浅谈《不居集》虚劳之学术思想及价值

On the Academic Thought and Value of Asthenic Diseases in the Bujuji

[目的]探究新安医家吴澄所著《不居集》中虚劳病证相关理论思想,以期更全面地认识虚劳性疾病,从而拓宽思路,提高临床疗效。[方法]从虚劳学术源流、辨证论治、组方遣药、临床学术价值等方面,对吴澄有关虚劳病证治疗思想作出研讨。[结果]吴澄结合自己的临证感悟与心得,首创"外感亦可致虚"之论;针对虚劳之治,吴澄创造性地提出"解托法"、"补托法"、"理脾阴法"三大治则,辨证施治;吴澄尽毕生经历研究虚劳,虚劳理论的临床学术价值颇丰,不仅发展病因发病学说、丰富治疗思想,更是充实了养生预防学说。[结论]吴澄《不居集》内容丰富,其对虚劳病证的辨治颇有心得体会,时值今日,其论治思想对临床虚劳性疾病治疗仍有重要指导意义。

[Objective]To study Xin＇an physician Wu Cheng asthenic diseases related theory of ideas in Bujuji, in order to more comprehensively understand asthenic diseases,to broaden the thinking, enhance the clinical curative effect. [Method]From the academic source of asthenic diseases,syndrome differentiation and treatment,prescription medication,clinical academic value, make research on Wu＇s thought about asthenic diseases treatment. [Result]Wu Cheng combined with their own perception and experience of clinical evidence, first put forward ＂external damage caused by asthenic diseases＂;Aiming at the asthenic diseases of the treatment,Wu Cheng creatively put forward ＂support solution method＂, ＂supplementary care method＂, ＂treatment of spleen yin＂;Wu Cheng＇s life was exploring the asthenic diseases,the theory of asthenic diseases had good clinical academic value,not only for the development of the cause of disease theory,but also enriching the theory of health prevention.[Conclusion]Wu Cheng ＂Bujuji＂ rich in content and its syndrome differentiation of asthenic diseases, with much experience, as today, treatment based on the thought of clinical asthenic diseases treatment still has important guiding significance.