王孟英从阳热论治特殊“阴寒”征象之心法述评

Commentary of WANG Meng-ying's Thought on Treating Special "Yin cold"with Yang Heat Symptom

王孟英临床诊病思维中很重要的一个特色就是善于辨别复杂寒热病证的本质属性,以病证的实际需要为出发点遣方用药。尤其是对当时临床比较常见的热病寒象问题处置精当,被同时医家所钦佩,也为后世医者所推崇。详查王孟英医著及医案,发现王氏诊治特殊"阴寒"征象,十分强调不可直接温补,而应详查阳气的通畅与否,对阳气郁、阳气滞、阳气逆所致的特殊寒象,应采取首要疏导、适当清热的方法治疗,诸多医案证实效果显著。

WANG Meng - ying＇ s thought has a very important feature on clinical diagnosis for diseases ： he is good at identifying the essential nature of complicated cold and heat disease patterns and uses both formulas and medicinals based on the practical need of the disease symptoms, especially handling precisely on the common disease about heat disease with cold manifestation. It was not only admired by the medical physicians at that time, but also praised highly by the later physicians. This reference makes a detailed review on the classics and cases made by WANG Meng - ying . Finding out the emphasis in WANG＇ s diagnosed pattern of special ＂Yin cold＂ sign is that do not use warm tonification directly and check whether the flow of Yang qi freely. Some cold manifestations are caused by Yang qi depression, Yang qi stagnation and Yang qi counterflow, they should be treated by the therapy that free induction firstly then clear heat properly. Many medical cases prove the treatment results remarkably.