[1]郑宏杰 徐云晖.朱丹溪与张景岳论治妇科病学术思想辨析[J].陕西中医药大学学报,2020,(05):033-35/56.[doi:10.13424/j.cnki.jsctcm.2020.05.008]
　Zheng Hongjie,Xu Yunhui.An Analysis of the Treatment of Gynopathy Based on Zhang Jingyue and Zhu Danxis Academic Thoughts[J].Journal of Shaanxi University of Traditional Chinese Medicine,2020,(05):033-35/56.[doi:10.13424/j.cnki.jsctcm.2020.05.008]
点击复制

朱丹溪与张景岳论治妇科病学术思想辨析()
分享到：

《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2020年05期
页码:
033-35/56
栏目:
出版日期:
2020-10-30

文章信息/Info

Title:
An Analysis of the Treatment of Gynopathy Based on Zhang Jingyue and Zhu Danxis Academic Thoughts
文章编号:
2096-1340(2020)05-0033-04
作者:
郑宏杰 徐云晖
安徽中医药大学,安徽合肥230038
Author(s):
Zheng Hongjie;  Xu Yunhui
Anhui University of Chinese, Hefei Anhui 230038
关键词:
朱丹溪; 张景岳; 妇科病; 学术思想; 四物汤
Keywords:
Zhu Danxi;  Zhang Jingyue;  gynopathy;  academic thoughts
分类号:
R249.8
DOI:
10.13424/j.cnki.jsctcm.2020.05.008
文献标志码:
A
摘要:
朱丹溪是金元四大家之一,张景岳是明代医家,二者在妇科方面均有独到见地,通过研读朱丹溪?张景岳著作中涉及妇科病的内容以及后人对二者各自妇科病学术思想的整理文献,对二者妇科学术思想进行辨析?二者均以补血调血治疗月经病,善用四物汤,但朱丹溪认为调经不离痰,且注重调补脾胃之气,张景岳则认为调经宜以补脾胃肾为先;治疗带下病方面,朱丹溪认为应以清热燥湿除痰,而张景岳认为带下有六因,当因证而治;安胎方面,朱丹溪认为产前当清热养血,而张景岳认为应详辨寒热虚实;治疗产后诸证,朱丹溪认为产后虚弱应当大补气血为先,而张景岳认为产后诸证应辨其虚实,不得概行蛮补?
Abstract:
Zhu Danxi was one among the four masters in Jin and Yuan Dynasties while Zhang Jingyue was a physician in Ming Dynasty, both of them had their unique views on gynopathy. This paper aims to make a study on the gynopahty part in their masterpieces and then sort out literature involving the gynopathy to analyze their academic thoughts. They both treated menopathy by nourishing and regulating blood and Siwu decoction. However, Zhu held that regulating menstruation cannot avoid phlegm and he emphasized invigorating spleen and stomach qi. By contrast, Zhang maintained that regulating menstruation should invigorate spleen, stomach and kidney first. In terms of the treatment of leukorrhagia, Zhu believed that to clear the heat, dryness and dampness can dispel the phlegm, whereas Zhang proposed to treat the disease according to the symptoms since leukorrhagia was caused by six factors. In terms of miscarriage prevention, Zhu proposed to clear the heat to maintain the blood prenatally while Zhang insisted on the detailed differentiation of coldness and heat as well as deficiency and excessiveness. In terms of the treatment of postnatal symptoms, Zhu proposed to maximally nourish qi and blood firstly because of the postnatal weakness, instead Zhang adhered to the tenets of differentiation of the deficiency and excessiveness of postnatal symptoms, and he held that unreasonable invigoration was not feasible.

参考文献/References:

[1]张军.浅谈中医妇科病的诊疗特点[J].中国实用中医药,2008,3(17):142.
[2]李冀.方剂学[M].北京:中国中医药出版社,2016:129-130.
[3]田思胜.朱丹溪医学全书[M].北京:中国中医药出版社,2015:326.
[4]张景岳.妇人规[M].北京:中国医药科技出版社,2017:5.
[5]苗彦霞,田丙坤.朱丹溪带下病诊治思想研究[J].陕西中医学院学报,2012,35(3):20-21.
[6]罗颂平.张介宾的学术思想及其妇科专著《妇人规》[J].广州中医药大学学报,2005,22(4):307-310.
[7]王新智.张景岳《妇人规》学术特点探究[J].中医文献杂志,2004,22(3):30-31.
[8]朱星,王明强.金元四大家妇科病证治浅探[J].贵阳中医学院学报,2012,34(3):1-2.
[9]方如丹.朱丹溪产后用药特点新探[J].长春中医学院学报,1995,11(4):5.

相似文献/References:

[1]柯尊华１ 闫昱江２ 魏小栋３.朱丹溪“相火论”非独为“滋阴降火”而创[J].陕西中医药大学学报,2019,(02):012.[doi:10.13424/j.cnki.jsctcm.2019.02.005]
[2]方杨 林子龙.探析河间学派三大医家饮食与情志养生特点[J].陕西中医药大学学报,2019,(01):050.[doi:10.13424/j.cnki.jsctcm.2019.01.017]
[3]杨震.基于“相火气机学说”论治肝病源流溯洄[J].陕西中医药大学学报,2020,(05):011.[doi:10.13424/j.cnki.jsctcm.2020.05.003]
　Yang Zhen.A Review of the Treatment of Hepatopathy Based on the Ministerial Fire and Qi Activity Theory[J].Journal of Shaanxi University of Traditional Chinese Medicine,2020,(05):011.[doi:10.13424/j.cnki.jsctcm.2020.05.003]
[4]陈梦娜 陈鑫宇江宇航 王鹏 董昌武.基于《格致余论》浅析朱丹溪老年养生思想[J].陕西中医药大学学报,2021,(04):079.[doi:10.13424/j.cnki.jsctcm.2021.04.018]

备注/Memo

备注/Memo:
基金项目:2018年安徽中医药大学省级大学生创新创业训练项目(2018156)
更新日期/Last Update: 2020-09-18