《慈航集》痢疾辨治特色发微

Cihangji's Characteristics on Diagnosis and Treatment of Diarrhea

[目的]探究新安医家王勋所著《慈航集》一书中痢疾相关理论思想,以期更全面地认识痢疾,从而拓宽思路,提高临床疗效。[方法]研读《慈航集》全书,并结合相关中医经典理论,从病因病机、辨证论治、组方遣药以及妇人、小儿痢疾等方面,对王氏有关痢疾治疗思想作出研讨。[结果]王氏临证诊治,善辨寒热虚实;不拘古人,顺四时之气,创制春、夏、秋、冬四季治痢之方:畅肝清痢汤、解暑清痢汤、清金止痢汤、固阴清痢汤;对妇人妊娠、产后及小儿痘疹后病痢的诊治规律亦进行了总结,认为孕妇患痢,调治最难,当务之急就是固胎,胎定方能清痢,而痢疾务必速清,不可迟缓,缓者痢热存中,胎气不安;认为小儿多稚阴稚阳,小儿痘后,痘疹热毒未清,同时多伤脾胃,所以必须辨明伤脾胃之痢,治宜补脾清痢,理法方药完备。[结论]王勋《慈航集》内容丰富,其对痢疾一症的辨治颇有心得体会,时值今日,其论治思想对临床痢疾治疗仍有重要指导意义。

[Objective]To study Xin＇an physician Wang Xun diarrhea related theory of ideas in Cihan, in order to more comprehensively understand diarrhea, to broaden the thinking, enhance the clinical curative effect. [Method] From the disease history, etiology and pathogenesis, syndrome differentiation and treatment, prescription drugs, and women, children with dysentery, make research on Wang＇s thought about diarrhea treatment. [Result] Wang＇s clinical diagnosis and treatment, well distinguished cold and heat; Not stick to the ancients, along seasons gas; Wang Xun created the prescription treatment of diarrhea for spring, summer, autumn, creation of winter season; on the pregnancy, postpartum woman and children with pox disease after the treatment of dysentery is summarized, with complete prescription. [Conclusion] Wang Xun ＂Cihangji＂ rich in content and syndrome differentiation of diarrhea, had experience, as today, treatment based on the thought of clinical diarrhea treatment still has important guiding significance.