从《天回医简》看燕赵医学与扁鹊医学的传承关系  

Inheritance relationship between Yan Zhao Medicine and Bianque Medicine from the Perspective of Tianhui Medical Bamboo Slips

作　　者：曹柏龙[1] CAO Bailong(Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 101121,China)

机构地区：[1]北京中医药大学东直门医院,北京101121

出　　处：《北京中医药》2024年第11期1239-1243,共5页Beijing Journal of Traditional Chinese Medicine

基　　金：北京中医药薪火传承“新3+3”工程项目(2023-ZYSF-09);北京市中医管理局第三期“仲景书院”精英班项目;陕西省铜川市中医药传承创新示范试点项目。

摘　　要：燕赵医学始于扁鹊,以扁鹊为医祖的燕赵医学是中医学的源头之一。燕赵医学在历史的发展中,植根于燕赵文化,逐渐形成了以扁鹊医学为核心,以六气理论为指导的中医临床医学理论体系。成都老官山汉墓出土的医学竹简《天回医简》,据考证系司马迁《史记》记载之扁鹊仓公所传医学专著,乃存世古籍中体系最完备、内容最丰富、最具理论和实践研究价值的医学专著。《天回医简》书中注重脏腑经络辨证,突出强调脏腑经脉之气与天气相通的学术思想,成为中医天人相应的学术思想源泉,书中介绍的中药方剂、经络腧穴、针灸、犮法等内容,医理精微,内容丰富,治疗手段多样。《天回医简》还含有大量脉学医理研究和中药剂型工艺方面的内容。研究《天回医简》,有助于临床建立针药结合的中医辨治体系,运用针药结合的方法燮理阴阳,调理中医气机之升降,对于提升临床诊治疗效意义重大,尤其在京津冀一体化的时代背景下,《天回医简》的研究对于燕赵医学的传承和创新发展,具有重要的历史和现实意义。Yan Zhao medicine began with Bianque,and Yan Zhao medicine,with Bianque as its ancestor,is one of the sources of traditional Chinese medicine(TCM).In the historical development of Yan Zhao medicine,it is rooted in Yan Zhao culture and gradually formed a theoretical system of TCM clinical medicine with Bianque medicine at its core and guided by the Six Qi Theory.The medical bamboo slips Tianhui Medical Bamboo Slips(TianHui YiJian)unearthed from the Han Tomb in Laoguanshan,Chengdu,have been verified as a medical monograph passed down by Bianque and Canggong,as recorded in SIMA Qian's Records of the Grand Historian(Shi Ji).It is the most comprehensive,content-rich,and valuable medical monograph in terms of both theoretical and practical research among the surviving ancient texts.Tianhui Medical Bamboo Slips belongs to the Bianque medical school in TCM.The book emphasizes syndrome differentiation of the zang-fu organs and meridians and collaterals,highlighting the academic idea that the qi of the zang-fu organs and meridians is connected with the natural environment,which has become the academic source for the correspondence between man and the universe in TCM.The text introduces TCM prescriptions,meridians,collaterals,and acupoints,acupuncture and moxibustion,and“bar-therapy”,with refined medical principles,rich content,and diverse treatment methods.Tianhui Medical Bamboo Slips also contains substantial research on pulse diagnosis and the techniques of TCM dosage forms.Studying Tianhui Medical Bamboo Slips helps establish a clinical TCM syndrome differentiation and treatment system that integrates acupuncture and medicine.Using the combined methods of acupuncture and medicine to regulate yin and yang and to balance the ascending and descending of qi in TCM holds significant importance for improving clinical diagnosis and treatment outcomes.Especially in the context of the integration of Beijing,Tianjin,and Hebei,the study of Tianhui Medical Bamboo Slips has important historical and practical significance for the

关 键 词：燕赵医学 《天回医简》 扁鹊学术思想 创新发展 

分 类 号：R249[医药卫生—中医临床基础]