王孟英与张仲景论治霍乱比较探析  

Comparative Analysis between WANG Mengying and ZHANG Zhongjing on Treatment of Cholera

作　　者：孟凡滕 宋素花 MENG Fanteng;SONG Suhua(College of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学中医学院,山东济南250355

出　　处：《山东中医药大学学报》2021年第3期322-325,335,共5页Journal of Shandong University of Traditional Chinese Medicine

基　　金：国家中医药管理局齐鲁伤寒流派传承工作室建设项目(编号:LPGZS2012-34)。

摘　　要：梳理总结《随息居重订霍乱论》《伤寒杂病论》中有关霍乱的论述,近一步探析王孟英、张仲景二人所述霍乱在病因病机、辨证分型、治疗方剂以及预防调护上的区别与联系,探寻中国古代对于霍乱的认识。结果发现,王孟英学术思想源于张仲景,开创了霍乱寒热分治的原则,创制了治疗霍乱的新方剂,其主治寒、热霍乱选方用药与张仲景重叠范围较广,如治疗寒霍乱的桂枝汤、五苓散、理中丸、四逆汤;治疗热霍乱的栀子豉汤、黄芩汤、白虎汤等方。王孟英治疗霍乱与张仲景亦有不同之处,其创制了治疗热霍乱的燃照汤、驾轻汤、连朴饮,治疗霍乱转筋的蚕矢汤等方,为后世临床治疗提供了借鉴。This paper summarized the discourses about cholera in Revised Treatise on Cholera from the Lay Buddhist Suixi and Treatise on Cold Damage and Miscellaneous Diseases,which further analyzed the differences and connections of etiology,pathogenesis,syndrome differentiation,treatment prescriptions,prevention and nursing of cholera described by WANG Mengying and ZHANG Zhongjing.This will contribute to exploring the understanding of cholera in ancient China.It was found that WANG Mengying’s academic thought originated from ZHANG Zhongjing,pioneered the principle of separate treatment of cold and heat for cholera,and created a new prescription for the treatment of cholera.WANG Mengying’s prescriptions for treating cold and heat cholera overlap with Zhongjing’s prescriptions in a wide range,such as Guizhi Decoction(桂枝汤),Wuling Powder(五苓散),Lizhong Pills(理中丸),Sini Decoction(四逆汤)for treating cold cholera;Zhizichi Decoction(栀子豉汤),Huangqin Decoction(黄芩汤),Baihu Decoction(白虎汤)and other prescriptions for treating heat cholera.There are also some differences of the treatment of cholera between WANG Mengying and Zhang Zhongjing,such as the creation of Ranzhao Decoction(燃照汤),Jiaqing Decoction(驾轻汤),and Lianpu Drink(连朴饮)for the treatment of heat cholera;Canshi Decoction(蚕矢汤)for the treatment of cholera and spasm,etc.,which provide a reference for later clinical treatment.

关 键 词：王孟英 张仲景 霍乱 《随息居重订霍乱论》 《伤寒杂病论》 寒热分治 

分 类 号：R222[医药卫生—中医基础理论] R254.7[医药卫生—中医学]