《外科正宗》外科外治法学术思想管窥

Analysis of the Academic Thought of External Treatment in Waike Zhengzong

《外科正宗》是明代外科"正宗派"著名医家陈实功编撰的医学著作,该书在总结前人经验的基础上对外科外治法提出了诸多精辟独到的见解,并首创较多外科外治法的论治观点。书中首次提出治疗外科疾病应内外合参、标本同治,同时认为外科外治法理应同内治之法进行辨证论治,其论治外科疾病所运用的理论治法、用药配伍等并不拘泥于前人思想,善用攻蚀药物,极具个人特点。《外科正宗》所载外科外治法的治疗原则、组方用药、变证兼证、刀圭之术等均相当完备;同时归纳概括的外科外治法学术思想简明精炼、繁复有章,其外科外治法的学术思想对后世影响较广,为后世学医者所尊崇。

Waike Zhengzong is a medical work compiled by Chen Shigong,a well-known surgeon of the"orthodox school"of surgery in the Ming dynasty.It puts forward many incisive and unique insights on external surgical treatments on the basis of summing up previous experiences,and pioneered more external surgical treatments views on the rule of law.The book proposed for the first time that the treatment of surgical diseases should be internal and external,and the symptoms and roots should be treated at the same time.At the same time,it believes that external surgical treatment should be dialectically treated with internal treatment.The theoretical treatment and drug compatibility used in the treatment of surgical diseases are not limited to predecessors thought,good use of offensive drugs,very personal characteristics.Waike Zhengzong records the treatment principles,prescriptions and medications,changes in syndromes and syndromes,and the technique of scalpel,etc,which are quite complete.At the same time,the academic thinking of the general surgical method is concise and concise,complicated and organized.The academic thought of external surgical treatment has a wide influence on later generations,and it is the foundation for future generations to learn medicine.