《医学正传·小儿科》述评  

A Review of YU Tuan’s “The Orthodox Tradition of Medicine·Pediatrics”

作　　者：程志源 CHENG Zhiyuan(First People’s Hospital of Wuyi,Zhejiang,Wuyi(321200),China)

机构地区：[1]武义县第一人民医院,浙江武义321200

出　　处：《浙江中医药大学学报》2020年第10期960-962,共3页Journal of Zhejiang Chinese Medical University

基　　金：2020年浙江省中医药科技计划中医药现代化专项(2020ZX002)。

摘　　要：[目的]对丹溪学派虞抟的《医学正传·小儿科》进行整理研究。[方法]采用中医文献学方法,对《医学正传·小儿科》的主要内容及其学术渊源进行归纳点评,并对其学术特点进行分析讨论。[结果]《医学正传·小儿科》先总论小儿病因和脉法,后记载急慢惊风、发搐、五痫、疳证、吐泻、痘疹等6个门类共24种病证的脉因证治,其中论述惊、疳、吐泻、痘疹之理法方药尤为详尽。其学术经验主要源于《内经》《小儿药证直诀》及孙思邈、朱丹溪、李东垣、刘河间、张子和、陈文中等历代医家,而发搐、五痫二证全部录自《小儿药证直诀》。虞抟认为,小儿病因以胎毒、伤食多见,小儿脉法当6岁以下看虎口指纹、7岁以上方可切脉,小儿"纯阳"年龄应以8岁为界。[结论]《医学正传·小儿科》根据《内经》《小儿药证直诀》之要旨,继承丹溪学术思想,博采历代医家医论验方,秉承家传,旁通己意,在丹溪学派儿科学术经验的传承中发挥重要作用。[Objective] To sort out and study the academic thoughts of the "The Orthodox Tradition of Medicine·Pediatrics"by YU Tuan of Danxi school.[Methods]Using the method of traditional Chinese medicine philology,the main content and academic origin of the"The Orthodox Tradition of Medicine·Pediatrics"were summarized,and its academic characteristics were analyzed and discussed. [Results]It is found that the main content of the book was to give a general introduction first to summarize the etiology and pulse diagnosis methods of children,and then recorded the pulse diagnosis,causes,syndrome differentiation and treatment of 24 diseases in 6 categories,including sudden and slow convulsion,tetany,epilepsy,malnutrition,vomiting and diarrhea,and vaccinia,among which the principles,methods,and prescriptions for convulsion,malnutrition,vomiting and diarrhea,and vaccinia were particularly detailed. YU’s academic experience was mainly derived from "Inner Canon of the Yellow Emperor"and "Key to Therapeutics of Children’s Diseases",and doctors such as SUN Simiao,ZHU Danxi,LI Dongyuan,LIU Hejian,ZHANG Zihe and CHEN Wenzhong,while the two syndromes of tetany and epilepsy were all recorded from "Key to Therapeutics of Children’s Diseases". YU Tuan believed that fetal toxicosis and food damage were common causes of children’s diseases. The diagnostic method of pulse condition for children should look at the fingerprint on the radial side of index finger at the age of less than 6 years old,and it should be suitable for pulse diagnosis at the age of more than 7 years old. The age of"pure Yang"should be defined as 8 years old.[Conclusion]According to the gist of"Inner Canon of the Yellow Emperor"and"Key to Therapeutics of Children’s Diseases","The Orthodox Tradition of Medicine·Pediatrics"inherits the academic thoughts of Danxi,draws on the experience of doctors of past dynasties,inherits the family history and combines with his own views,and plays an important role in the inheritance of pediatric academic experience of Danxi

关 键 词：虞抟 丹溪学派 医学正传 小儿科 小儿药证直诀 学术渊源 学术特点 归纳点评 

分 类 号：R720.5[医药卫生—儿科]