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浅谈《伤寒论》《金匮要略》同源而异流的分类问题

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本研究基于对《伤寒论》《金匮要略》原著的解读与理解,辅以临床临证诊疗经验,对《伤寒论》《金匮要略》中的疾病归类、辨证方法、治疗方剂进行文献上的分析与研究,比较《伤寒论》《金匮要略》两书之异同,并总结归纳两书的分类问题。结果发现《伤寒论》中记载的疾病以实证为主,治疗以驱邪为要。《金匮要略》则有大量内伤杂病,表里寒热虚实错杂,治法以补益为要,诸法并存。《伤寒论》《金匮要略》两书同源而异流,有异在于探讨的疾病有所不同,宜分门别类进行归纳学习。在临床治疗上,针对实证为主的疾病宜参照《伤寒论》对疾病进行六经分类,并以驱邪之法予以治疗;针对内伤杂病宜参照《金匮要略》按病名分类,并以补益之法予以治疗。
Classification Discussion of Same Origin but Different Flows in Treatise on Febrile Diseases and Synopsis of the Golden Chamber
Based on interpretation and understanding of original works of Treatise on Febrile Diseases and Synopsis of the Golden Chamber,supplemented by clinical experience in diagnosis and treatment of classic prescriptions of the author,the study analyzed and studied disease classification,syndrome differentiation methods,and treatment formulas in the literature,and compared similarities and difference between two works,and summarized classification problems of them.As a result,it was found that diseases recorded in Treatise on Febrile Diseases were mainly based on empirical evidence,and treatment was focused on expelling evil spirits.Synopsis of the Golden Chamber contained a large number of internal injuries and miscellaneous diseases,with mix of cold,heat,deficiency,and excess of exterior and interior.Treatment method focused on tonifying the body,and various methods coexisted.Two books shared the same origin but had different trends,discussed different diseases,it is advisable to classify them for inductive learning.During clinical treatment,diseases mainly based on empirical evidence can refer to"Treatise on Febrile Diseases"to classify the six meridians of diseases and be treated with method of expelling evil spirits;internal injuries and miscellaneous diseases can refer to"Synopsis of the Golden Chamber"and be classified by disease name,and treated with nourishing methods.

Treatise on Febrile DiseasesSynopsis of the Golden ChamberClassification issueLiterature research

林鹏

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闽江师范高等专科学校,福建 福州 350108

伤寒论 金匮要略 归类问题 文献研究

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(4)
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