清代名医曹存心诊治急性水肿特色  

Famous Physician in the Qing Dynasty Cao Cunxin's Diagnosis and Treatment Characteristic of Acute Edema

作　　者：濮姗姗 杨奕望[1,3] 李赣 Pu Shanshan;Yang Yiwang;Li Gan(Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学,上海201203 [2]上海中医药博物馆,上海201203 [3]上海市重大传染病和生物安全研究院中医药疫病研究中心,上海201318

出　　处：《中国中医急症》2023年第6期1083-1085,1091,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家社科基金一般项目“长三角一体化视角下清代医家的社交网络研究”(20BZS121);上海市市级科技重大专项“重大突发传染病防控关键核心技术研究”资助(ZD2021CY001,ZXS004R4-1)。

摘　　要：清代名医曹存心,医术高超,被誉为“德被吴中,名驰海外”。其诊治急性水肿颇具特色,以肺、脾、肾三脏为纲,尤重脾土之制水。承袭中医典籍,对《素问》“因于气为肿”有所阐发,以运气学说为纲,强调因时施治。临证以仲景之法为宗,灵活化裁经方,往往以一主方,变化融贯。曹氏治水肿的同时注重喘证的预防,遵循喘胀相因之理论,健脾行水往往兼顾清肺降气,以防传变。梳理其留世医案,总结曹存心诊治急性水肿的特色,以冀为现今临证提供借鉴。Mr.Cao Cunxin,a famous physician in the Qing dynasty,had superb medical skill and was praised for his virtue in Wuzhong area and had great overseas reputation.Cao's treatment of acute edema was quite charac-teristic.He took lung,spleen and kidney as the outline and attached importance to spleen's restricting water.He inherited classics of TCM,further elucidated the Plain Questions as:"edema due to Qi",and used doctrine on Yunqi as the principle to emphasize the treatment in line with the time change of climate.He abode by the theory of Mr.Zhang Zhongjing and modified classical prescriptions flexibly so that the herbs he used usually varied with a main prescription.Cao also prevented dyspnea when he treated edema.He abode by the theory that dyspnea and edema was reinforcing mutually,so he invigorated the spleen and removed edema as well as cleared lung and descend-ed qi to prevent the disease from exacerbating when he treated edema.In this paper,Cao's medical cases and his diagnosis and treatment characteristics of acute edema are analyzed to provide references for clinical therapy.

关 键 词：急性水肿 曹存心 《曹仁伯医案》 清代医家 江南医学 

分 类 号：R256.51[医药卫生—中医内科学]