孙思邈《千金方》辨治?僻病证特点浅析
Analysis of the Characteristics of Diagnosis and Treatment of Skew Contracture Disease in Sun Simiao's"Qian Jin Fang"
罗艳超 1徐峰2
作者信息
- 1. 北京中医药大学,北京 100029;北京中医药大学第三附属医院,北京 100029
- 2. 北京中医药大学第三附属医院,北京 100029
- 折叠
摘要
㖞僻病指口眼歪斜类疾病,《千金方》书中对㖞僻病的病因病机,治疗原则,处方用药及选穴进行了详细论述,本文通过梳理《千金方》中㖞僻病证治相关原文,针对不同治法,分析其用药选穴规律,对孙思邈治疗㖞僻病的特点总结.孙思邈继承《灵枢·经筋》"经筋之病,寒则筋急,热则筋弛纵不收"思想,认为㖞僻病为风寒湿邪侵袭经筋;脏腑虚寒伤风;营卫不和,经筋失养所致,为脏腑虚寒,络虚邪滞,属本虚标实之证.治疗以方药为主,佐以针灸外敷等,该特点对现今临床㖞僻病治疗具有重要借鉴意义.
Abstract
Skew Contracture disease refers to a type of disease characterized by facial paralysis and eye deviation."Qian Jin Fang"provides a detailed explanation of the etiology,pathogenesis,treatment principles,prescription medication,and acupoint selection for Skew Contracture disease.This article analyzes the original text of"Qian Jin Fang"related to the treatment of Skew Contracture disease,and summarizes the characteristics of Sun Simiao's treatment of Skew Contracture disease based on different treatment methods,medication,and acupoint selection.Sun Simiao inherited the idea from"Ling Shu Jing Jin"that"If the ten-dons are diseased,they will be stiff in cold and loose in heat."He believed that the disease of Skew Contracture is caused by wind,cold,and dampness invading the tendons;visceral cold and wind damage;disharmony of Ying and Wei,leading to lack of nourishment of the tendons,which is caused by visceral cold,network deficiency,and evil stagnation,belonging to the evidence of deficiency in essence and excess in manifestation.The treatment based on traditional Chinese medicine formulas,supplemented by acupuncture and external application,holds significant reference value for the treatment of Skew Contracture disease in modern clinical practice.
关键词
《千金方》/孙思邈/㖞僻病/口眼喁斜/面瘫Key words
Qianjin Fang/Sun Simiao/Skew Contracture disease/facial paralysis/facioplegia引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据