張仲景痰飲學(xué)說(shuō)及其對(duì)唐以前醫(yī)家的影響
本文選題:張仲景 + 痰飲學(xué)說(shuō); 參考:《浙江中醫(yī)藥大學(xué)》2016年博士論文
【摘要】:目的研究仲景痰飲學(xué)說(shuō)的理論基礎(chǔ),總結(jié)仲景痰飲學(xué)說(shuō),探討仲景痰飲學(xué)說(shuō)對(duì)唐以前辨治痰飲的影響及其醫(yī)學(xué)成就。方法 第一部分為系統(tǒng)地搜集并研究《黃帝內(nèi)經(jīng)》對(duì)痰飲的論述,探討仲景痰飲學(xué)說(shuō)的理論基礎(chǔ);第二部分為對(duì)《傷寒論》和《金匱要略》關(guān)于痰飲的論述進(jìn)行分類(lèi)歸納和總結(jié),分別從證候、病名、病因病機(jī)、治法治則等方面闡明仲景對(duì)辨治痰飲的發(fā)展;第三部分以仲景痰飲學(xué)說(shuō)的理法方藥為標(biāo)準(zhǔn),分析魏晉南北朝時(shí)期醫(yī)家辨治痰飲的特色;第四部分將仲景痰飲學(xué)說(shuō)與《諸病源候論》所提出的病名、病證、病因病機(jī)進(jìn)行比較研究;第五部分則是以仲景痰飲學(xué)說(shuō)和《諸病源候論》對(duì)痰飲病因病機(jī)的補(bǔ)充為依歸,分析仲景痰飲學(xué)說(shuō)的傳承及《千金》、 《外臺(tái)》對(duì)痰飲辨治發(fā)展的貢獻(xiàn)。結(jié)果 《黃帝內(nèi)經(jīng)》對(duì)痰飲病名、證候、病因病機(jī)、治法治則的論述是仲景痰飲學(xué)說(shuō)的理論基礎(chǔ);仲景痰飲學(xué)說(shuō)是以痰飲為研究和討論的核心,涉及到與其相關(guān)的各種疾病、證候,以及辨治痰飲的理法方藥;魏晉南北朝醫(yī)家針對(duì)“痰飲之為病”的各種病證,治擬辛溫法為主,符合辨治痰飲以“溫藥和之”的精神,而其他方藥所代表的治法,也都能夠在仲景方中找到對(duì)應(yīng);《諸病源候論》對(duì)痰飲病因病機(jī)的論述和《千金》、《外臺(tái)》對(duì)辨治痰飲方藥的記載有助于系統(tǒng)地補(bǔ)充仲景痰飲學(xué)說(shuō)。結(jié)論仲景所提出的痰飲學(xué)說(shuō)的理論基礎(chǔ)來(lái)源于《黃帝內(nèi)經(jīng)》,蘊(yùn)含辨證論治精神和理法方藥體系,對(duì)痰飲辨治的貢獻(xiàn)厥功甚偉;仲景學(xué)說(shuō)來(lái)源于實(shí)踐,升華為理論再指導(dǎo)實(shí)踐,這是其強(qiáng)大生命力所在;然而,事物是發(fā)展的,所以,魏晉南北朝醫(yī)家, 《諸病源候論》、 《千金》、《外臺(tái)》補(bǔ)充了仲景痰飲學(xué)說(shuō),共同構(gòu)成了唐以前辨治痰飲的醫(yī)學(xué)成就。
[Abstract]:Objective to study the theoretical basis of Zhongjing phlegm and drink theory, summarize Zhongjing phlegm and drink theory, and discuss the influence of Zhongjing phlegm drink theory on differentiation and treatment of phlegm drink before Tang Dynasty and its medical achievements. Methods in the first part, the author systematically collected and studied the discussion of phlegm and drink in Huangdi Nei Jing, and discussed the theoretical basis of Zhongjing phlegm and drink theory. The second part is to classify and summarize the argumentation about phlegm and drink in Treatise of febrile Diseases and synopsis of Golden Chamber, expounding the development of Zhongjing's differentiation and treatment of phlegm and drink from the aspects of syndromes, names of diseases, etiology and pathogenesis, principles of treatment and so on. The third part is based on the theory of Zhongjing phlegm and drink as the standard, analyzes the characteristics of the doctors' differentiation and treatment of phlegm and drink during the Wei, Jin and the Northern and Southern dynasties, and the fourth part puts forward the name and syndrome of the disease by Zhongjing's phlegm and phlegm theory. The fifth part is based on the theory of Zhongjing phlegm drink and the supplement to the etiology and pathogenesis of phlegm and drink, and analyzes the contribution of Zhongjing phlegm drink theory to the development of phlegm and drink differentiation and treatment. Results the discussion on the names, syndromes, etiology, pathogenesis, treatment principles of phlegm and drink is the theoretical basis of Zhongjing phlegm and drink theory, which is the core of the research and discussion on phlegm and drink, which involves various diseases related to phlegm and drink. Syndrome, as well as the rational prescription and medicine of differentiation and treatment of phlegm and drink; the doctors of Wei, Jin and Northern and Southern dynasties treated various diseases and syndromes of "phlegm and drink as diseases" mainly by imitating Xin Wen method, which was in line with the spirit of "warm medicine and medicine" in differentiation and treatment of phlegm and drink, while other prescriptions represented the treatment method. The discussion on the etiology and pathogenesis of phlegm and drink and "Qianjin >, the record of" differentiation and treatment of phlegm and phlegm drink prescription "is helpful to supplement the theory of" Zhongjing phlegm and drink "systematically. Conclusion Zhongjing's theory of phlegm and drink is based on Huangdi's Internal Classic, which contains the spirit of differentiation of symptoms and signs and the system of prescription and medicine, and contributes greatly to the treatment of phlegm and drink differentiation, and Zhongjing's theory is derived from practice and sublimated into theory to guide practice. This is its strong vitality; however, things are developing, so the doctors of Wei, Jin, Southern and Northern dynasties, "on the Origin of Diseases", "Qianjin >," Outer Taiwan "supplemented the theory of Zhongjing phlegm and drink, together constituted the medical achievements of differentiation and treatment of phlegm before the Tang Dynasty.
【學(xué)位授予單位】:浙江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】:博士
【學(xué)位授予年份】:2016
【分類(lèi)號(hào)】:R222
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