新安医家郑梅涧论治喉病思想探究  

Exploration of Xin’an Physician ZHENG Meijian’s Thought on Treating Laryngeal Diseases

作　　者：胡伟 李玮 储水柔 孙培养[2] HU Wei;LI Wei;CHU Shuirou;SUN Peiyang(Graduate School of Anhui University of Chinese Medicine,Hefei 230012,China;The Seventh Department of Encephalopathy,The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,China)

机构地区：[1]安徽中医药大学研究生院,安徽合肥230012 [2]安徽中医药大学第二附属医院脑病七科,安徽合肥230061

出　　处：《山东中医杂志》2024年第5期529-532,551,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：第五批全国中医临床优秀人才研修项目(批文号:国中医药人教函[2022]1号);安徽省教育厅高校科学研究项目(编号:KJ2020A0404);安徽省重大疑难疾病中西医协同攻关项目(批文号:皖中医药发展秘[2021]70号);安徽省卫生健康委科研项目(编号:AHWJ2021b042)。

摘　　要：以清代新安医家郑梅涧著作《重楼玉钥》为依托,探讨其治疗喉病的学术思想。郑梅涧深刻剖析咽与喉在解剖、功能、病变特点等方面的不同,指出喉病的病因主要为风邪热毒。在治疗上,以养阴清热、气血并治为原则。用药方面,开创性地应用紫地散、辛乌散和各种吹药等,其组方用药思想成为养阴清肺汤形成的基础;针灸方面,首创“开风路针”“气针”“破皮针”等特色针法。其临证时中药、针灸灵活变通,随症用之,疗效肯定,独具特色,为后人治疗喉病积累了大量经验。Based on Jade Key to the Secluded Chamber,written by ZHENG Meijian,a Xin'an physician in the Qing Dynasty,this paper explores his academic thought on treating laryngeal diseases.ZHENG Meijian deeply analyzed the differences of pharynx and larynx in anatomy,function and pathological characteristics,and pointed out that the main causes of laryngeal diseases were wind pathogenic factors and heat toxicity.In terms of treatment,ZHENG Meijian adhered to the principle of nourishing yin,clearing heat,and treating both qi and blood.In terms of medication,the pioneering application of Zidi Powder(紫地散),Xinwu Powder(辛乌散),and various insufflation of powder drug became the basis for the formation of Yangyin Qingfei Decoction(养阴清肺汤).In terms of acupuncture and moxibustion,he pioneered“Kaifenglu Acupuncture”,“Qi Acupuncture”,“Puopi Acupuncture”and other characteristic acupuncture methods.The clinical Chinese medicine and acupunc⁃ture and moxibustion are flexible and can be used according to the condition of the patient,which were quite effective and unique.ZHENG Meijian accumulated a wealth of experience in treating laryngeal diseases for later generations.

关 键 词：郑梅涧 新安医家 喉病 紫地散 辛乌散 吹药 针灸 

分 类 号：R276.1[医药卫生—中医五官科学]