發(fā)布時間：2018-11-03 15:27

【摘要】：成無己是宋金時期著名的醫(yī)學家,其秉承家技,而又精勤不倦,對古典醫(yī)籍有深入研究,畢生鉆研仲景大論,苦心孤詣,博極研精,深造自得,為弘揚仲景學術(shù)作出了重要貢獻。成無己首開全面系統(tǒng)注釋研究傷寒之先河,其以經(jīng)解論,以論證經(jīng)的研究方法為后世醫(yī)家所推崇采用。其《傷寒明理論》對傷寒癥狀及經(jīng)方方論立專篇進行論述,為傷寒癥狀學及方論研究之肇源。成無己對《傷寒論》的注解研究,使大論方證得到理論上的闡釋,其理法方藥的規(guī)律性得以彰顯。成無己承前啟后,把傷寒學術(shù)研究引向深入,為后世傷寒學派形成起到了重要推轂作用。本課題通過系統(tǒng)研讀成氏《注解傷寒論》及《傷寒明理論》,結(jié)合當今學者研究成氏醫(yī)著之成果,探討總結(jié)其傷寒學術(shù)思想。論文第一部分對成無己生平概況及其醫(yī)學著作進行扼要介紹。第二部分對成無己治傷寒的學術(shù)特色,取得的卓越學術(shù)成就及傷寒學術(shù)思想進行重點闡述。此部分首先對其“以經(jīng)注論、以論證經(jīng)”的學術(shù)特色進行闡釋,其以經(jīng)注論的研究方法,使內(nèi)、難、傷寒學理一脈相承,具有推本溯源、互相滲透之妙,且起到經(jīng)論結(jié)合、以論證經(jīng)之效,使傷寒方證義理顯明,內(nèi)難學理具有實際的內(nèi)容。其次介紹成無己對仲景辨證論治思想的繼承和發(fā)展。其闡釋病機十分重視八綱辨證的思維方法,注重對病證陰陽表里、虛實寒熱的辨析,在六經(jīng)辨證的基礎(chǔ)上充實了《傷寒論》的辨證方法;并率先提出了“半表半里證”,是對八綱辨證最為重要的貢獻。成無己對臟腑辨證極為重視,對大論許多條文病理機制俱從臟腑生理病理角度予以闡釋。成氏對風寒營衛(wèi)辨證亦很重視,運用“風傷衛(wèi),寒傷營”的觀點解釋太陽中風證及傷寒證,具有一定辨證意義。成氏首先提出府證雛形,并論述了太陽、陽明的經(jīng)證、府證,其經(jīng)府病辨證使六經(jīng)辨證更為深入細致,并為后世經(jīng)府證的形成起到重要作用。成氏運用三焦辨證方法辨析六經(jīng)病證,雖與后世之三焦辨證不同,但已具有了相當樸素的三焦辨證思想。成氏對“熱入血室”有獨到見解,認為沖脈即是血室,男子亦有是證,擴大了熱入血室證的范圍,對臨證有一定啟發(fā)指導意義。成氏重視祛邪以護正、安正,臨證重視顧護脾胃,對攻下法的湯劑有深刻認識。成氏不僅理論造詣極深,臨證水平亦高超絕倫。其臨證必重四診合參,提出“妙醫(yī)”在于“識形證,明脈息,曉虛實,知傳變”,望證、問病、切脈相參得之,方為十全之醫(yī)。其對舌診研究亦深,立《舌上胎》專篇對傷寒舌苔變化進行總結(jié)。論文最后對成氏辨證明理,鑒別異同的傷寒學術(shù)思想及制方思想進行闡述。成無己很好地繼承了張仲景學術(shù)思想,并對仲景學術(shù)有所發(fā)展。其學術(shù)思想內(nèi)涵豐富,其治學方法及堅持不懈、老而彌堅的治學精神尤其值得今之學者借鑒。
[Abstract]:Cheng Wuji was a famous medical scientist in the Song and Jin dynasties, who inherited the family skills and worked hard and tirelessly. He studied the classical medical books in depth and studied Zhongjing's theory all his life. For the promotion of Zhongjing academic has made an important contribution. Cheng Wuji was the first to study typhoid fever in a comprehensive and systematic way. The theory of typhoid fever is the origin of the study of typhoid symptoms and prescriptions. Cheng Wuji's research on the annotation of febrile Diseases makes the Dadayanfang syndrome theoretically explained and the regularity of its rational prescription and medicine manifest. The academic research on typhoid fever has been carried forward and played an important role in the formation of the school of typhoid fever. Based on the systematic study of Cheng's Annotation on typhoid fever and the theory of typhoid fever, combined with the achievements of current scholars' research on Cheng's medical works, this paper discusses and summarizes his academic thoughts on typhoid fever. In the first part of the paper, the author briefly introduces the general situation of his life and his medical works. The second part focuses on the academic characteristics, outstanding academic achievements and academic thought of typhoid fever. In this part, the academic characteristics of his "sutra theory, argumentation" are first explained, and its research method based on the theory of classics notes makes the internal, difficult, typhoid fever theory come down in a single line, with the essence of tracing back to the source, permeating each other, and combining the theory with the classics. In order to demonstrate the effect of the Sutra, typhus febrile prescription syndromes are clear, the internal difficult theory has