施发《续易简方论》学术特色探析  

An Analysis of the Academic Characteristics of SHI Fa’s On Continuation of Simple Formulas

作　　者：应轶轶 金禹衡 娄瑞麟 徐光星[1] YING Yiyi;JIN Yuheng;LOU Ruilin(Basic Medical School of Zhejiang Chinese Medical University,Hangzhou(310053),China)

机构地区：[1]浙江中医药大学基础医学院,杭州310053

出　　处：《浙江中医药大学学报》2025年第3期304-308,共5页Journal of Zhejiang Chinese Medical University

基　　金：国家中医药管理局2022年度中医药古籍挖掘和保护条件提升项目(GZY-KJS-2022-019)。

摘　　要：[目的]探析永嘉医派骨干医家施发《续易简方论》的学术特色,丰富永嘉医派学术思想的研究。[方法]采用文献研究法,通过研读《续易简方论》及永嘉医派其他著作,并结合现代相关研究文献,从《续易简方论》的成书背景、编撰原则和学术特色三个方面进行分析整理,并附医案予以验证。[结果]施发继承永嘉医派创立者陈言及其大弟子王硕的学术思想,纠正《易简方》“虚实冷热之证无所区别,而一方统治一病”的过简,以临床运用为出发点,既追求简约,又追求切合实用,谨遵辨证论治、随证治之的原则,坚持以脉为先、脉症结合,在治疗时强调顾护胃气、三因制宜,又主张熟识药性、对证用药。所附医案,充分验证了王硕“一方统治诸证”的谬误及施发辨证论治、随证加减学术特色的正确。[结论]《续易简方论》重视辨证、脉症结合、谨慎用药、保护胃气的学术特色,丰富了永嘉医派的学术思想,并对永嘉医派的传承和发展起到促进作用,对于今日临床诊治亦具有启发意义。[ObjectiveObjective]To explore the academic characteristics of SHI Fa’s On Continuation of Simple Formulas,the backbone physician of Yongjia medical school,and enrich the research on the academic thought of Yongjia medical school.[MethodsMethods]By using the method of literature research,through the study of On Continuation of Simple Formulas and other works of Yongjia medical school,combined with modern related research literature,this paper analyzes and sorts out the background,compilation principles and academic characteristics of On Continuation of Simple Formulas,and verifies it with medical cases.[ResultsResults]SHI Fa inherited the academic thoughts of CHEN Yan,the founder of Yongjia medical school,and his great disciple WANG Shuo,and corrected the oversimplification of Simple Formulas,“There is no difference between deficiency,excess,cold and heat syndromes,and one party governs one disease”.Starting from clinical application,he not only pursued simplicity,but also pursued practicality.He abided by the principle of syndrome differentiation and treatment,adhered to the principle of pulse first and combination of pulse and disease,emphasized the protection of stomach Qi and the treatment of three causes,and advocated familiarity with medicinal properties and medication according to syndrome.The attached medical cases fully verified the fallacy of WANG Shuo’s“one party governs all the syndromes”and the correctness of the academic characteristics of syndrome differentiation and treatment and addition and subtraction with the syndrome.[ConclusionConclusion]On Continuation of Simple Formulas attaches importance to the academic characteristics of syndrome differentiation,combination of pulse and disease,careful medication and protection of stomach Qi,which enriches the academic thought of Yongjia medical school and promotes the inheritance and development of Yongjia medical school.It also has enlightening significance for today’s clinical diagnosis and treatment.

关 键 词：《续易简方论》 施发 辨证论治 脉症结合 胃气 《易简方》 永嘉医派 医案 

分 类 号：R249[医药卫生—中医临床基础]