[1]李羲子 金子开 高思远 李娇月 乙春梅 牛淑平.金元四大家痿证诊疗思路探微[J].陕西中医药大学学报,2021,(04):061-66.[doi:10.13424/j.cnki.jsctcm.2021.04.014]
　LI Xizi JIN Zikai GAO Siyuan LI Jiaoyue YI Chunmei NIU Shuping.Discussion on The Diagnosis and Treatment of Flaccidity Syndrome of Four Great Masters in Jin and Yuan Dynasties[J].Journal of Shaanxi University of Traditional Chinese Medicine,2021,(04):061-66.[doi:10.13424/j.cnki.jsctcm.2021.04.014]
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金元四大家痿证诊疗思路探微()
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《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2021年04期
页码:
061-66
栏目:
出版日期:
2021-07-30

文章信息/Info

Title:
Discussion on The Diagnosis and Treatment of Flaccidity Syndrome of Four Great Masters in Jin and Yuan Dynasties
文章编号:
2096-1340(2021)04-0061-06
作者:
李羲子1 金子开1 高思远2 李娇月1 乙春梅1 牛淑平1
1.安徽中医药大学针灸推拿学院，安徽 合肥 230038;
2.安徽中医药大学中医学院，安徽 合肥 230001
Author(s):
LI Xizi1 JIN Zikai1 GAO Siyuan2 LI Jiaoyue1 YI Chunmei1 NIU Shuping1
1.College of Acupuncture and Massage，Anhui University of Traditional Chinese Medicine，Hefei 230038，China; 2.College of Traditional Chinese Medicine，Anhui University of Traditional Chinese Medicine，Hefei 230001,China
关键词:
金元四大家; 痿证; 学术思想; 诊疗思路
Keywords:
Four masters of Jin and Yuan Dynasties;  Flaccidity syndrome;  Academic thought;  Diagnosis and treatment ideas
分类号:
R255.6
DOI:
10.13424/j.cnki.jsctcm.2021.04.014
文献标志码:
A
摘要:
痿证是指肢体痿弱无力，不能随意运动的一类病证。金元四大家在其各自的著作中对痿证进行了详细论述，理法详备，颇具特色。笔者通过阅读、分析四大医家的著作，对其诊疗思路、遣方用药方面进行挖掘，发现刘完素从五运六气学说、亢害承制论痿。张从正明辨风痿痹厥四证，从攻邪补其虚出发治痿，并且注重病人治后的温养。李杲从湿热成因论痿，针药兼施，采取同精导气之法，寓补泻于无形。朱丹溪从五行生化制克论痿丰富了痿证的证型，化裁东垣健步丸一方治痿，创制了虎潜丸等名方。四位医家论治痿证各有奥义，其学术思想对现代中医临床治疗痿证仍具有重要的指导意义。
Abstract:
Flaccidity syndrome refers to a kind of disease with flaccidity，weakness and inability to move at will.In their works，the four great masters of Jin and Yuan Dynasties discussed in detail the theory and method of Wei Zheng.Through reading and analyzing the works of the four major doctors，the author digs out their diagnosis and treatment ideas，prescriptions and drugs，and finds that LIU Wansus theory of five movements and six Qi，and the theory of excessive harm and inheritance of impotence.ZHANG Congzheng distinguished four syndromes of wind flaccidity and Bi Jue，treated flaccidity from attacking pathogenic factors and tonifying its deficiency，and paid attention to the warm and nourishing of patients after treatment.LI Gao discussed flaccidity from the cause of dampness and heat.He used acupuncture and medicine at the same time.He adopted the method of guiding Qi with the same essence，and contained reinforcing and reducing.ZHU Danxi enriched the syndrome types of flaccidity from the five elements.He used Dongyuan Jianbu pill to treat flaccidity and created famous prescriptions such as Huqian pill.Each of the four doctors has its own profound meaning in treating flaccidity syndrome，and their academic thoughts still have important guiding significance for the clinical treatment of flaccidity syndrome in modern Chinese medicine.

参考文献/References:

［1］阮善明，戴金，张宇.金元四大家对尿血辨证施治观的探究［J］.河北中医杂志，2006,28(6)：468-470.
［2］刘完素.素问病机气宜保命集［M］.北京：中国中医药出版社,2007:12-25.
［3］费占洋,祖丽胡玛尔?艾尼瓦尔,郝宇,等.刘完素对《内经》亢害承制理论的阐释与应用［J］.吉林中医药,2013,33(7):744-746.
［4］刘完素.素问玄机原病式［M］.北京：中国中医药出版社,2007：25-36,43-44.
［5］张子和.儒门事亲［M］.太原：山西科学技术出版社,2009：5-10,33-35,79-81.
［6］李永堂.金元四大家学术思想摭拾［J］.中医函授通讯,2000，19(2):20-22.
［7］徐春甫编集,项长生点校.新安医籍丛刊:古今医统大全(上)［M］.合肥：安徽科学技术出版社,1995：679-698.
［8］叶天士.本草经解［M］.上海：上海卫生出版社,1957：54-56.
［9］李梃；金嫣莉等校注.医学入门［M］.北京：中国中医药出版社,1995：343.
［10］李东垣.脾胃论［M］.北京：中国中医药出版社,2007：6-15,76-79.
［11］黄元御.玉楸药解［M］.北京：中国医药科技出版社,2017：16，57.
［12］徐大椿.医略六书［M］.上洋：赵翰香居,1903：34.
［13］高武.针灸聚英［M］.北京：中国中医药出版社,2007：145-147.
［14］杨继洲.针灸大成［M］.太原：山西科学技术出版社,2017：274-279.
［15］齐玲玲.“导气同精”与“同精导气”——李东垣针法探析［J］.中国医药学报,1994，(4):15-17.
［16］朱丹溪，田思胜校注.丹溪心法［M］.北京：中国中医药出版社,2008：145,34-36.
［17］李晓寅,庄爱文,王英.丹溪医学在日本的发展［J］.浙江中医药大学学报,2015,39(9)：677-679.
［18］周喜民.金元四大家医学全书上［M］.天津：天津科学技术出版社,1994：942-944.
［19］金子开，郭子为，吴可，等.张锡纯从脑论治痿证特色探析［J］.浙江中医药大学学报，2020,44（9）：929-933.

相似文献/References:

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　HUANG Weiling NIU Shuping.Analysis on The Academic Thinking of Xinan Doctor SUN Yikui in Treating Flaccidity Syndrome[J].Journal of Shaanxi University of Traditional Chinese Medicine,2021,(04):067.[doi:10.13424/j.cnki.jsctcm.2021.04.015]

备注/Memo

备注/Memo:
基金项目：教育部人文社会科学规划基金项目（16YJAZH048）；安徽省教学质量工程项目——一流专业针灸推拿学（ylzy056）；安徽中医药大学校级探索性项目（2016ts104）；大学生创新创业训练计划国家级项目（2019085）；大学生创新创业训练计划省级项目（S202010369071）
更新日期/Last Update: 2021-07-30