《眼科启明》与《银海精微》的源流关系及其学术特色

The origins relationship and academic characteristics of Yan Ke Qi Ming and Yin Hai Jing Wei

通过对《眼科启明》作者及成书的介绍,对其内容与《银海精微》的比较,发现它是一部以后者为基础改编的眼科著作.书中病症方药主要承袭《银海精微》的内容,但文字有精简改编,多篇眼论、药性、医案等内容或新撰、或改编、或增补,使原来杂乱的体例趋于清晰.作者强调眼科诊断要特别重视望诊和问诊,主张眼科病症病机的要害在气滞血瘀,应以调气活血为根本,其见解在古代眼科著作中属于观点较为鲜明,最具学术价值者之一.

[Abstract] Through the research of Yan Ke Qi Ming and its author,and compared the contents with Yin Hai Jing Wei,we found that the Yan Ke Qi Ming is written based on adaptation of the later with more concise text and clearer style. The author stressed that the ophthalmologist should pay attention to inspection and interrogation during diagnosis, and the vita of ophthalmic disease pathogenesis was blood stasis which should be as the fundamental by adjusting qi and blood. The insights of this book were distinctive in ancient ophthalmic writings, and had significant academic values.