摘要
[目的]从《王仲奇医案》郁证、呕吐、咳嗽、脘腹痞痛、湿温等五个方面探析王仲奇苦辛法治疗多种疾病的特色,以期学习、传承王氏学术思想精华与临证诊治特点。[方法]以《王仲奇医案》所载医案为基础,结合《内经》《伤寒论》张景岳、李东垣、叶桂及王仲奇经典论述与学术思想等,阐述例案所示王氏运用"苦辛法"治疗疾病的经验,并综合分析其诊治特点。[结果]王氏继承张仲景、叶天士等医家运用苦辛法的经验和认识,师古却不泥古,郁则气滞,辛开苦降开枢机;气逆呕吐,苦降辛通达气机;咳嗽气逆,辛苦宣泄肃肺气;脘腹痞、痛,苦辛通降调中焦;湿热弥漫,轻苦微辛调气机。[结论]王氏宗《内经》、仲景、东垣、叶桂诸家之长,多有创新,治法灵活。将苦辛法运用到多种气机升降失常的疾病的治疗中,通过条畅气机,而达到气化湿化、气行血行等效果,而祛除体内的病邪,临床取得较好效果,值得深入研究。
[Objective] From the five aspects of WANG Zhongqi medical case, such as Qi syndrome, vomiting, cough, epigastric pain, wet temperature and so on, WANG Zhong Qi＇s bitterness in the treatment of various diseases, in order to learn and inherit the essence of WANG＇s academic thought and the characteristics of clinical diagnosis and treatment. [Methods] On the basis of the medical case contained in ＂WANG Zhongqi＇s Medical Cases＂, combined with classic treatise and academic thought of ＂Neijing＂, ＂Treatise on Typhoid Fever＂, ZHANG Jingyue, LI Dongyuan, YE Guangxi and WANG Zhongqi, this paper illustrates WANG＇s experience in the treatment of disease with ＂bitterness method＂ and analyzes the characteristics of the diagnosis and treatment. [Results] WANG inherited the experience and understanding of ZHANG Zhongjing, YE Tianshi and other doctors in the use of the method of bitterness, but didn＇t learn without change, depression causing Qi stagnation and bitter opening the pivot; Qi reverse vomiting, bitter descending pungent openning and promoting Qi function; cough of Qi inverse, pungent and bitter having catharsis to purge the lung Qi; for epigastric stomach pain, bitterness regulating middle warmer; damp heat diffusing, light bitter micro pungent regulating Qi function. [Conclusion] WANG＇s referred to ＂Neijing＂, Zhongjing, Dongyuan and YE Gui and had many innovations and flexible methods. It is worthy of further study to apply the method of bittern to the treatment of a variety of dysfunctional diseases of Qi, through the effect of the gasification and blood flow for regulating Qi function, to remove the pathogenic pathogenic factors in the body.
作者
周胜利
张帆
ZHOU Shengli, ZHANG Fan(the Second People＇s Hospital of Hefei, Hefei, Anhui23001)
出处
《浙江中医药大学学报》
CAS
2018年第9期715-718,共4页
Journal of Zhejiang Chinese Medical University
关键词
王仲奇医案
王仲奇
苦辛法
郁证
呕吐
咳嗽
脘腹痞痛
湿温
＂WANG Zhongqi Cases＂
WANG Zhongqi
Kuxin method
depression syndrome
vomiting
coughing
epigastric pain
wet febrile
