皇甫谧对张仲景经方运用浅析  

Analysis of Huangfu Mi's application of Zhang Zhongjing's prescription

作　　者：赵中玮 万健民 景选龙 苗冲 辛雪 ZHAO Zhongwei;WAN Jianmin;JING Xuanlong;MIAO Chong;XIN Xue(Department of Pharmacy,Gansu Medical College,Gansu Province,Pingliang744000,China)

机构地区：[1]甘肃医学院药学系,甘肃平凉744000

出　　处：《中国当代医药》2024年第1期93-97,共5页China Modern Medicine

基　　金：甘肃省中医药科研课题项目(GZKP-2021-41)。

摘　　要：张仲景与皇甫谧两位医家生活年代十分接近,前者撰写的《伤寒杂病论》成为“方书之祖”,后者编撰的《针灸甲乙经》也成为针灸学经典,两部专著的问世共同促进了中医临床治疗学的形成和发展。皇甫谧认为,医道分为“针道”和“汤液”两大体系,汤液医学经张仲景、王叔和发展,已臻完善;而针道流传中,现存的针灸典籍已经残缺不全,错讹较多,需要进一步编次整理。皇甫谧在这一医学研究分析的基础之上撰写了《针灸甲乙经》。因此,皇甫谧的医学学术思想体系不局限于针灸这一方面,人们在关注皇甫谧针灸学术贡献的同时,不应忽视皇甫谧也精于“汤液”,尤其擅长运用仲景经方的这一事实。通过对皇甫谧的有关著述及相关史料分析可知:皇甫谧对张仲景非常推崇,并对仲景经方进行了深入的研究,开仲景经方研究之先河,明确了寒食散的出处、作用、用法、不良反应,将经方条文引入《针灸甲乙经》并完善了针灸学理论,其中所体现的皇甫谧针药并重的医学思想值得继承和发扬。Zhang Zhongjing and Huangfu Mi lived in a very close age.The former's Treatise on Febrile and Miscellaneous Diseases became the"ancestor of the prescription book",while the latter's A and B Classics of Acupuncture and Moxibus-tion also became the classic of acupuncture and moxibustion.The publication of the two monographs jointly promoted the formation and development of traditional Chinese medicine clinical therapy.Huangfu Mi believes that the medical path is divided into two systems:acupuncture and decoction.Decoction medicine has been perfected by Zhang Zhongjing and Wang Shuhe.However,in the circulation of acupuncture theory,the existing acupuncture classics have been incomplete,and there are many errors,which need to be further compiled and sorted out.On the basis of this medical research and analysis,Huangfu Mi wrote A and B Classics of Acupuncture and Moxibustion.Therefore,Huangfu Mi's medical academic thought system is not limited to acupuncture and moxibustion,people should not ignore the fact that Huangfu Mi is also good at de-coction,especially the use of Zhongjing classical prescription.Through the analysis of Huangfu Mi's relevant writings and relevant historical materials,we can know that Huangfu Mi highly respected Zhang Zhongjing,and conducted in-depth re-search on Zhongjing classical prescription,set a precedent for the study of Zhongjing classical prescription,clarified the ori-gin,function,usage and adverse reactions of Hanshi Powder,introduced the provisions of classical prescription into the A and B Classics of Acupuncture and Moxibustion and improved the theory of acupuncture and moxibustion.The medical thought of Huangfu Mi attaching equal importance to acupuncture and medicine is worth inheriting and developing.

关 键 词：皇甫谧 张仲景 针灸 经方 

分 类 号：R222[医药卫生—中医基础理论]