论马王堆帛书对痔瘘病的诊治

STUDY ON DIAGNOSIS AND TREATMENT FOR HEMORRHOID IN MA WANG DUI SILK BOOK

通过对马王堆帛书的研究，发现马王堆帛书最早对痔瘘病提出了比较明确的临证分型，与后世临床上所说“五痔”即牡痔、北痔、脉痔、血痔、肠痔等基本一致。在临证治疗方面，做到了内治与外治相结合，其中还运用了精采的手术疗法。在处方用药方面，绝大部分用的是复方，只有少数是单方，从而论证了我国西汉以前在痔瘘病的临床诊治方面，就已经达到了相当可观的水平。

In study of Mawangdui silk book,the author discovered that in the bookthere is the earliest clinical classification for piles which is basidally saine as’Five piles’inlate clinic,ie:male pile,female pile,pulse pile,blood pile and intestine pile. In the clinic,thebook recorded combination of internal and external therapies in which there is successful op- eration method. In the use of formula and drugs,the most of therapy are compounds and afew single drug. The book showed that the diagnosis and therapy for piles reached higher lev - el before 2200 years.