室町时代以来日本汉方医家治疫验案探析  

Analysis on Epidemic Treatment Cases of Kampo Doctors Since Muromachi Period

作　　者：陈一凡 杨东方 CHEN Yifan;YANG Dongfang(School of Chinese Classics,Beijing University of Chinese Medicine,Beijing 102488,China)

机构地区：[1]北京中医药大学国学院,北京102488

出　　处：《山东中医药大学学报》2024年第1期106-111,共6页Journal of Shandong University of Traditional Chinese Medicine

基　　金：国家社科基金后期资助项目(编号:22FTQB012);中央高校基本科研业务费专项“揭榜挂帅”重点项目(编号:2023-JYB-JBZD-064)。

摘　　要：室町时代以来,日本汉方医学界相继形成了后世方派、古方派、折衷派等医学流派,各流派代表人物所留存的医案记录为中医药传日后应用于日本各类疫病辨治提供了切实依据。其中,后世方派曲直濑玄朔的医案反映了其分期治疗痘疮以及针对麻疹恢复期患者扶正托邪的治疗思路;古方派吉益南涯的医案体现了其治疗疫病善用峻剂驱逐瘀热之毒以及辨疫痢虚实而治的特点;折衷派浅田宗伯的医案则呈现出其博采仲景方及中日其他各家验方而井然有序的治疫经过。此外,北山友松子、古林见宜、野间玄琢等的医案也进一步展现了近世日本汉方医家将中医方剂灵活化裁应用于疫病治疗之中。Since the Muromachi period,Kampo medicine has successively formed medical schools such as the school of current formula,the school of classic formula,and the eclectic school.The medical records retained by representatives of each school provided a practical basis for the application of traditional Chinese medicine(TCM)in the differentiation and treatment of epidemic disease in Japanese.Among them,the medical cases of Genzaku Naose,the representative of the school of current formula,reflected his approach of treating smallpox in stages and supporting healthy qi and expelling pathogenic factors during the recovery period of measles.The medical cases of Nangai Yosimasu,the representative of the school of classic formula,reflected its characteristics of treating epidemic disease by using dramatic medicine to expel the toxins of blood stasis and heat,as well as distin-guishing between deficiency and excess of epidemic dysentery and treating it.The medical cases of Munehaku Asada,the representative of the eclectic school,presented an orderly process of treating the epidemic disease through his extensive use of Zhongjing’s formulas and other doctors’tested formulas in China and Japan.In addition,the medical cases of Yoshiko Kitayama,Kanichi Kobayashi,Gentaku Noma and others further demonstrated the flexible modification and application of TCM formulas in the treatment of epidemic disease by Kampo doctors.

关 键 词：疫病 医案 汉方医学 曲直濑玄朔 吉益南涯 浅田宗伯 

分 类 号：R249[医药卫生—中医临床基础]