试析新安医家孙一奎时疫辨治特色  

Analysis of the characteristics of epidemic diagnosis and treatment by Xin'an physician SUN Yikui

作　　者：董思含 苏颖[1] DONG Sihan;SU Ying(Changchun University of Chinese Medicine,Changchun 130117,China)

机构地区：[1]长春中医药大学,长春130117

出　　处：《中华中医药杂志》2023年第10期4562-4565,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：苏颖全国名老中医药专家传承工作室项目。

摘　　要：明代新安医家孙一奎对时疫类外感疾病及内伤杂症的辨治颇具特色,时疫辨治经验集中体现在《赤水玄珠·瘟疫门》和《孙氏医案》中。孙一奎对时疫的辨治传承并完善了汪机、朱丹溪的时疫辨证论治学术思想,时疫的遣方用药遵循《素问·至真要大论》气味组方原则,为后世时疫辨治提供了重要思路。文章从辨时疫之因机症候以明时疫之证、创补散降时疫三法以扶正祛邪、重运气时令以因时制宜3个方面,对孙一奎时疫辨治特色予以阐述,对于温疫类外感烈性传染性疾病的防治具有重要意义。SUN Yikui,a Xin'an physician in the Ming dynasty,was quite distinctive in the identification and treatment of external diseases and internal injuries and miscellaneous diseases such as epidemics,and his experience in the identification and treatment of epidemics was concentrated in Chishui Xuanzhu·Plague Gate and SUNs'Medical Case.SUN Yikui's identification and treatment of the epidemic inherits and perfects the academic thought of WANG Ji and ZHU Danxi's dialectical treatment of the epidemic,and the prescription and medication of the epidemic follow the principle of odor composition of the Suwen-Zhizhenyao Dalun,which provides important ideas for the identification and treatment of the epidemic in future generations.This paper expounds the characteristics of SUN Yikui's epidemic identification and treatment from three aspects:identifying the causes and symptoms of the epidemic,showing the evidence of the epidemic,creating and dispersing the epidemic,and refocusing luck and seasonal to adapt to the time and conditions,which is of great significance for the prevention and treatment of external infectious diseases such as warm epidemic.

关 键 词：新安医家 孙一奎 时疫 辨治特色 《赤水玄珠》 《孙氏医案》 疫病 

分 类 号：R249[医药卫生—中医临床基础] R254.3[医药卫生—中医学]