魏玉横临床的主要特色  

Clinical features of Wei Yuheng

作　　者：俞中元[1] 

机构地区：[1]浙江省中医药研究院,杭州310007

出　　处：《中华医史杂志》2006年第2期79-82,共4页Chinese Journal of Medical History

摘　　要：魏玉横以为内伤杂病,多由肝病所致,尤重视养阴生肝一法。以为肝虚之由,有由禀赋之故,或房劳,或误治所致。他评论前辈医家多有因昧于补肝一法,治疗有误;而此误乃缘于“肝无补法”之说。魏氏之医学理论与临床治验主要散见于其编著之《续名医类案》。王孟英据以辑录部分而成《柳洲医话》。虽能推出魏氏,但尚欠全面。如今医界仅知魏氏一贯煎为补肝阴之代表方。其实从《续名医类案》中分析可知,其实未必。魏氏运用养阴生肝法,枸杞补肝阴为主药。因肺阴、肾阴与肝阴有承制、生化关系,故常伍用北沙参、麦冬及生地、熟地。若阴血不足,则加枣仁。为使肝阴虚而所生之痰热有出路,常用润滑之瓜蒌仁,其次是生苡仁。为清火热,则用川连;若火热致痛,则用川楝。Wei Yuheng held that the endogenous miscellaneous diseases are mostly caused by liver diseases, highly stressed the treating method of nourishing yin to generate liver. He claimed that liver deficiency is mostly caused by congenital factors, sexual strain or improper treatment.He criticized that the improper treatment by elder generations mainly was caused by their ignorance of tonifying the liver based on the saying of＂no tonifying treatment for the liver＂, Wei Yuheng＇s medical theories and clinical experiences are scattered in his book Xu Mingyi Lei ＇an （Supplement to Classified Case Records of Celebrated Physicians）. Wang Mengying collected part of his thoughts and experiences and wrote the book Liuzhou Yihua （Liuzhou Medical Talks）. Although Wang Mengying＇s book could deduce part of the thoughts of Wei Yuheng, it didn＇t disclose his theories completely. It is known to all that the compound recipe Yiguan Jian is a representative formula of Wei Yuheng to tonify liver yin. Actually, it can be concluded from the analysis of Xu Mingyi Lei ＇an that he used Fructus Lycii （Gouqi） as a main herb to tonify liver yin in the method of nourishing yin to generate liver. Based on the idea that there are accept, restriction, generation and transformation relationship among the lung, kidney and liver yin, so he also always used Radix Glehniae （Beishashen）, Radix Ophiopogonis （Maid- ong）, Radix Rehmanniae Recens （Shengd!huang）, and Radix Rehmanniae Preparata （Shudihuang） in his compound recipes. If the yin blood is insufficient, Semen Ziziphi Spinosae （Suanzaoren） should be added. In order to prepare a out way for phlegm - heat caused dy liver yin deficiency, a lubricative, Semen Trichosanthis （Gualouren） was always used and raw Semen Coicis Recens （Shengyiyiren） too. Sichuan Rhizoma Coptidis （Chuanhuanglian） can be used to clear fireheat, and Fructus Meliae Toosendan （Chuanlianzi） for pain caused by fire - heat.

关 键 词：魏玉横 养阴生肝法 续名医类案 肝无补法 

分 类 号：R249[医药卫生—中医临床基础]