易水学派医家张元素对张仲景思想的继承与创新
Inheritance and innovation of ZHANG Zhongjing's thoughts by ZHANG Yuansu of the Yishui School
姜婧 1刘刚 2张钰欣 1曹晓璇 1余如霞 1王湫澄 1王越 1赵小月 1张保春1
作者信息
- 1. 北京中医药大学,北京 100029
- 2. 北京市东城区社区卫生管理服务中心,北京 100100
- 折叠
摘要
张仲景之《伤寒论》《金匮要略》经北宋校正医书局校正刊行后,在宋、金两朝广泛流行,并对以张元素为代表的易水学派医家产生了深远的影响.张元素在《医学启源》中明言"仲景"10次,在"六气方治"一篇中详论仲景方11首,另在其余诸篇中论及仲景方29次,并对张仲景之方给予了充分的肯定与研究,充分说明了其对张仲景学术思想的继承;并从另一侧面证明《金史》与张吉甫《医学启源·序》中所言之元素治病"不用古方"之语有失偏颇.张元素结合自身"脏腑议病"学术特点对张仲景之方有了全新的分类认识,并突破张仲景以辛散发汗疗湿热痹证之囿,首倡苦寒泄热之法以疗此证,并创制了对后世影响深远的当归拈痛汤.
Abstract
After the Medical Book Bureau in the Northern Song Dynasty corrected and published ZHANG Zhongjing's Treatise on Cold Pathgenic Febrile Diseases and Synopsis of Golden Chamber,these works became widely circulated during the Song and Jin dynasties,having a profound impact on the physicians of the Yishui School,represented by ZHANG Yuansu.In his work Revelation of Medicine,ZHANG Yuansu explicitly mentions"Zhongjing"10 times,and in the chapter"Six Qi Methods of Treatment",he discusses Zhongjing's formulas in detail,citing 11 prescriptions.In other chapters,he mentions Zhongjing's formulas 29 times,providing thorough affirmation and study of them,thus demonstrating his inheritance of Zhongjing's academic ideas.This also indirectly refutes the claim in The History of Jin and ZHANG Jifu's Revelation of Medicine:Preface,which states that ZHANG Yuansu did not use ancient formulas,showing that the interpretation is biased.ZHANG Yuansu,incorporating his own academic approach of"organ and viscera pathology",developed a new classification system for Zhongjing's formulas,breaking free from Zhongjing's focus on using pungent drugs to expel sweat for treating dampness-heat and joint obstruction.He was the first to propose the use of bitter cold drugs to clear heat for treating these conditions and created Danggui Niantong Decoction,a prescription that has had a profound influence on later generations.
关键词
易水学派/张元素/《医学启源》/张仲景/《伤寒论》/《金匮要略》Key words
Yishui School/ZHANG Yuansu/Revelation of Medicine/ZHANG Zhongjing/Treatise on Cold Pathgenic Febrile Diseases/Synopsis of Golden Chamber引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据