仲景学说,《金匮要略》,肺痿,证治规律,理论研究,《金匮要略》肺痿病证治源流探讨
《金匮要略》肺痿病证治源流探讨
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《金匮要略》肺痿病证治源流探讨

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  • 仲景学说,《金匮要略》,肺痿,证治规律,理论研究,
    正文开始
    肺痿是指肺气萎弱不振,是由于肺脏津气亏虚,失于濡养,以致肺叶枯槁而萎弱,以多唾涎沫、短气、反复发作为主要特点的一种慢性肺脏虚损性疾病,主要由肺脏多种疾病久延而成。肺痿病名首见于仲景的《金匮要略》,书中列为专篇,就其病因、病机、症候、治法、方予以系统介绍。后世家在此基础上进行了大量的阐述和扩充,这些理论对现代学临床仍有极大指导意 义,本文将分八部分分别对肺痿的病名、病因病机、证治方、类证鉴别、预后及病案进行研究。第一部分论述了肺痿的定义及病名的源流,主要探讨了肺痿的定义,仲景及后世家对肺痿病名的论述。自仲景创此病名以来,后世家多遵而用之,后世肺痿病名所指义与仲景有所不同,概括有两种:一指传尸之一种,一指皮毛痿。本文所论肺痿遵仲景义。第二部分探讨了《金匮要略》肺痿病的理论渊源。文章追溯了《内经》、《难经》对肺和痿的相关论述,《内经》设有痿病专篇,对痿病病因、病机、症候、治法皆有论述。仲师是在《内经》、《难经》的理论基础上,结合自己的临床实践经验,创造性地提出了肺痿病名,开创了论治肺痿的先河。所以关于肺痿的认识是源于《内经》,奠基于仲景,丰富发展于后人。第三部分主要是《金匮要略》原文对肺痿的论述。通过系统的浅析浅析原文,总结历代家对原文的阐述,可以为我们深入理解肺痿的因、机、证、治奠定理论基础,更好地领悟和继承其思想精华。通过浅析浅析原文,笔者从肺痿的病因、病机、症候、治法、方五方面进行总结,以探求仲景辨治肺痿的特色。第四部分探讨了不同历史时期家对肺痿的论述。分别对汉晋南北朝、隋唐、宋金元、明清时期家对肺痿的论述进行研究,每个时期分理论发挥和证治探微两方面来探讨古代家对肺痿认识的深入,对肺痿病因、病机、分型、治法的深化,以发现不同历史时期对肺痿的论治特点。并对针灸治疗肺痿进行了研究,以期更好地服务于临床。第五部分论述了现代家对肺痿的认识。现代家在继承历代家论述肺痿的基础上,结合临床实际,对肺痿与现代学中疾病相关性及其辨证论治又提出一些新的认识。这些是现代家对肺痿的理论发展。第六部分为类证鉴别。主要探讨了肺痿与肺痈、肺痿与肺痨及肺痿与劳嗽的联系与区别;并对肺痿病咳吐的涎沫与痰饮病咳吐的饮痰进行了鉴别。第七部分对肺痿的预后判析进行研究。本病主要为多种肺系疾病久延而成,为难治之疾。肺痿预后,常可根据咳唾涎沫、渴饮及小便状况等来判断。对肺痿重症的各种表现,临床应及早防治,将有助于病情的缓解。第八部分为肺痿病辨治案选。该部分通过古代和现代家辨治肺痿的案,从临证角度验证了《金匮要略》论治肺痿理论的广泛应用和中治疗肺痿病的确切疗效。总之,通过对肺痿病的证治规律的研究,使本病的因、机、证、治等方面的内容更加系统化,不仅可以为今后更深入的研究本病及其相关病证提供较系统、全面的参考和借鉴,而且可以通过这些研究结论更好的为现代临床服务。

