《先醒斋医学广笔记》中温热病的治疗思路  

Treatment of Febrile Disease in Medical Notes in Xianxing Study

作　　者：胡亦明 安耀荣(指导)[1,2,3] HU Yiming;AN Yaorong(Gansu University of Traditional Chinese Medicine,Lanzhou 730030,China;Key Laboratory of Chinese Herbs and Prescription Mining and Innovation and Transformation in Gansu Province,Lanzhou 730030,China;Engineering Laboratory for the Development of New Traditional Chinese Medicine Products in Gansu Province,Lanzhou 730030,China)

机构地区：[1]甘肃中医药大学,甘肃兰州730030 [2]甘肃省中医方药挖掘与创新转化重点实验室,甘肃兰州730030 [3]甘肃省中药新产品创制工程实验室,甘肃兰州730030

出　　处：《中国民族民间医药》2023年第15期4-7,共4页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：《先醒斋医学广笔记》记录了明末医药学家缪希雍的临床病案以及临证用方用药体会。缪氏对温热病有独到的认识,提出“邪气自口鼻而入”的病因理论;总结温热病的发病规律,辨证论治,认为应速去邪气,以“药用辛温,佐以辛寒,以解表邪”为治疗温热病初起的治疗大法,组方遣药中重视阴液,以清润为原则,慎用汗、下之法以保存元气。他的思想为后世医家治疗温热病提供了宝贵的思路,对温病学的发展起了积极作用,对后世医家有很大的影响。Medical Notes in Xianxing Study records the clinical medical records and clinical medication experience of Miao Xiyong,a famous medical practitioner in the late of Ming Dynasty.Miao has a unique understanding of febrile disease,puts forward the etiological theory of“evil qi entering through mouth and nose”,summarizes the pathogenesis law of febrile disease,treats it based on syndrome differentiation,and holds that it should be treated quickly with“medicinal pungent warming,supplemented by pungent cold,and relieving surface evil”as the treatment method for the beginning of febrile disease.His thoughts provided valuable ideas for doctors of later generations to treat febrile diseases,played a positive role in the development of febrile diseases,and had a great influence on later physicians.

关 键 词：缪希雍 先醒斋医学广笔记 温热病 治疗 

分 类 号：R254.2[医药卫生—中医内科学]