吴鞠通以“血络”与“气经”病位之异而制络病方心法述评  

Review on the Experiences of Wu Ju-tong Making the Prescription Theory to Treat Luobing on the View of that Diseases are in the Xueluo but not in the Qijing

作　　者：张福利[1] 刘海燕[1] 马伯艳[1] 马艳春[1] 

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《中华中医药学刊》2009年第6期1146-1147,共2页Chinese Archives of Traditional Chinese Medicine

基　　金：黑龙江省科技攻关课题(5030218)

摘　　要：清代医家吴鞠通在全面继承张仲景、叶天士等前贤的络病学成就的同时,又结合自身实践,有所创新发展。他基于病在"血络"异于"气经"而制方论治络病之心法有3个方面内容:(1)重在选择药味,病在"血络"必君以或主以辛味、虫蚁类以宣通气血、化瘀通络;(2)需虑药味多寡,病在"血络"更适宜多味少量以数法并行、大方复治;(3)需择合适剂型,病在"血络"更适宜"丸剂缓化"以攻补并施、缓行攻络。WU Ju - tong in the Qing Dynasty succeeded of all - round achievements of the senior doctors such as ZHANG Zhong -jing and Ye Tianshi etc. At the same time,he was also in light of his own practice to developed and innovate the theory of theirs. On the basis of view that diseases are in the Xueluo but not in the Qijing,he made the prescription theory to treat Luobing. In this paper,we summarized the main three aspects of his academic viewpoint. First,he emphasized on choosing the types of drugs in a prescription,he mainly used the pungent drugs or insect drugs to treat the diseases in the Xueluo. These drugs can disperse qi and remove blood stasis from Xueluo. Second, he also emphasized on considering the number of drugs in a prescription,he viewed that diseases on the Xueluo should choose more drugs but small dosages, which was called the complex prescription with many compound methods. The last one,he emphasized on choosing the suitable form of prescriptions,which a more appropriate form of prescriptions for diseases in the Xueluo was pills. He took the advantages of slow absorption, lasting potency to reach the effect of the simultaneous elimination and reinforcement.

关 键 词：血络 气经 络病 制方 论治 

分 类 号：R22[医药卫生—中医基础理论]