《医林改错》的学术价值

The Academic Value of Correction of the Errors of Medical Works

《医林改错》为清代医家王清任基于对死尸解剖结构的认识,发现古典医籍对人体脏腑结构描述多有错误,为纠正古书对脏腑描述的错误而作的一部医书。通过对尸体的观察认识到瘀血在人体发病中的重要作用,并依据瘀血所在部位的不同,创立诸多有效活血化瘀方剂,在治疗中风病方面,由于对气血关系的深刻认识,肯定了气的主导作用,创立了以补气为主,兼顾活血化瘀的补阳还五汤,由于其多年行医,临床经验丰富,观察到诸多临床有效方剂,并记录下来,为后世提供了简验之方。

The Correction of the Errors of Medical Works is a medical book to correct the mistakes in the description of the viscera made by Wang Qingren, a doctor of the Qing Dynasty, who found that classical medical records have many errors in the description of viscera structure based on the anatomical structure of the dead body. Through the observation of the dead body, he recognized the important role of congestion in the pathogenesis of human body and created a lot of effective prescription of activating circulation to remove blood stasis, depending on the location of the congestion. Because of the deep understanding of the relationship between qi and blood, he affirmed the dominant role of qi and founded Buyang Huanwu decoction which tonifying qi, activating circulation to remove blood stasis in the treatment of stroke. Because of its many years of medical practice and abundant clinical experience, he found many clinical effective prescriptions, recorded and provided a simple test for future generations.