王好古治阴证用姜附的学术思想研究

Research on the Academic Thought of Wang Haogu in the Treatment of Yin Syndrome with Rhizoma Zingiberis and Aconite

王好古在《阴证略例》中所记载的阴证,是由于邪气伤及厥阴、少阴、太阴,导致肝阳、肾阳、脾阳损伤的病症。治疗用药多选用干姜、附子,同时强调诊断明确,以脉诊为主要依据,避免滥用,注重用药安全。《阴证略例》中记载的医案内容详尽,很好地体现了王好古的用药思想。其重视温养脾肾的学术思想,以及阴证用姜、附的经验对火神派以及温病学的理论产生了影响。

The yin syndrome recorded by Wang Haogu in Brief Cases of Yin Syndrome is a kind of disease which is due to the damage of liver yang,lidney yang and spleen yang.The damage is caused by pathogenic qi which harm jueyin,shaoyin and taiyin.He selected rhizoma zingiberis and aconite as the treatment drugs.He also emphasized the exactness of diagnosis and medication safety and take pulse diagnosis as the main basis to avoid abuse of drugs.The medical cases recorded in the Brief Cases of Yin Syndrome are detailed,which well reflect Wang Haogu's idea of using medication.His academic thought of warming spleen and kidney,as well as the experience of using rhizoma zingiberis and aconite has far-reaching influence on the theory of Huoshen faction and febrile diseases.