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陈士铎《石室秘录》辨治胸痹学术特色探析

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《石室秘录》为清朝医家陈士铎代表作之一,书中对于胸痹心痛病之辨治独具特色,大胆提出邪犯包络为慢性心痛之关键病机,在临床心痛治疗中,执简驭繁,寒热分型论治,并提及了病位在于脾胃而致胸痛的特殊治法。在治疗原则上,强调心肝同治,善用栀子清肝泻火,提倡多服、久服方药治疗。
Features of CHEN Shiduo's Therapy for Chest Impediment in Secret Records in a Stone Room
Secret Records in a Stone Room(Shi Shi Mi Lu)is one of the representative works of physician CHEN Shiduo in the Qing Dynasty.In this book,he presents unique insights into the differentiation and treatment of chest impediment and heart pain.He boldly posited that the invasion of pathogens into the pericardium was a key pathological mechanism for chronic heart pain.In the clinical treatment of heart pain,he advocated for a straightforward approach,employing a differentiation based on cold and heat syn-dromes,and also mentioned a special treatment method for chest pain originating from the spleen and stomach.In terms of treatment principles,CHEN emphasized the simultaneous treatment of the heart and liver,skillfully using Gardeniae Fructus to clear the liver and drain fire.He advocated for prolonged and frequent use of Chinese herbal formulas in treatment.

Secret Records in a Stone Room@CHEN ShiduoChest impedimentHeart painPathogenesisHeat pathogenSimultaneous treatment of heart and liverClinical experience

汪锦城、胡镜清

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中国中医科学院中医基础理论研究所,北京,100700

《石室秘录》 @陈士铎 胸痹 心痛 病机 热邪 心肝同治 临床经验

2024

世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子:1.266
ISSN:1673-7202
年,卷(期):2024.19(20)