新安医家程有功诊治中风学术思想浅探  

A Brief Study on the Academic Thought of Stroke Diagnosed and Treated by Xin’an Physician CHENG Yougong

作　　者：秦雪梅 李佩佩[1,2,3] 时潇 张莉苗[1,2,3] 胡建鹏 QIN Xuemei;LI Peipei;SHI Xiao(Anhui University of Traditional Chinese Medicine,Hefei Anhui 230038,China;Xin'an WANG School of Internal Medicine Inheritance Studio,Hefei Anhui 230038,China;Key Laboratory of Xin'an Ministry of Medical Education,Hefei Anhui 230038,China)

机构地区：[1]安徽中医药大学中医学院,安徽合肥230012 [2]新安王氏内科流派传承工作室,安徽合肥230038 [3]新安医学教育部重点实验室,安徽合肥230038

出　　处：《四川中医》2021年第12期20-23,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：国家中医药管理局全国中医学术流派传承工作室项目(国中医药人教函[2019]62号);国家“973”计划项目课题(编号:2013CB532001)。

摘　　要：目的:对新安医家程有功治疗中风学术思想进行探讨。方法:通过阅读《冯塘医案》并参考现代相关文献。结果:清代新安医家程有功注重中风"精血大亏"病机。对于中风的治则治法,程有功认为应以固本培元思想为要,应用药食同源之品时时顾护脾胃,以气血调理体现肝脾同治法,以滋补肝肾体现肝肾同治法。程有功治疗中风之方具有因时制宜、剂型变换巧妙、一病(证)多方的特点。其用药主张甘温补虚,善用对药以及经验用药,用药精当。结论:程有功治疗中风博取众家之长,尊古而不泥古。不论是程氏对中风病机的认识,还是其组方用药,均对现代临床治疗中风提供一定的经验。Objective: To discuss the academic thoughts of Xin’an physician CHENG Yougong on the treatment of stroke.Methods: By reading Fengtang Medical Records and referring to modern relevant literature.Results: CHENG Yougong, a Xin’an physician in the Qing Dynasty, paid attention to the pathogenesis of stroke "large blood loss".Regarding the treatment of stroke, CHENG Yougong believes that the idea of consolidating the essence should be the key point, using products of the same medicine and food to protect the spleen and stomach from time to time, regulating the Qi and blood to embody the liver and spleen therapy, and to nourish the liver and kidney to embody the liver and kidney.CHENG Yougong’s prescription for treating stroke has the characteristics of adapting measures to time, changing dosage forms ingeniously, and having multiple prescriptions for one disease(syndrome).Its medication advocates sweetness and warmth to nourish deficiency, good use of the right medicine and empirical medicine, and the medicine should be used carefully.Conclusion: CHENG Yougong’s treatment of stroke is based on the best of others, respecting the past but not the past.Whether it is CHENG’s understanding of the pathogenesis of stroke, or his prescriptions and medications, both provide certain experience in modern clinical treatment of stroke.

关 键 词：程有功 中风 固本培元 肝脾同治 

分 类 号：R249[医药卫生—中医临床基础] R255.2[医药卫生—中医学]