吴中名医张璐辨治痫证的经验探析  

Empirical Analysis of ZHANG Lu in Treating of Epilepsy

作　　者：章瑶 沈劼 ZHANG Yao;SHEN Jie(Literature Research Institute of Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]南京中医药大学中医药文献研究所,江苏南京210023

出　　处：《中医药信息》2022年第6期52-55,共4页Information on Traditional Chinese Medicine

基　　金：国家中医药管理局基金项目(GZY-KJS-2021-027);江苏省高校优势学科建设工程资助项目(PAPD);南京中医药大学中医学优势学科三期项目开放课题(ZYX03KF011)。

摘　　要：通过对《张氏医通》及张璐代表著作中痫证的相关论述进行研究,归纳总结清朝初期吴中名医张璐辨治痫证的经验方法。张璐重视经典,善用古方,提出治疗痫证以“补肾为本,豁痰为标”为原则,临证上辨析患者禀赋,运用分期论治的方法来治疗痫证,并多佐用安神药。总结了“脉浮滑洪数为风痫,细弦微缓为虚痫,浮为阳痫,沉为阴痫”的痫证脉诊特点,详述痫证脉象特征,同时在小儿痫的治疗上,张璐强调胎教,认为母体与小儿痫的产生息息相关,指出“须曲体母情,适其自然之性”的日常防护之法。This study summarized the empirical analysis of ZHANG Lu,who was a famous doctor in Wuzhong in the early Qing Dynasty,in treating epilepsy based on the treatises about epilepsy in ZHANG Shi Yi Tong and ZHANG Lu’s representative works.ZHANG Lu attached great importance to classics and made good use of ancient prescriptions.He put forward the principle of treating epilepsy with’tonifying Kidney as the basis and eliminating phlegm as the target’.He differentiated the patient′s endowment clinically,applied staged treatment,and used Chinese medicinal with the action of tranquilizing Shen more often.ZHANG Lu concluded that’floating and slippery pulses are due to wind epilepsy,thin and string pulses are due to deficient epilepsy,floating pulse is due to Yang epilepsy,and deep pulse is due to Yin epilepsy’,which detailed the pulse characteristics of epilepsy.In the treatment of pediatric epilepsy,ZHANG Lu emphasized prenatal education and believed that the mother′s body is closely related to the pediatric epilepsy,and pointed out the daily protection method of’feel maternal body,suit her natural nature’.

关 键 词：痫证 癫痫 张璐 《张氏医通》 经验探析 

分 类 号：R249[医药卫生—中医临床基础] R277.7[医药卫生—中医学]