【摘要】：目的基于妊娠常見疑難病的高水平診治需求,分析《金匱要略》“妊娠病篇”及其方藥后世沿革,探討“妊娠病篇”的現(xiàn)代應用價值。方法結合臨床實踐,對《金匱要略》“妊娠病篇”原文進行分析討論；剖析唐·孫思邈《千金要方》、宋·陳自明《婦人大全良方》對張仲景《金匱要略》“妊娠病篇”的繼承與發(fā)展；結合個人及前輩經(jīng)驗,繼承創(chuàng)新仲景治法方藥用于妊娠病診治。結果 《金匱要略》“妊娠病篇”所列的十張?zhí)幏蕉嗪泻笫浪^的妊娠禁忌藥與慎用之品。唐、宋時期在張仲景“妊娠病篇”基礎上,經(jīng)過數(shù)代醫(yī)家醫(yī)著傳承發(fā)展,創(chuàng)制了大量妊娠病治療新方藥,促進了中醫(yī)婦產(chǎn)科學的發(fā)展與進步。在當前的醫(yī)療大環(huán)境下,對于“妊娠病篇”方藥仍有諸多爭議,醫(yī)者治療妊娠病而應用“妊娠病篇”原方者極少,多對其進行加減改良。然而近年來我們持續(xù)繼承并創(chuàng)新,結合西醫(yī)對妊娠生理、病理的新認識進展,重新審視并發(fā)現(xiàn)“妊娠病篇”當歸、川芎、赤芍等藥物應用的價值所在。結論1、《金匱要略》“妊娠病篇”方藥歷經(jīng)一千八百年,對現(xiàn)代臨床仍有指導意義與參考價值。2、仲景妊娠病篇作為妊娠病治療的先驅,尚不能盡愈諸病,后世對其方藥進行了有效的補充與完善。3、結合現(xiàn)代診治妊娠疾病新進展,證明了“妊娠病篇”方藥的科學性、合理性,值得深入挖掘整理,進行臨床與科研研究,更好的服務于臨床。
[Abstract]:Objective to analyze the history of pregnancy diseases and their prescriptions based on the requirement of high level diagnosis and treatment of common difficult diseases of pregnancy, and to explore the value of modern application of pregnancy diseases. Methods based on the clinical practice, the original text of pregnancy disease in synopsis of the Golden Chamber was analyzed and discussed. This paper analyzes the inheritance and development of Tang Sun Simiao's Qianjin important prescription and Song Chen Ziming's good prescription for Women's Great Quan to Zhang Zhongjing's synopsis of Golden Chamber. Combined with personal and previous experience, inherited and innovated Zhongjing prescription for the diagnosis and treatment of pregnancy disease. Results the ten prescriptions in synopsis of Chamber of Golden Chamber contained the contraindications and careful use of pregnancy drugs. In the Tang and Song dynasties, on the basis of Zhang Zhongjing's pregnancy Disorders, through the inheritance and development of several generations of doctors' books, a large number of new prescriptions for the treatment of pregnancy diseases were created, which promoted the development and progress of gynecology and obstetrics of traditional Chinese medicine. In the current medical environment, there are still many controversies about the prescription of "pregnancy disease article". Few doctors treat pregnancy disease and only a few use the original prescription of "pregnancy disease article", and most of them are modified by addition or subtraction. However, in recent years, we continue to inherit and innovate, combined with the new understanding of pregnancy physiology and pathology in Western medicine, and reexamine and find out the value of drug application of Angelica sinensis, Ligusticum chuanxiong and Radix Paeoniae Rubra. Conclusion 1. The prescriptions of pregnancy Diseases in synopsis of Chamber of Golden Chamber have a guiding significance and reference value for modern clinical practice after 1800 years. 2. As the forerunner of pregnancy disease treatment, Zhongjing pregnancy disease article can not cure all diseases. In combination with the new progress in the modern diagnosis and treatment of pregnancy diseases, it has proved that the prescriptions of pregnancy diseases are scientific and reasonable, and it is worth digging and sorting in depth, and carrying out clinical and scientific research. Better serve the clinic.
【學位授予單位】：浙江中醫(yī)藥大學
【學位級別】：博士
【學位授予年份】：2016
【分類號】：R222.3

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