《扬州画舫录》医学珍闻考略  

Textual Study on Medical Anecdotes in Yangzhou Huafang Lu

作　　者：孙琰 段晓华 SUN Yan;DUAN Xiaohua(Beijing University of Chinese Medicine,Beijing 102401,China)

机构地区：[1]北京中医药大学,北京102401

出　　处：《山东中医药大学学报》2025年第2期239-242,264,共5页Journal of Shandong University of Traditional Chinese Medicine

摘　　要：文章以《扬州画舫录》卷十二《桥东录》四则医学珍闻为重点研究对象,通过详考其中药方组成、特殊用药和部分医家的行医经历,厘析医家的诊治思路及文本和情节中的存疑之处:赵鸿远以崔氏八味肾气丸加细辛治愈风寒湿侵袭的鹤膝风;汪彦超以破蕉扇边为引疗风疾,提示蒲葵叶可能对特定风疾有效;李钧与李炳当为一人,一则舍证从脉治伤寒的医案示其诊治思路;杨天池或为新安医学发源和传承的代表人物,其于小儿痘疹疾病的诊治功力不俗。This paper focuses on the four medical anecdotes in the Qiaodong Lu of Volume 12 of the Yangzhou Huafang Lu.Through a detailed study on the composition of traditional Chinese medicine prescriptions,special medications,and the medical experiences of some doctors,we analyze the diagnosis and treatment ideas of doctors,as well as the doubts in the text and plot.ZHAO Hongyuan used Cuishi Bawei Shenqi Pill(八味肾气丸)combined with Xixin(Asari Radix et Rhizoma)to cure the arthroncus of knee caused by invasion of wind,cold,and dampness.WANG Yanchao used the edge of the broken palm-leaf fan as the channel ushering drug to treat wind diseases,suggesting that Pukuiye(Livistona Chinensis)may be effective for specific wind diseases.LI Jun and LI Bing should be the same person,and a medical case of treating exogenous disease from the pulse examination showed his diagnosis and treatment idea.YANG Tianchi might be a representative figure of the origin and inheritance of Xin'an medicine,with outstanding diagnostic and treatment skills in pediatric small-pox eruption diseases.

关 键 词：《扬州画舫录》 考据 八味肾气丸 鹤膝风 蒲葵叶 李钧 杨天池 

分 类 号：R2-52[医药卫生—中医学]