《理虚元鉴》从肺论治虚劳学术特色浅析

Academic Highlights of Differentiation Theory on Original Asthenia-syndrome on Lung-related Principles

明代汪绮石的《理虚元鉴》为中医临床虚劳证治的专著,对虚劳的辨证、立法、方药均有独到见解,尤以从肺论治虚劳为一大亮点。书中强调,肺为五脏之天,治虚之要脏,直陈虚损百病,皆关乎肺。治疗上主张金水相生,肺肾并举;善用通利,水源不绝;培土生金,苓术并用;金畏火克,知柏当禁。用药上讲究濡润、平和、通利,忌苦寒、克伐、辛热,为虚劳的临证开辟了新的思路和方法,对于虚损病、慢性病的治疗具有重要的临床指导意义。

Abstract：Differentiation Theory on Original Asthenia-syndrome, written by Wang Qishi of Ming Dynasty, is regarded as clinical masterpieces when treating asthenia syndromes. Numerous special and outstanding views concerning syndrome differentiation,treat- ment thoughts,medicinal and prescriptions can be learned in this book, with Lung-related principles being attractable highlights. Wang holds that Lung should be attached greatest importance and it is closely related to any forms of asthenia circumstances. The methods of ＇ Mutual engendering of metal and water~ and ＇ preference to water and dampness-resolving medicinal＇ are summarized in this book,while the principle of ＇banking up earth to benefit metal＇ also reflects the essence of Wang＇s thoughts, with Rhizoma anemarrhenae and Cortex phellodendri absolutely prohibited. Drugs that moisten, pacify and resolve are preferred while ones with bitter, cold, drastic, pungent or heat properties are contraindicated. Wang and his book provided new thoughts and methods concerning asthenia syndromes,showing guiding clinical significance on the treatment of chronic and deficiency diseases_