费伯雄临证及治方特色

Exploration of the Characters of Fei Bo-xiong's Clinical Practice and Herbal Prescription

清代医学家费伯雄,临诊六十余年,承七代世绪,行医首重医理,研经师古而不泥,论治务求实效,临证擅治五劳七伤,平生最重调肝和营,在学术上具有独特的风格。费伯雄善于自创新方,其制方多在古方基础上加减化裁而来,处方选药平正绵密、严谨周到。他在临证诊治疾病时,诊断尤其重视四诊中脉诊、舌诊的变化和意义;治疗尤其重视层次的明晰,充分体现了中医学方随证立、方从法出的思想。该文主要探讨其临证思想及制方特色。

Fei Bo-xiong,the medical master in Qing Dynasty,had clinical practice for over sixty years and had carried forward the medical experiences of seven generations.He laid stresses on medical theories,studies the experiences from his teachers and had made the innovation.He paid attention to the real efficacy of treatment.In clinical practice,he was good at the treatment of five overstrains and seven injuries and emphasized the theory of regulating liver function and harmonizing nutrient system.In academy,he had his own unique characters.Fei Bo-xiong was good at innovation of new prescription based on the ancient formulas.In his prescription,every ingredient was selected rigorously and thoughtfully.In his clinical practice,he thought highly of the changes and significances of pulse and tongue diagnosis of the four diagnostic methods.He specially attached the importance to the treatment at different stages of disease,which embodied adequately the theory of Chinese medicine：determining the prescription according to syndromes and the principle of treatment.This paper mainly explored his thoughts of clinical practice and characters of prescription.