gasification. And according to the traditional research methods of medical history literature, attach importance to the collection and collation of primary materials. For example, contact Dr. Fang Enze, a disciple of Su Shiping, read and interview Su Shiping's manuscripts. Theoretical review method: inductive analysis, inductive deduction, traditional interpretation, correlation contrast and so on. The theory comment method is the main method of this thesis to the academic thought of Su Shiping's the True meaning of the original text of the Treatise of febrile Disease. Referring to the comparison of the academic viewpoints of the works of physicians adopting the theory of gasification, the contents of the book are abstracted and elaborated. For example, refer to Zhang Zhicong medical book, Chen Xiuyuan medical encyclopedia, Tang Rongchuan medical book, Chongzheng article on febrile fever, etc. Results: the academic thought expressed in Su Shiping's "the True meaning of the Treatise of febrile Diseases" belongs to the school of preserving the old theory, among which is the doctor who maintains the theory of gasification in the school of the old theory. It inherits and develops the theory of six classics gasification. The original book style refers to the arrangement characteristics of Chen Xiuyuan's A brief Note on febrile Diseases, and it is divided into chapters with the core of the six Classics thought. It also annotates the Treatise of febrile Disease in the way of "annotating the Classic with the Classic", "on the interpretation of the Theory of explanation" and "on the interpretation of the Clinical evidence". Su first analyzed the types of qi in human body from two aspects of gasification form and quality-meridian qi and valley qi, different form system-five viscera and six fu organs, through tunnel, meridian, blood vessel, and revealed the theory of qi in the original standard of the six meridians. The etiology is the deficiency of body qi and the imbalance of Yin and Yang of the sun meridian, leading to the invasion of the cold evil in the six harlots. The deficiency of this qi is the cause of disease, and the cold evil is the first of the six diseases, and the other dampness and heat evil need to be led by the cold evil in order to enter the human body. Subsequent pathogenesis changes are related to the transmission of the classics. After the disease evil entered the meridian and qi layer of the sun, it entered into other sutras. Su's sutra was summed up as "turn" and "genus", and explored the way and number of days to transmit the sutras in Treatise of febrile, and summarized the law of transmitting the sutras and the number of days. This is an innovation. Therefore, Su thinks that the theory of typhoid fever is mainly based on solar typhoid fever, the standard of cold is apoplexy, and the combination of disease and disease is the joint theory. Conclusion: the academic thought in Su Shiping's the True meaning of the Treatise of febrile Diseases inherits the "Qiantang Erzhang" as the representative of the old school of maintenance, and carries forward the idea of "six meridians and gasification" to explain the "theory of febrile fever" in the school of the maintenance of the old theory. Under the background of the gradual popularization of western medicine, the differentiation between gasification and form in traditional Chinese medicine and the theoretical system of typhoid fever in Lingnan are expounded in comparison with western medicine system, which is of certain significance to the development of typhoid fever in Lingnan.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R222

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