首页|《正体类要》扑伤症治疗思路浅析及原理发挥

《正体类要》扑伤症治疗思路浅析及原理发挥

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目的:探究《正体类要》中对扑伤症的病因病机认识以及辨证论治思路,为临床诊治该疾病提供参考。方法:以《正体类要》中记载的扑伤症医案为主要研究对象,结合本书其他章节中的诊治思想,对其治疗思路进行归纳分析。结果:《正体类要》中的扑伤症医案,依据病因、主要病机可以为6种,即常证、变证、坏证、后遗证、破伤风类证及痉证。其论治思路包含了薛己对于"瘀血"作为核心病机在体内产生、转化、消除这一过程的理解,体现了薛己治疗扑伤症中以瘀血为核心、重视证型转化、重视体质的学术思想。结论:《正体类要》对扑伤症的病因病机、辨证论治认识深刻,能够为扑伤症的临床治疗提供参考。
An analysis of the therapeutic ideas and principles of the"Zheng Ti Lei Yao"for the treatment of trauma
Objects:To summarize the insights into the pathogenesis,physiopathology and treatment according to pattern-differentiation of trauma in ZHENGTILEIYAO,so as to provide reference for clinical practice.Methods:Logic of treatment was summarized and analyzed based on the cases of trauma in ZHENGTILEIYAO,combined with the thoughts for treatment in the rest chapters.Results:The cases of trauma in ZHENGTILEIYAO were classified into 6set according to cause and main pathogenesis:common pattern,varied pattern,mistreatment-related pattern,sequela,tetanus,and spasm due to exhaustion of Yin fluid.The logic of treatment for trauma reflects Xueji's opinions on the process of blood stasis'initiation,conversion and elimination,and emphasis on the blood-stasis-centered treatment,patterns conversion and physique recognition.Conclusions:ZHENGTILEIYAO provides profound insights into the pathogenesis,physiopathology and treatment according to pattern-differentiation of trauma,and reference for clinical practice on trauma.

Zheng Ti Lei Yaotraumatreatment according to pattern differentiationconversion of pathophysiology

程大鹏、蒋科卫、吴维真、王文、陈雨欣、许东升

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北京中医药大学,北京 100029

正体类要 扑伤症 辨证论治 病机转化

北京市科技计划课题

Z221100007422075

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(6)