程国彭辨治疼痛思想

Discussion on the dialectical thought of pain from CHENG Guopeng

清代著名医家程国彭所著《医学心悟》,书中概括了八纲辨证与医门八法,多篇幅阐述对疼痛的治疗经验。强调辨证应注重辨疼痛表里、深浅、上下、左右;辨明虚实,寒热以及虚实与寒热之间不同;辨疾病伤寒六经传变、转归及预后;辨疾病的发展初、中、末不同时期、病情的主症与兼症。论治则应融寒温于一炉,法方对应,随症化裁,灵活运用八法。

Medicine comprehension was written by CHENG Guopeng, a famous physician in the Qing dynasty. It summarized syndrome differentiation of eight principles and eight therapeutic methods. Meanwhile, a few chapters also expounded the treatment experience of pain in this work. CHENG emphasized to distinguish the differentiation of pain should focus on the outside and inside, depth and range of the pain; moreover, distinguishes Xu and Shi of pain, the difference among cold and heat, Xu and Shi as well as cold heat and Xu Shi; in addition, distinguishes the different stages of pain development. Accord- ing to CHENG Guopeng, treatment of pain need flexible application of eight therapeutic methods.