《医学噎膈集成》收载方药临床应用探析

Discussion on Clinical Application of Prescriptions Recorded in Collected Works on Medication for Dysphagia

《医学噎膈集成》是清朝晚期吴苍山父子辑撰关于噎膈的最早专著,书中收载了3篇医论和82则方论,言之有据,切合实用。书中收载了单药处方25首,部分单药至今习用;收载经方11首,灵活化载,重视滋补肝肾和活血散结;注重食疗和药引应用,关注饮食和精神护理,以为药治之助,极为重视脾胃功能健运,习用酒和姜作药引,重视气血调补和条畅,善用上病取下整体论治。总之,《医学噎膈集成》系统归纳总结了我国清以前治疗噎膈的方药和理法思路,是研究噎膈治则方剂不可或缺的重要参考文献。

Collected Works on Medication for Dysphagia,written by WU Cang-shan and his son in the late Qing Dynasty,is the earliest monograph on dysphagia.There are 3 medical treatises and 82 comments on the prescriptions in the book,which are valid and practical.A total of 25 prescriptions of single Chinese medicine were recorded in this book,some of which are still in use today.The book contains 11 classical prescriptions,which were flexibly utilized by modification and mainly have the actions of nourishing liver and kidney,promoting blood circulation and dissipating mass.The authors paid attention to the application of diet therapy and extra conducting ingredient and focus on healthy diet and mental care,which were considered as the adjuvant of the medication of herbs.The book attached great importance to the normal function of the spleen and stomach.Wine and ginger were often used as the extra conducting ingredients to regulate qi and blood,and the therapeutic principle of treating the lower part to alleviate the diseases in the upper part was well used.In a word,Collected Works on Medication for Dysphagia systematically summarized the prescriptions and therapeutic for dysphagia before Qing Dynasty in China,which is an indispensable reference for the treatment of dysphagia with Chinese medicine.