晋唐方书咳喘病症“牵绳”考

Study on"pulling rope"of cough and asthma in prescriptions of Jin and Tang Dynasties

“牵绳”与“攀绳”作为医学术语义同形别,散见于《小品方》《备急千金要方》及《外台秘要方》等方书中,是书中为描述咳喘病症而设,该词在原文中无训诂释义,后世相关研究匮缺。通过分析历代医籍中有关“牵绳”的条文,并结合临床实际考证“牵绳”一词的医学含义,研究发现“牵绳”是一种类似绳子勒住脖子而自觉呼吸困难的症状,即咽喉部拘急窒息感。这种关于咳喘病症的细微认识,体现了晋唐医家重视实际临床经验的务实精神,也提示后世医家在阐释医药著作中的语义时要结合临床实际。

“QianSheng”and“PanSheng”have the same semantics as medical terms,It appears in the prescriptions"Xiao Pin Fang","Qian Jin Yao Fang"and"Wai Tai Mi Yao"and other prescriptions.This term is used to describe the symptoms of cough,but the word has no explanation and related research.Through the analysis of the content of the“QianSheng”in the past medical records and the clinical significance,the medical meaning of the word"QianSheng"was analyzed.The study found that this is a symptom of the neck lining up and consciously breathing difficulties,that is,the suffocation of the throat.This subtle understanding of cough and asthma symptoms reflects the pragmatic spirit of the medical practitioners from Jin to Tang Dynasties attaching importance to actual clinical experience.It also suggests that we should explain the semantics of medical works in combination with clinical practice.The interpretation of the word"QianSheng"has great clinical significance for Chinese medicine to understand the symptoms of cough and asthma.It has great academic value for the study of medical words from Jin to Tang Dynasties.