本文選題：民國時(shí)期 + 傷寒醫(yī)家��； 參考：《遼寧中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：民國時(shí)期是經(jīng)方運(yùn)用的成熟時(shí)期,民國醫(yī)家不僅繼承了前人的經(jīng)驗(yàn)和學(xué)術(shù)特色,并且有較大發(fā)展。部分醫(yī)家受到西方醫(yī)學(xué)影響,開始用西醫(yī)理論解釋外感疾病;在辨證方面,將辨方證與辨病機(jī)證相結(jié)合;不拘于《傷寒論》原書的治療范圍,在內(nèi)、外、婦、兒、五官等各科均有運(yùn)用,處方靈活化裁。民國時(shí)期是經(jīng)方發(fā)展史上的一個(gè)巔峰,在臨床上大放異彩,名醫(yī)大家輩出,具有重要研究價(jià)值。本文運(yùn)用傳統(tǒng)文獻(xiàn)學(xué)方法,對(duì)民國時(shí)期醫(yī)家運(yùn)用《傷寒論》方的臨證特色加以研究。以生活在民國時(shí)期(包括清末到民國時(shí)期、民國到共和國時(shí)期)醫(yī)家的醫(yī)案專著、醫(yī)案類書、醫(yī)案叢書、醫(yī)案合刊以及附有醫(yī)案的其他論著作為研究對(duì)象,篩選《傷寒論》方相關(guān)醫(yī)案,從傷寒辨證論治特點(diǎn)、用方特點(diǎn)、經(jīng)方用藥習(xí)慣、經(jīng)方特殊煎服法四個(gè)方面進(jìn)行分析探討,梳理出具有較大價(jià)值的臨證經(jīng)驗(yàn),以期為傷寒學(xué)術(shù)研究與臨證應(yīng)用提供資料。民國時(shí)期醫(yī)家在傷寒辨證方面將六經(jīng)辨證與臟腑辨證相結(jié)合,不少醫(yī)家在辨證上本于《內(nèi)經(jīng)》,在治療上用《傷寒論》中所載方劑,并且用《內(nèi)經(jīng)》理論闡釋經(jīng)方治法。在臨床診斷上配合應(yīng)用西醫(yī)檢查方法,另如辨寒熱真假法等,對(duì)傷寒辨證方法有所發(fā)展。論治上重視合病,如從少陰陽明合病論治乳蛾。民國時(shí)期醫(yī)家臨證處方善于依據(jù)經(jīng)方理法自擬新方,擴(kuò)展用經(jīng)方治療范圍,如用經(jīng)方治療瘟疫痘疹。在方藥運(yùn)用上積累了豐富經(jīng)驗(yàn),如重用附子回陽救逆,炙甘草湯引火歸元,烏梅丸治療虛火遺精,桂枝湯疏肝補(bǔ)脾治療太陰病等。用藥精簡,擅用經(jīng)方藥對(duì),擅用單味藥,用藥輕靈,不尚重劑。部分醫(yī)家對(duì)經(jīng)方煎服法有特殊要求,如回陽救逆之方提倡冷服,用肉桂多沖服,小青龍湯泡服治療音啞等。民國時(shí)期,經(jīng)方的臨床運(yùn)用日趨成熟,大量的經(jīng)方醫(yī)案付梓印刷,流傳甚廣,為經(jīng)方臨床應(yīng)用研究提供了寶貴資料。
[Abstract]:The period of the Republic of China is the mature period of the application of the Confucian classics. The physicians of the Republic of China not only inherited the experience and academic characteristics of the predecessors, but also made great progress. Under the influence of Western medicine, some doctors began to use western medicine theory to explain exogenous diseases; in the aspect of syndrome differentiation, we should combine the differentiation of symptoms and signs with the differentiation of pathogenesis and syndromes; regardless of the scope of treatment in the original book of the Treatise of febrile Diseases, including, outside, women, children, Features and other departments have been used, flexible prescription. The period of the Republic of China is a peak in the history of the development of Confucian classics. This paper studies the clinical characteristics of Fang in the period of the Republic of China by using traditional philology. Taking the medical records monographs, medical records books, medical records series, medical records journals and other works with medical records as the objects of study during the period of the Republic of China (including the late Qing Dynasty to the Republic of China, the Republic of China and the Republic of China). In order to find out the clinical experience of syndrome differentiation and treatment of typhoid fever from four aspects, such as the characteristics of differentiation of symptoms and signs, the characteristics of prescription, the habit of medicine used by Jing Fang, and the method of special decoction by Jing Fang, the clinical experience of clinical syndrome with great value was analyzed and discussed by screening the relevant medical records of "Theory of febrile". In order to provide data for the academic research and clinical application of typhoid fever. In the period of the Republic of China, the doctors combined the syndrome differentiation of the six meridians with the syndrome differentiation of the viscera and the viscera. Many doctors used the prescriptions contained in the Theory of febrile Diseases in the treatment, and explained the prescriptions of the prescriptions in the theory of the Internal Classic. In clinical diagnosis combined with Western medicine examination method, such as differentiation of cold and heat true and false method, typhus syndrome differentiation method has been developed. On the treatment of disease, such as from less Yin Yang Ming disease treatment of milk moth. In the period of the Republic of China, doctors were good at drawing up new prescriptions according to the method of classics, expanding the scope of treatment, such as treatment of plague pox rash with the prescriptions of classics. It has accumulated rich experience in the application of prescription medicine, such as reusing Aconitum bumponii to recover Yang to save the inverses, burning and returning to Yuan with the decoction of burning liquorice, treating the essence of deficiency fire with Wumei pills, and treating Taiyin disease with Guizhi decoction of soothing the liver and reinforcing spleen, and so on. Simple use of medicine, good use of prescriptions, good at using single medicine, use light, not heavy agent. Some doctors have special requirements for the prescription of decoction, such as returning to Yang to save the inverse of the prescription to promote cold clothing, with more cinnamon, small Azure Dragon soup to treat voice mute and so on. During the period of the Republic of China, the clinical application of the prescription became more and more mature, and a large number of medical records of the prescriptions were printed and widely circulated, which provided valuable information for the study of the clinical application of the prescriptions.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R249

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本文編號(hào)：1912303