《明医杂著》治痰浅析

Analysis on the thought of treating phlegm in Mingyi Zazhu

通过对明代王纶《明医杂著》痰证诊治内容的初步分析,认为王纶所提出的痰证病因分外感内伤,病位重在脾肾,病机与气血相关,老痰多为火邪熏蒸,治疗时根据痰之成因、痰证病程、脏腑虚实、痰停部位等辨证立法处方,灵活使用二陈汤,创制对老痰有奇效的节斋化痰丸,恰当选用攻逐补益药,归纳不同部位痰证用药,体现了诊治痰证的新思路,其后被很多医家参考和借鉴,对当代痰证防治也具有重要参考意义。

Through the analysis on the thought of treating phlegm of Mingyi Zazhu by WANG Lun from Ming dynasty, this article summarized that the etiology of phlegm syndrome was exogenous and internal injuries, the location was at the spleen and kidney, the pathogenesis was related with qi and blood, thick phlegm was always caused by fire-evil steaming. As well as, the treatment was based on the syndrome differentiation according to the cause, course, zang-fu deficiency and excess, location of the phlegm, and so on. Erchen Decoction was flexibly used, and Jiezhai Huatan Pill was primarily developed for thick phlegm. The medicines were selected appropriately, and prescription was chose by different locations. Which demonstrated the creative concept on treating phlegm and were referred by numerous doctors later. And it gave a significant reference on current prevention and treatment from phlegm.