基于“给邪出路”探析《疡科心得集》汗法治疗疮疡  

Treating sore and ulcer diseases by the sweating method in Yangke Xinde Ji based on the theory of giving pathogenic factors a way out

作　　者：黄敏[1] 向丽萍[1] HUANG Min

机构地区：[1]湖南中医药大学第二附属医院,湖南长沙410005

出　　处：《中医临床研究》2024年第25期28-31,共4页Clinical Journal Of Chinese Medicine

摘　　要：中医学认为,一切致病因素都可称为“邪”,“正邪”关系贯穿疾病的始终。疮疡疾病是由瘀血、水肿、脓腐等有形之邪使气血运行紊乱,机体阴阳失衡而导致的,邪气的进展有一定的规律,早期“给邪以出路”对疮疡的预后与转归有决定性的作用。清代名医高秉钧继承发扬《黄帝内经》《伤寒杂病论》等中医经典著作中的相关理论,结合自身多年的临床经验,认为汗液的排泄失调与疮疡疾病的发生相关。《疡科心得集》是高秉钧融合经典理论和临床实践以指导疮疡论治的经验之作,秉持“给邪出路”的理念,灵活运用汗法因势利导,或解表透邪,或引邪外达,或调和营卫,或助阳化脓,或放血泻毒,以达到祛邪的目的。研究总结《疡科心得集》中以汗法治疗疮疡的临床经验,为现代临床治疗疮疡疾病提供新思路。According to traditional Chinese medicine,all pathogenic factors can be called evil,and the relationship between vital energy and pathogenic factor runs through the whole process of diseases.Sore and ulcer diseases are caused by the physical evil such as blood stasis,edema,pus and decay,which leads to the disorder operation of Qi(气)and blood and the imbalance of Yin(阴)and Yang(阳)in the body.The progress of pathogenic factors has certain rules,and early method of“giving pathogenic factors a way out”has a decisive role in ameliorating the prognosis and outcome of sore and ulcer diseases.GAO Bingjun,a famous TCM practitioner in the Qing Dynasty,inherited and developed the relevant theories in the classic works of traditional Chinese medicine such as Huangdi Neijing(《黄帝内经》)and Shanghan Zabing Lun(《伤寒杂病论》),combined with many years of clinical experience,and believed that the imbalance of sweat excretion was related to the occurrence of sore and ulcer diseases.Yangke Xinde Ji(《疡科心得集》)is GAO Bingjun’s work that integrated plenty of classical theory and clinical treatment as a guiding ideology in understanding and treating sore and ulcer diseases.In this work,adhering to the concept of giving pathogenic factors a way out,the sweating methods were applied flexibly to get to the root of the matter,or to relieve exterior syndrome to remove pathogenic factors,or induce pathogenic factors to reach outside,or harmonize Ying(营)and Wei(卫),or nourish Yang to resolve pus,or perform blood-letting therapy,so as to achieve the purpose of eliminating pathogenic factors.In this article,the clinical experience of treating sore and ulcer diseases by sweating method in Yangke Xinde Ji is summarized to provide new thinking for modern clinical treatment of sore and ulcer diseases.

关 键 词：《疡科心得集》 给邪出路 汗法 学术思想 

分 类 号：R275[医药卫生—中医皮科]