基于“取坎填离”论冯兆张温补思想特色  

Study on FENG Zhaozhang’s Warming and Nourishing Thought and Diagnosis and Treatment Characteristics Based on“Tak⁃ing Kan and Filling Li”

作　　者：刘琳炎 谷建军 LIU Linyan;GU Jianju(Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029

出　　处：《浙江中医药大学学报》2024年第10期1256-1262,共7页Journal of Zhejiang Chinese Medical University

基　　金：北京中医药大学“揭榜挂帅”重点项目(2023-JYB-JBZD-067)。

摘　　要：[目的]探讨浙派中医冯兆张的温补思想与诊疗特色。[方法]采用文献学研究方法,梳理《冯氏锦囊秘录》中温补思想相关论述,结合冯兆张本人医案及温补学派相关理论知识,总结冯兆张的温补思想及诊疗特色。[结果]冯兆张的温补思想体现“取坎填离”理念,其以真阴真阳为先天之本、后天之命,阐明内伤发热的本质是火空而发,通过辨先天、中宫之脉审明病机,提出“调之、安之、从之、抚之”的治疗方法;论治重视调补真阴真阳,善用引药敛火归元,讲究服药方式及剂型以发挥药效;提出“补接”原则,重视疾病后期的补养。其自创方全真一气汤是体现“取坎填离”温补思想的代表方剂。[结论]冯兆张辨治疾病以先后天阴阳为纲领,从根本论治,理法严明,用药精准,为治疗重证顽疾、疑难杂病提供了有效的诊疗思路,值得发扬学习。[Objective]To explore the warming and nourishing thought and diagnostic and therapeutic characteristics of FENG Zhaozhang,a doctor of the Zhejiang faction of traditional Chinese medicine.[Methods]Using the method of literature research,this study sorted out the relevant discussions on the warming and nourishing thought in the Fengshi Jinnang Milu,combined with FENG Zhaozhang’s own medical cases and relevant theoretical knowledge of the warming and nourishing school,and summarized FENG Zhaozhang’s warming and nourishing thought and diagnostic and therapeutic characteristics.[Results]FENG Zhaozhang’s warming and nourishing thought embodies the concept of“taking Kan and filling Li”.It takes true Yin and Yang as the innate and postnatal basis,and clarifies that the essence of internal injury and fever is caused by fire emptiness.By distinguishing the pulses of the congenital and central viscera,the pathogenesis is identified,and a treatment method of“regulating,calming,following and soothing”is proposed;FENG’s theory emphasizes regulating and nourishing true Yin and Yang,making good use of medicinal herbs to restrain fire and bringing it back to its original state.He paid attention to the way and dosage form of medication to exert its efficacy,proposed the principle of“supplementing and proceeding”,and attached importance to nourishment in the later stage of the disease.His self-created formula Quanzhen Yiqi Decoction,is a representative formula that embodies the idea of“taking Kan and filling Li”for warming and nourishing.[Conclusion]FENG Zhaozhang’s diagnosis and treatment of diseases is based on the principle of prioritizing Yin and Yang,with a fundamental approach,strict principles and precise medication.This provides an effective diagnostic and treatment approach for treating severe and stubborn diseases,as well as difficult and miscellaneous diseases,which is worth promoting and learning from.

关 键 词：取坎填离 《冯氏锦囊秘录》 冯兆张 温补 命门 元气 全真一气汤 浙派中医 

分 类 号：R251[医药卫生—中医内科学]