首页|新安医家汪机《石山医案》辨治泄泻特色探析

新安医家汪机《石山医案》辨治泄泻特色探析

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通过整理《石山医案》发现,汪机治疗泄泻遵李东垣、朱丹溪之法,重视甘温之药的运用,发展了"调补脾胃,培元固本"的思想.对于药物误用损伤胃气而致泄泻者,法当从补,以人参、黄芪大补脾胃之气;对于症状与脉象相反者,法当四诊合参,审证求因;对于反复因食而伤者,不应拘泥于药物治疗,法当节食静守以恢复胃气.汪机极其重视患者形色及发病时令,但不为因时制宜所囿,提出"舍时从症"以图治病求本.同时,汪机在用药时还注重剂型的选择,选方用药严谨,辨治泄泻常以人参、黄芪、白术等甘温之药,少佐行气之品补中寓行,使补而不滞,可获良效.
An Analysis of Characteristics of Differentiation and Treatment for Diarrhea in Shi-shan's Case Records by Xin'an Physician Wang Ji
Through the collation of Shi-shan's Case Records,it has been found that Wang Ji treated diarrhea according to the methods of Li Dongyuan and Zhu Danxi,attached importance to the use of sweet and warm medicinals,and developed the idea of"adjusting and tonifying the spleen and stomach,banking up the original qi and consolidating the foundation".For those whose stomach qi is damaged by drug misuse leading to diarrhea,the method should be to supplement the spleen and stomach qi with Renshen(Radix Ginseng)and Huangqi(Radix Scutellariae).For those whose symptoms and pulse condition are opposite,the method should be to use the comprehen-sive analysis of the four examinations,seek cause from the inspected symptoms.For those who are injured repeatedly by improper diets,the method should be to restore the stomach qi by dieting and meditation rather than sticking to drug treatment.Wang Ji paid great at-tention to the shape and facial complexion of the patients and the season of onset,but was not limited by the time,and put forward the i-dea of"giving up time and following symptoms"to treat the disease.At the same time,Wang Ji also emphasized the selection of prepa-ration forms,and the selection of formulas and drugs was rigorous.In terms of diarrhea,he often used sweet and warm medicinals,such as Renshen(Radix Ginseng),Huangqi(Radix Scutellariae),Baizhu(Rhizoma Atractylodis Macrocephalae),etc.,supplemented slight-ly with the products which can help move qi.In this way,tonifying combined with moving can obtain good effects without stagnation.

diarrhea"banking up the original qi and consolidating the foundation"Xin'an physicianShi-shan's Case RecordsWang Ji

赵雅妮、周骏、付姝菲

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天津中医药大学,天津 301617

泄泻 "培元固本" 新安医家 《石山医案》 汪机

天津市大学生创新创业训练计划项目

20211006300022

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(1)
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