王孟英痰证辨治特色浅析

Features and Treatment of Phlegm Syndrome on Wang Mengying

[目的]探究清代温病大家王孟英所著《王氏医案》一书有关痰证的学术思想及临证诊疗经验。[方法]通过对《王氏医案》的系统研习,从辨病求因、临证组方遣药、临床学术价值等方面,对王孟英有关痰证学术思想及临证诊疗经验作出研讨。[结果]王氏辨治痰证,独具慧眼,注重审症求因。痰证病因归咎体内所固有之痰、温病进程中病理产物;病机多责之于火及气机不调;临证治痰,以肺为中心,重在斡旋枢机,同时根据病证不同,从脾、肝、肾、心进行施治,组方用药,灵活多变。[结论]《王氏医案》内容丰富,其对痰证诊治颇有心得体会,诊治痰证,不落窠臼,究其病因病机,责之于火、肺之气机不调,临证重在治肺,兼顾他脏之调摄,时值今日,其论治痰证思想及诊疗经验对临床疾病治疗仍有重要指导意义。

[Objective] To study the Qing dynasty physician Wang Mengying＇s phlegm syndrome academic thoughts and clinical experience in diagnosis and treatment from medical case. [Method]From the syndrome differentiation prescription medication clinical academic value,make research on Cheng＇s academic thoughts and clinical experience in diagnosis and treatment of phlegm syndrome.[Result]Wang Mengying treated the phlegm syndrome, healing will seek its result, drug treatment of Shenqi reuse. At the same time, Wang Mengying didn＇t stick to one pattern to treat disease, treating the disease will seek its essence and focus on internal and external.Wang Mengying paid attention to medical treatment, phlegm syndrome causes, blamed inherent in the pathological products of sputum, in the process of epidemic febrile disease. In pathogenesis and more responsibility to fire and gas engine is not moved;clinical treating phlegm, lung center, focusing on mediation cardinal;at the same time, according to disease and syndrome of differentiation, from the spleen, liver, kidney and heart treatment, prescription, flexible and changeable.[Conclusion] ＂Medical Case of Wang＂ is rich in content and its syndrome differentiation of diseases, a disease to have experience, as today, treatment based on the thought of sputum still has important guiding significance.