明清时期三大学术流派对痔的认识  

Understanding of hemorrhoids in three academic schools in Ming and Qing Dynasties

作　　者：张文星 王荣[2] ZHANG Wenxing;WANG Rong(Graduate School of Liaoning University of Traditional Chinese Medicine, Shenyang 110847, Liaoning, China;Anorectal Department, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang 110032, Liaoning, China)

机构地区：[1]辽宁中医药大学研究生院,辽宁沈阳110847 [2]辽宁中医药大学附属医院肛肠科,辽宁沈阳110032

出　　处：《上海中医药杂志》2019年第8期49-52,共4页Shanghai Journal of Traditional Chinese Medicine

摘　　要：通过文献梳理,整理总结明清时期三大学术流派(正宗派、心得派、全生派)对痔的认识。痔的病因主要包括饮食失宜、情志不畅、久坐负重以及房劳过度四个方面。三大流派的临床治疗各有特色:陈实功(正宗派)注重使用外治法,主张早期诊治;高秉钧(心得派)重视内治法,在顾护正气的同时擅于结合脉诊判断预后;王维德(全生派)主张审证求因,强调使用枯痔类药物时要注意保护肛门。Through literature review, this paper summarizes the understanding of hemorrhoids of the three major academic schools in the Ming and Qing dynasties(Zhengzong sect, Xinde sect and Quansheng sect). The etiology of hemorrhoids mainly includes four aspects: improper diet, abnormal change of emotions, sedentary weight bearing and excess of sexual intercourse. Chen Shigong(Zhengzong sect) attached great importance to the use of external treatment, advocating early diagnosis and treatment. Gao Bingjun(Xinde sect) paid great attention to internal therapy and did well in judging the prognosis by combining pulse diagnosis while protecting the healthy qi. Wang Weide(Quansheng sect) advocated the identification of cause according to syndrome differentiation, emphasizing that the protection of anus should be considered during the use of hemorrhoid-withering drugs.

关 键 词：痔 明代 清代 学术流派 《外科正宗》 《疡科心得集》 《外科证治全生集》 

分 类 号：R266[医药卫生—中医外科学]