    【Abstract】WwW.zIdiR.coM Pulmonary asthenia is the weak slump of Lung-Qi,as the result of Lung-Qi deficiency,and lost in Nutrition,resulting in weak lobe wilt,to spit more Saliva,Shortness of breath and Recurrent as the main characteristics of a chronic consumptive lung diseases,mainly from many lung diseases long extension.Pulmonary asthenia is first found in the Synopsis of prescriptions of the Golden Chamber(SPGC),set up in the book as a disease, its causes,pathogenesis,symptoms,treatments and prescription to be introduced systematically in a special chapter.Doctors in the future on the basis of the book made a lot of exposition and expansion.These theories still have great clinical significance to modern medicine,the paper will be divided into eight parts on the definition,pathogenesis,and treatment herbs,like identification cards,Prognosis and medical records for research.The first part discusses the definition and the origins,mainly discusses the definition of Pulmonary asthenia,Zhongjing and later physicians exposition to it.Since the disease from Zhongjing,the later physicians had been with much compliance,later referred to the definition was different from Zhongjing’ s generally there are two:one is a kind of Infectious diseases,the other means fur consumptive,the definition in paper foiiows Zhongjing.The second part discusses the theory origins of Pulmonary asthenia in the SPGC.The article has traced back to theories of Huangdi’ s Canon of Medicine and Canon on Medical Problems in which lung and Wei is discussed, via a Flaccidity of the chapter,Flaccidity of the etiology,pathogenesis, symptoms and treatment both exposed.Zhongjing on the basis of these theories,added his experience in clinical practice,creatively put forward the definition,creating a precedent for the Treatment of Pulmonary asthenia. So we can say,on Pulmonary asthenia,understanding stems from the Classic, founded on the Zhongjing,rich in the development of future generations.The third part discusses the SPGC on the text of Pulmonary asthenia, Through systematic analysis of the original text,summing up the history doctors described the original,it can lay the theoretical foundation for our in-depth understanding of its causes,pathogenesis,symptoms, treatments and card rule,to better understand the essence of his thinking and inheritance.By analyzing the text,the author has summed up the Pulmonary asthenia from the etiology,pathogenesis,symptoms and governance to five herbs,to explore the characteristics Zhongjing treating it.The fourth part mainly discusses different historical periods of doctors exposition on Pulmonary asthenia.The research on Pulmonary asthenia is described respectively from Nan and Jin Dynasties,the Southern and Northern Dynasties,Sui,Tang,Song Yuan,to Ming and Qing Dynasties.Physicians discussion at each period on Pulmonary asthenia has been divided into two areas:Theoretical Study and the Treatment Probe,to explore the ancient physicians on the in-depth understanding of Pulmonary asthenia,its etiology, pathogenesis,classification,deepening the rule of laws,to find different historical periods Pulmonary asthenia on the characteristics of governance. Pulmonary asthenia and acupuncture have also been studied,with a view to better serve the clinical.The fifth part discusses modern medical knowledge about Pulmonary asthenia.Modern doctors adopt the history of succession expositions of Pulmonary asthenia and on the basis of themselves clinical practice,talked about the Pulmonary asthenia and its related diseases in modern medicine,also put forward some new understanding and differential Treatments.These are new development of the Pulmonary asthenia theory of the modern physicians.PartⅥis for the type identification card.Mainly discusses the distinctions among the Pulmonary asthenia and lung carbuncle,the Pulmonary asthenia and tuberculosis,and the Pulmonary asthenia and the cough.The distinctions between Saliva of the Pulmonary asthenia and the spit of Sputum of the Tan Yin disesease is also identified.PartⅦdiscusses the prognosis of the Pulmonary asthenia.The disease mainly for a variety of lung diseases from long extension is a intractable disease.The prognosis,often depends on the saliva cough,thirst and urine to determine the state.Early prevention and treatment to the severe on the various manifestations of the Pulmonary asthenia,will help ease the condition.PartⅧincludes the archaic and the contemporary cases.Through the part of the ancient and the modern medicine cases,from a clinical point, verifing the Pulmonary asthenia theory of SPGC governance and the widespread application of Chinese medicine treatment to the Pulmonary asthenia have the precise effect.In short,through the study of the Pulmonary as thenia rule of law,makes its causes,pathogenesis,symptoms,treatments and prescription and other aspects of governance more systematic,not only for the future more in-depth study of this disease and its related diseases providing a certification system,a comprehensive reference and draw on,but these can be better for the conclusion of the study of modern clinical services.

    【关键词】 仲景学说; 《金匮要略》; 肺痿; 证治规律; 理论研究;
    【Key words】 Zhongjing’s Doctrine; Synopsis of prescriptions of the Golden Chamber; Pulmonary asthenia; Treatment Laws; Theoretical Study;
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