《景岳全书》论治噎膈学术思想微析

Research of Treating Dysphagia Academic Thought of ZHANG Jingyue

目的:总结明代名医张介宾在《景岳全书》中论治噎膈的学术思想。方法:仔细研读《景岳全书》,体会张介宾先生在论治噎膈上思路及方法,并加以总结。结果:①辨证上重阴阳,尤其重视阳气的主导性作用,且善辩虚实寒热;②疗法以先后2天为最重,又强调应"内观自养";③临证遣药喜用温补滋润之品以补脾肾、益气血;忌攻下之品恐伤脾胃。结论:张介宾先生论治噎膈思路及方法具有其特点,为临床中医治疗噎膈提供了依据,尤其是"内观自养",往往为现代医家所无视。

Objective ： According to the research of treating dysphagia from the Complete Works of Jinyue who was the prestigious doctor in Ming dynasty, this paper comprehensively summarized its academic ideas. Methods：On the basis of the careful study of the complete work of Jinyue, ZHANG＇ s ideas and methods of treating dysphagia were summarized. Results ： First, ZHANG focused on yin and yang and was good at identifying the actual situation of cold and heat. Second, he paid attention to the spleen and kidney and also stressed that patients should pay attention to self - support. Third, ZHANG was good at using the tonic nature of the herb medicine to supplement spleen and kidneys as well as to nourish blood, avoiding using of violent herbs. Conclusion： ZHANG Jiebin has his own characteristics on treating dysphagia. It provides a basis for clinical Chinese medicine treatment of dysphagia, especially the concept of self - support which is of- ten ignored by the physicians.