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新世纪教材《中医内科学》“咳嗽”篇历代文献引述的相关问题

Some Problems About Documents Quoting in Cough Chapter of "Internal Medicine"
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摘要 目的:探讨新世纪教材《中医内科学》"咳嗽"篇历代文献引述出现的问题。方法:对照历代医学文献,就《中医内科学》"咳嗽"篇《黄帝内经》论"咳嗽"成因、五脏六腑之咳"皆聚于胃,关于肺"的认识,《诸病源候论.咳嗽候》"十咳"分类,《医门法律》论燥邪伤肺的治疗等文献引述问题进行探讨。结果:《黄帝内经》论述"咳嗽"的病因甚多,不论外感、内伤,岁气太过与不用,脏腑功能失调,以及针刺中肺,皆可导致咳嗽。《黄帝内经》论述咳嗽"皆聚于胃,关于肺"是承接"三焦咳状"而言,而非承接"五脏六腑之咳"。《诸病源候论·咳嗽候》"十咳"为除五脏咳外,另五种咳应为"风咳、寒咳、支咳、胆咳、厥阴咳"。《医门法律》在治疗燥邪伤肺时用"寒"非常谨慎,并未提出"温润""凉润"之法;在治咳使用劫涩药问题上,《中医内科学》由于引用原著错误而致与原著意思相去甚远。结论:新世纪教材《中医内科学》"咳嗽"篇文献引述存在诸多问题,这些问题易使学生对咳嗽的内容产生误解,应予以纠正。 Objective:To study the some problems about documents quoting in cough chapter of "internal medicine".Methods:Control the medical literature,the internal medicine of traditional Chinese medicine "cough" article "classic" theory "cough" cause,the entrails of cough "all gather in the stomach,about lung" understanding,the theory of the pathogenic syndrome,cough syndrome "ten cough" classification,the medical door law "theory dryness evil wound lung treatment such as the literature quoted issues to discuss.Results:Neijing discusses the cause of "cough" very much,no matter pathogenic,internal injury,old gas too and no,viscera dysfunction,and acupuncture in lung,all can lead to cough.Neijing discusses cough "all gather in the stomach,about lung" is the "triple warmer cough shape" character,rather than accept "the entrails of cough".The theory of the pathogenic syndrome,cough syndrome "ten cough" for the except the cough outside,the other five kinds of cough should be "the wind cold cough,cough,cough,cough,bravery a faint Yin cough".The medical door law "in the treatment of dry evil wound lung in the" cold "very cautious,did not put forward" mild "cool embellish" method;In your cough medicine use of acerbity,"Chinese internal medicine" due to the use of the original error and the original meaning and far.Conclusion:the new century textbook the internal medicine of traditional Chinese medicine "cough" articles cited exists many problems,these problems easy to cause the student to the content of the cough misunderstanding,should be correct.
作者 陈根成
机构地区 广州中医药大学
出处 《中医学报》 CAS 2012年第11期1537-1538,共2页 Acta Chinese Medicine
基金 广州中医药大学教育研究课题(编号:JYKY-2010)
关键词 咳嗽 新世纪教材 中医内科学 cough the new century teaching materials TCM department of internal medicine
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参考文献7

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