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从《杂症会心录》探析新安医家汪文琦辨治妇人杂症经验

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《杂症会心录》为清代医家汪文绮晚年所著,反映了汪文绮丰富的临证经验.全书共记载妇人杂症14个,涉及方剂36首,主要为落胎论、产后泄泻、产后血晕、产后等妇人杂症,其中以产后病为最多,遣方多为补益剂、化瘀剂等.文章对书中记载的妇人杂病深入研究,将汪文琦治疗妇人杂病的处方用药特点进行总结归纳:①师景岳之法,重脾肾之本;②学古而不泥古,临证圆机活法;③妇人病尤重脾胃,补中以顾真元;④辨产后虚实病机,重气血步步为营;⑤临证诊病善补益,遣方用药不拘泥.汪文琦临证用药灵活变通,重视脾肾之本,明辨病情,遣方精妙,用药直中病机,其临证思路及用药规律值得后世深入学习与研究.
Analyzing the Experience of Xin'an Medical Doctor WANG Wenqi in Treating Miscellaneous Diseases of Women from the Record of Miscellaneous Diseases of the Heart
The Record of Miscellaneous Diseases was written by WANG Wenqi,a doctor in the Qing Dynasty,in his later years. It reflects WANG Wenqi's rich clinical experience. The book records 14 miscellaneous diseases of women,involving 36 prescriptions,mainly miscarriage,postpartum diarrhea,postpartum blood fainting,postpartum and other miscellaneous diseases of women. Among them,postpartum diseases are the most common,and most of the prescrip-tions are tonics and blood-removing agents. This paper conducts an in-depth study on the miscellaneous diseases of women recorded in the book,and summarizes the characteristics of WANG Wenqi's prescriptions and medications for the treatment of miscellaneous diseases of women:① Follow the method of Jingyue,emphasizing the spleen and kidney;② Learn from the ancients but not stick to the ancients,and use the method of round mechanism and flexible method in clinical practice;③ Women's diseases are particularly important for the spleen and stomach,and tonifying the mid-dle to protect the true essence;④ Distinguish the pathogenesis of postpartum deficiency and excess,and emphasize the blood and Qi step by step;⑤ Be good at tonic in clinical diagnosis and treatment,and do not stick to the prescriptions and medications. WANG Wenqi was flexible in his use of drugs in clinical practice,attached importance to the spleen and kidney,clearly identified the condition,prescribed exquisite prescriptions,and used drugs directly to the patho-genesis. His clinical thinking and drug use rules are worthy of in-depth study and research by future generations.

Xin'an doctorWANG Wenqi"Miscellaneous Diseases Records"Miscellaneous diseases of womenExperience

侯阿美、黄日龙、陈军

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安徽中医药大学第一附属医院 安徽合肥 230038

新安医家 汪文琦 《杂症会心录》 妇人杂症 经验

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(9)