正续《名医类案》中运气七篇相关理论应用举隅

The Examples of the Correlation Theories of Yunqi Used in Cases of Well-known Physicians and Its Sequel

[目的]探讨运气七篇相关理论的临床价值。[方法]通过分析《名医类案》与《续名医类案》中与运气七篇所载理论相关的医案,参考历代医家对该理论的评述、应用,总结部分适用于临床的相关理论。[结果]运气七篇中,亢害承制与脉从病反理论可用于辨别症状真假,推断真实的病因病机。病机十九条可作为临床诊断的参考。南政北政理论可用于排除气候对脉象的影响,辅助诊断。合理运用岁运理论,有助于推测病因、确立治法。[结论]正续《名医类案》体现了古代医家对运气理论的应用、发挥,有助于理解该理论体系,并指导临床应用。除了岁运理论,运气七篇中还包括不少适用于临床的理论。

[Objective]To explore the clinical value of the theories in the seven papers of Yunqi.[Method] Analysing the usage of the correlation theories of Yunqi in Cases of Well-known Physicians and its sequel, consulting the commentaries and application of many well-known physicians, this paper summarizes some theories which are applicable to clinic.[Result]In the seven papers of Yunqi, the theory of avoidance of harm by restraining excess and the theory about the inconformity of pulse and disease can exclude false symptoms and infer real pathogenesis.19 questions about pathogenesis can be a reference of clinical diagnosis.The theory of South-North can be used to exclude the impact of climate on the pulse and assist diagnosis. Rationally using the theory of Suiyun contributes to infer etiology and establish therapy.[Conclusion]Cases of Well-known Physicians and its sequel reflect the application and exertion of the theories of Yunqi by ancient physicians. They help to understand the theoretical system and instruct clinical application. In addition to the theory of Suiyun, the seven papers of Yunqi also include a lot of theories which are applicable to clinic.