the actual content. Secondly, it introduces the inheritance and development of Zhongjing's dialectical treatment thought. Its explanation of pathogenesis attaches great importance to the thinking method of eight principles differentiation of symptoms and signs, pays attention to the differentiation of deficiency of cold and heat on the surface of yin and yang of disease syndrome, and enriches the dialectical method of febrile fever on the basis of syndrome differentiation of the six meridians. And first put forward the "half-table half-li syndrome", is the most important contribution to the eight principles of syndrome differentiation. Cheng Wuji attached great importance to the syndrome differentiation of viscera, and explained the pathological mechanism of many articles from the angle of viscera physiology and pathology. Cheng also attached great importance to the differentiation of wind and cold camp. It is of certain significance to use the viewpoint of wind injury and cold injury to explain the syndrome of solar apoplexy and typhoid cold. Cheng first put forward the embryonic form of Fu syndrome, and discussed the Sun, Yangming's Meridian Syndrome and Fufu Syndrome, which made the six meridian syndrome differentiation more thorough and meticulous, and played an important role in the later generation. The syndrome differentiation of six meridians by using the method of three Jiao syndrome differentiation is different from that of the three Jiao syndrome differentiation of later generations, but it already has a rather simple dialectical thought of the three Jiao syndrome. Cheng had a unique view on "heat entering blood room", which thought that the pulse was blood room, and the man had syndrome, which expanded the scope of heat into blood room, and had certain enlightening significance to clinical syndrome. Cheng attaches importance to dispelling evil in order to protect the right, an Zheng, clinical attention to protect the spleen and stomach, has a profound understanding of the decoction. Cheng not only theoretical attainments very deep, clinical certificate level is also superb. Its clinical syndrome must focus on four consultations, and put forward that "good medicine" lies in "recognition of the form of syndrome, Ming pulse information, Xiao deficiency, knowledge of change", looking at the syndrome, ask disease, cut the pulse to get it, the doctor is ten complete. The study on tongue diagnosis was also deep, and a special article on Typhoid fever tongue coating was presented to summarize the changes of the tongue coating of typhoid fever. At the end of the paper, the author expounds Cheng's dialectical theory of syndrome differentiation, the academic thought of distinguishing similarities and differences, and the thought of prescribing febrile fever. He inherited Zhang Zhongjing's academic thought and developed Zhongjing's learning. Its academic thought is rich in connotation, its research method and persistence, the old and firm scholarship spirit is especially worthy of reference by today's scholars.
【學位授予單位】：湖北中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R222

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