明代助产手法的进步及其评价  

Progress and appraisal of midwife manipulation in the Ming dynasty

作　　者：张志斌[1] 

机构地区：[1]中国中医研究院中国医史文献研究所,北京100700

出　　处：《中华医史杂志》1999年第2期79-81,共3页Chinese Journal of Medical History

摘　　要：明代的助产手法比北宋杨子建《十产论》的内容有了进一步的发展，表现在各种妇产医著对之有比较广泛的记载，疗效也得到医家们比较普遍的承认。更重要的是手法操作过程得到改进，如提出作好术前的准备工作，剪除指甲、香油润手。而且必须对胎儿位置确诊无疑，严格掌握各种手法的适应症，并增加了胎盘剥离手法及碎胎术。这是明代中医产科学中很值得重视的一部分。虽然仍有许多缺陷，但在当时的医疗条件下，不失为一种有效的急救措施。There was progress of midwife manipulation in the Ming dynasty as compared with that ofthe Shi Can Lun written by Yang Zijian of the Northern Song dynasty, as manifested by the extensive de-scription seen in all medical books on gynecology and obstetrics, with its therapeutic effects popularly ac-cepted by medical poofessionals. More importantly, the manipulations were promoted, including goodpreparatory works, trimming nails and lubricating the hands with oil before the operation. Further, the ex-act fetal position should be deteimined and all the indications for operation be clear, and the method of em-bryotomy and seperation of placenta were also appeared. This is an attentive part of Chinese obstetrics inthe Ming dynasty. Though there were still some shortciomings, all these new techniques were, under theconditions then, effective first aid measuures deserving attention.

关 键 词：助产手法 明代 中医产科学 

分 类 号：R271.97[医药卫生—中西医结合]