陈实功论治瘿瘤理法方药浅谈浅探

Study on the Academic Thought of Chen Shigong on Treatment of Galls

[目的]总结明代著名医学家陈实功治疗瘿瘤病的理法方药特色。[方法]认真研读《外科正宗·瘿瘤论》的原文,结合与之相关的理论文献,将陈实功所认知的瘿瘤的病因病机及治法进行系统分析,并总结出其用药规律。[结果]陈实功认为瘿瘤病病因多责之于情志内伤、忧思气结、饮食水土失宜等;病机多为瘀血、浊气与痰滞;病证分虚实,以实证多见;临床上多见气郁痰阻、痰结血瘀、肝火旺盛、气血虚弱等证型;治疗上实者以祛瘀化痰、化痰理气、清火化痰为核心,虚者宜补虚理气,并反对轻用刀针。[结论]陈实功在治疗瘿瘤疾病上着眼于辨证论治,着重于化痰,其治疗瘿瘤的理法方药特色对现代临床有较好的指导作用。

[Objective]To summarize the famous medical treatment of the Ming Dynasty Chen Shigong gall disease treatment thought. [Method] Through the careful study and systematic analysis of the ＂authentic＂ and the theoretical literature. [Results] That gall disease etiology and more responsibility in emotions and internal injuries, melancholy stagnation of Qi, diet and improper and so on; pathogenesis more responsibility on Yuxue, turbid qi and stagnation of phlegm; clinically more gas stagnation of phlegm, phlegm and blood stasis, irascibility exuberant, deficiency of Qi and blood and other syndromes.[Conclusion] For the treatment, real persons are advised to gas line blood, phlegm, invigorate the hard core of qi deficiency, Qi and blood, spleen and stomach.