清代名医钱艺脑病验案赏析

The canalysis of treating encephalopathy by QIAN Yi

文章选取娄东中医流派代表医著《慎五堂治验录》中典型脑病验案,从证机特点、辨治原则、用药经验进行浅析,结合其他医话论述,探讨其脑病证治经验,归纳出神昏病机为伏邪入心,治予清泄透邪达外。中风病机为风痰阻络,治予息风涤痰开窍。眩晕病机为风阳上潜,治予滋水平肝定眩。头痛病机为风邪客巅,治予祛风内外兼顾。钱氏审病慎细,治病求本,辨证经典,用药考究,具有典型的世医家范。

This paper selects typical encephalopathy cases in the representative medical book Shenwu Tang Zhiyan Lu(《慎五堂治验录》)by Loudong School of TCM(娄东中医流派),analyzes the characteristics of the evidence machine,the principle of discrimination and treatment,and the experience of medication,and discusses the experience of encephalopathy in combination with other medical discussions,and summarizes the dizziness machine to subdue evil into the heart,cure and vent evil and penetrate the outside world.The stroke disease mechanism is wind and phlegm obstruction,and the treatment of wind and polyester phlegm is opened.Vertigo machine for wind and Yang(阳)diving,cure the level of liver vertigo.The headache is the peak of the wind and evil guests,and the treatment is both internal and external.Qian’s careful examination of diseases,treatment of diseases and seeking roots,dialectical classics,exquisite medicine,and typical world doctors.