对人卫版“十二五”教材《中医妇科学》若干基本理论问题的商榷

Comment on the error theory of the Gynecology of Traditional Chinese Medicine, the ‘twelfth five-year' textbook

文章根据中医药学的经典理论原则,对人卫版"十二五"教材《中医妇科学》的几个错误理论进行了商榷和质疑。首先,该教材对"胞宫的基本概念"做了错误论述;其二,该教材在已确定"阴户"为女性外生殖器后,又另论男性"阴器",制造理论混乱;其三,在病因方面另设"环境因素""病理产物(瘀血、痰饮)",亦造成理论混乱;其四,在病机上单列"冲任损伤",与"脏腑功能失常""气血失调"并列,制造理论原则错误;其五,该教材将月经的6个病种合在一起论述,既让理论混乱,又使学生无法理解和掌握;其六,该教材在中医妇科杂病中废弃中医病名,参入了3种西医妇科病名,是否有变相否定中医之嫌;其七,对妇科列入的新方剂无方解,无法提高学生论治思维能力。

In this paper, based on the classical theory of TCM principles, the author discusses and comments the error of the Gynecology of Traditional Chinese Medicine, which is the ＇twelfth five-year＇ textbook and published by People＇s Medical Publishing House. Firstly, this textbook makes mistakes on the basic concept of uterus. Secondly, after identification ＇pussy＇ for the female genitalia, this textbook discusses another theory ＇male genital organ＇ and manufactures the chaos. Thirdly, in the aspect of etiology, it sets up groundless ＇environmental factors＇ and ＇pathological product＇, which is a theoretical confusion, too. Fourthly, in the pathogenesis, it lists ＇damage of chong and ten＇ single, and makes it parallel with ＇disorder of viscera＇s function＇ and ＇disorder of qi and blood＇. Fifthly, this textbook links 6 diseases of menstruation together, which makes the chaos, and makes students not understand and grasp. Sixthly, in TCM gynecological diseases, it abandons the name of traditional Chinese medicine of disease, and involves in three kinds of department of gynaecology of western medicine disease name. Seventhly, there isn＇t prescription analysis of new formula of department of gynaecology, which is unable to improve students＇ thinking ability.