浅析张锡纯外感寒温论治特色及运用  

Analysis on the characteristics and application of Zhang Xichun's treatment of exogenous cold and warm

作　　者：吴俊锐 张彩霞[1] 张珏 魏爱生[1,2] WU Junrui;ZHANG Caixia;ZHANG Jue(The Eighth Clinical Medical College of Guangzhou University of Traditional Chinese Medicine,Guangzhou,Guangdong 510006,China;Department of Endocrinology,Foshan Traditional Chinese Medicine Hospital,Foshan,Guangdong 528051,China)

机构地区：[1]广州中医药大学第八临床医学院,广东广州510006 [2]佛山市中医院内分泌科,广东佛山528051

出　　处：《四川中医》2025年第1期41-44,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：2024年广东省名中医传承工作室建设项目。

摘　　要：张锡纯对待外感寒温疾病,有其特色理念及论治法则运用,笔者发现其临证治疗外感除遵伤寒论治法,还有尚未被发掘的学术思想,如汗法重汗源,根据病情异同确立滋汗法则;在外感病中,无论伤寒及温病,均注重透热、阴津的保护;对于体虚感实邪的患者,提出祛邪扶正原则,立善后处方;针对治疗中需要用到峻药的方剂,确定新法则、新药以代替,临证随机应变,发掘药物新功效。这些均值得思考与临证运用,提升临床,同时,笔者结合临证和文献分析发现,张氏外感病治法适用于阴虚蕴热体质外感者,给予这一类体质患者外感论治提供思路和方案。Zhang Xichun treats external cold and warm diseases,have its characteristics and the application of governance.The author found that the treatment of typhoid fever have academic ideas that are still unexplored.Such as the sweat method of heavy sweat source,establish the law of sweating according to the similarities and differences of the condition;In the exogenous disease,both typhoid fever and warm disease,pay attention to the protection of heat transmission,“Yin jin”;for patients who get sick with deficiency,put forward the principle of dispelling evil and strengthening righteousness and make a rehabilitation prescription;for prescriptions require be used in treatment,identify new laws for new drugs instead.According to the temporary situation,explore the new efficacy of drugs.These are all worth thinking and temporary application and improve the clinical practice.Based on the temporary evidence and literature analysis,Zhang's exogenous disease treatment method is applicable to those with Yin deficiency and fever,give this kind of physical patients with exogenous treatment to provide ideas and plan.

关 键 词：论治特色 汗源 正汗 透热保津 降逆 药物新用 

分 类 号：R229[医药卫生—中医基础理论]