本文選題：石壽棠 + 《醫(yī)原》　； 參考：《河北醫(yī)科大學(xué)》2016年碩士論文

【摘要】：石壽棠,清代著名醫(yī)家,醫(yī)學(xué)世家,在父親的嚴(yán)格教誨之下,自幼儒醫(yī)兼修,學(xué)習(xí)十分刻苦,成年后文武全才、德才兼?zhèn)?被公認(rèn)為“才識既高,學(xué)術(shù)并茂”。石壽棠十分重視經(jīng)典的學(xué)習(xí),崇尚《黃帝內(nèi)經(jīng)》、《難經(jīng)》、《金匱要略》及《傷寒雜病論》等經(jīng)典著作,并認(rèn)真學(xué)習(xí)和研究,在總結(jié)自己多年臨床實踐的基礎(chǔ)上提出以燥濕為綱的辨證理論,豐富了中醫(yī)辨證論治理論體系。石壽棠一生主要有兩部著作,分別為《醫(yī)原》和《溫病合編》,其中《醫(yī)原》為其代表作,全書分為上下兩卷,注重天人相應(yīng)之理,提出了以燥濕為綱論治百病的因機(jī)證治。石壽棠以燥濕為綱的辨證理論具有較強(qiáng)的實用性,對臨床治療具有十分重要的指導(dǎo)意義。本文主要從以下幾個方面對其以燥濕為綱的辨證理論進(jìn)行研究:1石壽棠的生平簡介石壽棠出生于醫(yī)學(xué)世家,七世業(yè)醫(yī),家庭醫(yī)學(xué)氛圍十分濃厚,自幼在父親的影響下,“儒醫(yī)兼修”,勵志成為“文武全才”之人,師承著名醫(yī)家吳鞠通,是山陽醫(yī)派的代表人物之一,中醫(yī)史上百大名醫(yī)。他曾舉孝廉,后官至淮安府候選同知,同年又被江蘇巡撫李鴻章招募為幕僚。石壽棠善于思考,學(xué)有所悟,著書立說,一生著書多部,現(xiàn)存的只有兩部,分別為《醫(yī)原》和《溫病合編》。因其醫(yī)德高尚、醫(yī)術(shù)精湛而聲名遠(yuǎn)播,擅長治療婦科、內(nèi)科、溫病、兒科等。2石壽棠以燥濕為綱辨證理論探析石壽棠提出以燥濕為綱的辨證理論,將燥濕上升到了與寒熱并駕齊驅(qū)的綱領(lǐng)性地位,立論新穎,而且理、法、方、藥十分完備,進(jìn)一步豐富了中醫(yī)辨證論治理論體系,具有十分重要的臨床指導(dǎo)意義。燥濕辨證理論以陰陽、五行、八卦等理論為基礎(chǔ),認(rèn)為人身是一小天地,以燥濕來感悟天地之理,提出以燥濕為綱論治百病,分析病因病機(jī),確立治則治法,提出無論外感還是內(nèi)傷,都是以外解為要,即給邪以出路,治法總以輕開肺氣為主。石氏認(rèn)為燥邪具有“硬、動、縮、干”的特點(diǎn),濕邪所具有的“重、渾濁不清、軟”的特點(diǎn)。石氏以燥濕理論為指導(dǎo),對203種藥物進(jìn)行了詳細(xì)的分類,指出病分燥濕而藥分潤燥,潤藥分為辛潤、寒潤、溫潤、平潤、涼潤;燥藥又分為平燥、辛燥、溫燥、涼燥、寒燥。3石壽棠以燥濕為綱辨證理論學(xué)術(shù)思想的繼承和發(fā)揚(yáng)石壽棠學(xué)術(shù)思想的傳承者主要是安徽省六安市的印氏中醫(yī),也是山陽醫(yī)派最具代表性的傳承之一。印氏中醫(yī)師承于晚清醫(yī)家石壽棠之孫石撫生,當(dāng)代印氏中醫(yī)的傳承人為印虎和印俊。當(dāng)代著名中醫(yī)家任應(yīng)秋在其主編的《中醫(yī)各家學(xué)說》中稱石壽棠的《醫(yī)原》:“議論風(fēng)發(fā),分析入微”,“極為精審”。路志正教授也對石壽棠的觀點(diǎn)十分贊同,其在《中醫(yī)濕病證治學(xué)》認(rèn)為“議論精辟”,為“臨證典范”,同時他也提出了自己獨(dú)到的見解,認(rèn)為濕邪不僅在南方多見,北方亦多見,提出“百病皆由濕作祟”的觀點(diǎn)。4石壽棠以燥濕為綱辨證理論的臨床應(yīng)用石壽棠提出以燥濕為綱的辨證理論對后世臨床應(yīng)用具有十分重要的指導(dǎo)意義,除了在外感及內(nèi)傷雜病的診療當(dāng)中具有重要價值,在婦科、兒科及養(yǎng)生保健中也十分重要。后世醫(yī)家對燥濕辨證理論的繼承和應(yīng)用主要表現(xiàn)在以燥濕理論為指導(dǎo),治療消化系統(tǒng)、呼吸系統(tǒng)及內(nèi)分泌系統(tǒng)等方面的疾病,包括2型糖尿病、濕熱神昏、慢性胃炎等。
[Abstract]:Shi Shoutang, a famous medical practitioner and a medical family in the Qing Dynasty, under the strict teachings of his father, was very hard-working at his own childhood and studied very hard. After his adulthood, he was generally accepted as "high talent and academic excellence". Shi Shi Tang attached great importance to classical learning, advocated "Huangdi Neijing", "difficult", < Golden Chamber > and < typhoid and Miscellaneous Diseases >. On the basis of summarizing his years of clinical practice, he put forward the theory system of syndrome differentiation and treatment of traditional Chinese medicine on the basis of summing up his years of clinical practice and enriched the theory system of syndrome differentiation and treatment in traditional Chinese medicine. There are two main works in Shi Shoutang's life, namely, "medical original >" and "the combination of febrile diseases", of which the medical original is the representative of the traditional Chinese medicine, and the whole book is divided into two volumes, which pays attention to the nature and human phase. According to the reason, the paper puts forward the mechanism of treating hundred diseases with the principle of "drying wet" as the outline. Shi Shoutang's theory of syndrome differentiation with the principle of "wet and wet" has strong practicability and has a very important guiding significance for clinical treatment. This paper mainly studies the syndrome differentiation theory based on the principle of "wet and wet" from the following aspects: the birth of the 1 stone life brief introduction of Shi Shoutang was born In the medical world, the seventh industry medicine and the family medical