明清医家补法辨治痢疾探微  

An Exploration into the Differentiation and Treatment of Dysentery by Doctors in the Ming and Qing Dynasties

作　　者：尹志弘 李董男[1] YIN Zhihong;LI Dongnan(Anhui University of Chinese Medicine,Anhui Hefei 230012,China)

机构地区：[1]安徽中医药大学中医学院,安徽合肥230012

出　　处：《中医药临床杂志》2023年第10期1905-1910,共6页Clinical Journal of Traditional Chinese Medicine

基　　金：安徽省教育厅重点项目(SK2020A0243)。

摘　　要：补法治痢由明代温补学派兴起,但不局限于温补。清代一些医家如张璐、陈士铎等对其批判继承,逐渐形成了温补、补涩兼施和补阴三大主要思路。虚寒性痢疾或痢疾初期而脾胃素虚者当温补脾肾,痢疾见久泻滑脱者应补涩兼施,久痢伤阴反见发热者宜补阴。虽然三种补法适用的症状表现不同,但总体原则不离扶助正气、顾护脾肾、辨证施治。明清时期医家对补法治痢的辨证要点、选用方药以及部分医家的学术特色,对丰富中医痢疾的证治体系,拓宽学术视角具有重要意义。The tonic method for treating dysentery emerged from the warm tonic school of thought in the Ming Dynasty,but it is not limited to warm tonic.Some medical doctors in the Qing Dynasty,such as ZHANG Lu and Chen Shiduo,criticized and inherited it,and gradually formed three main ideas:warming,tonifying and astringent,and tonifying Yin.Those with dysentery caused by deficiency and cold or early stage dysentery with spleen and stomach deficiency should warm and nourish the spleen and kidneys.Those with dysentery who see prolonged diarrhea and slippage should use a combination of tonic and astringent treatments.Those who suffer from prolonged dysentery and suffer from fever should replenish Yin.Although the applicable symptoms of the three tonic methods are different,the overall principles are to support healthy Qi,protect the spleen and kidneys,and treat based on syndrome differentiation.During the Ming and Qing dynasties,doctors’key points of syndrome differentiation and selection of prescriptions for treating dysentery,as well as the academic characteristics of some doctors,were of great significance to enriching the TCM syndrome and treatment system for dysentery and broadening the academic perspective.

关 键 词：明清医家 补法 辨治 痢疾 

分 类 号：R249.2[医药卫生—中医临床基础]