陆渊雷对仲景运用附子药法的学术见解

Academic Insights of Lu Yuanlei to the Principles and Strategies of Aconite Exploited by Zhang Zhongjing

[目的]研究中西医汇通派大家陆渊雷对仲景运用附子药法的相关学术思想与运用特色。[方法]通过研读陆渊雷两大代表学术著作《伤寒论今释》、《金匮要略今释》,探讨陆渊雷对《伤寒论》附子相关条文的科学性分析与比较,以及其对仲景运用附子的主要归纳,同时总结陆渊雷运用附子的病证时机以及更广泛的实证经验。[结果]陆渊雷归纳仲景使用附子有三大主要药法。运用科学方法论述附子药性功用;对照生附子与炮附子之运用;桂枝附子汤与桂枝去芍药加附子汤两方,可相对照显示炮附子不同用量的运用,并有陆渊雷理论实验相结合者,如附子治阳虚水肿以及桃花汤加附子治伤寒肠出血。[结论]陆渊雷基于当时中医科学化的强烈企图,运用自己学有涵养的国学知识,以今知释仲景经文。其于附子药法的学术观点与论治思想对后世医家有重要指导意义,且其科学与积极求是的精神仍能鼓舞当代。

[Objective] To further explore the academic thoughts and the aspects of application of Lu Yuanlei centering on the principles and strategies of Aconite exploited by Zhang Zhongjing. [Methods] According to studying directly the crucial works by Lu Yuanlei, Shang Han Lun Jin Shi and Jing Kui Yao Lue Jin Shi, the scientific analysis and comparison on the contents of Shang Han Lun related to Aconite are concentrated, discussed and investigated.[Results] Lu Yuanlei concluded that the three major principles of Aconite were employed by Zhang Zhongjing. The medical properties of Aconite have been discoursed with scientific survey. Also, there is comparison of how different classical prescriptions have been used with rural Aconite and processed Aconite. In addition, the strategies of the amount of dosage of processed Aconite are focused by the means of comparative classical formulas. Furthermore,the boarder experienced verifications for Aconite with theoretical illustration on the different syndromes were mentioned by Lu Yuanlei, such as edema due to Yang-deficiency and Tao Hua Decoction attached to Aconite, are fully demonstrated.[Conclusion] Based on the attempt of scientific connotation of TCM,the accumulative academic thoughts and verified treatments of Aconite raised by Lu Yuanlei have profound instructions for the benefit of posterity.