atmosphere are very strong. Under the influence of the father, "Confucianism and medicine" is the one of the famous doctor Wu Jutong. He is one of the representative figures of the Shanyang medical school, one of the most famous doctors in the history of traditional Chinese medicine. He once took Xiao Lian, the post officer to Huaian Prefecture, the same knowledge, and the same year Jiangsu. Li Hongzhang, the governor, was recruited as an aide. Shi Shoutang was good at thinking, learning to understand, writing books and writing books, writing many books in his life. There are only two extant books. They are "medical ethics" and "warm diseases". They are famous for their virtuous medical ethics and excellent medical skills. They are good at treating gynecologic, internal medicine, febrile diseases and pediatrics with the theory of ".2" and "dry wet" as the outline dialectical theory of Shi Shoutang On the basis of the theory of dryness and moisture as the outline of the syndrome differentiation theory, the dryness and dampness have been raised to the programmatic status of the cold and heat, and the theory, law, prescription, and medicine are very complete, and the theory system of TCM syndrome differentiation and treatment is enriched further. The theory of dryness and dampness is based on the theory of yin and Yang, five lines, eight diagrams and so on. It is a small world to realize the reason of the heaven and earth in the dry and wet way. It puts forward the principle of treating hundred diseases by the principle of dryness and dampness, analyses the pathogenesis of the disease, establishes the rule of treatment, and puts forward that both external and internal injuries are outside the solution, that is to give the evil to the outlet, and the treatment is always the light of the lung qi. Some of the "heavy, cloudy and soft" characteristics. With the guidance of the theory of dryness and dampness, Shi's 203 kinds of drugs are classified in detail, pointing out that the disease is dry and wet, moistening, warm, warm, smooth and cool, and the dryness medicine is divided into dry, dry, warm, dry, cold dry, and cold dryness,.3 Shi ShiShun's theory of dialectical theory following the theory of dryness and dampness. The inheritor of Shi Shoutang's academic thought is mainly the Indian traditional Chinese medicine in Lu'an, Anhui province. It is also one of the most representative inheritance of the Shanyang medical school. At the same time, Professor Lu Zhizheng also agreed on Shi Shoutang's view, and he thought "argumentative discussion" in "TCM damp disease", and he also put forward his own view that wet evil was not only seen in the south, but in the north. The clinical application of "all kinds of diseases are wet with wet", the clinical application of the theory of "wet and wet", ".4 stone", "dry wet" theory, Shi Shoutang proposed that the theory of syndrome differentiation based on wet and wet has a very important guiding significance to the future clinical application. Besides the important value in the diagnosis and treatment of external and internal injuries, it is in gynecology, pediatrics and health care. The inheritance and application of the theory of dampness syndrome is mainly manifested in the treatment of the digestive system, the respiratory system and the endocrine system, including type 2 diabetes, dampness and fever, chronic gastritis and so on.
【學(xué)位授予單位】：河北醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R249;R241

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