衢州雷氏医学的形成、源流及学术思想

The Formation, Origin and Academic Thought of LEI’s Medicine in Quzhou

[目的]探索挖掘衢州雷氏医学的形成背景、源流及学术思想特色。[方法]采用传统医史文献整理研究方法和现代数据库挖掘技术相结合的研究手段,对雷氏医学的形成背景、源流及学术思想特色进行系统分析和总结。[结果]衢州地理环境优越、地区经济繁荣、历史文化深厚、社会环境独特等各种因素为雷氏医学的形成奠定了基础。随着新安名医程芝田至衢州行医后,将程氏医学与各家学说融汇贯通,并把以心法审证用药的学术特色也带到衢州,衢州先后涌现出雷少逸、雷大震、程曦、江诚、龚香圃等许多医家,并形成了独具特色的衢州雷氏医学。雷氏医学学术思想来源于中医经典,传承于学术交流,创新于融会新知,重视衷中参西,提倡分层论治,用药四因制宜。[结论]衢州地理位置独特,人杰地灵,孕育了灿烂的医学文明。随着程芝田授其徒雷逸仙为始肇端,逐渐形成了崇尚经典、博采众长、勇于创新、知时辨治的雷氏医学,其学术思想对现代中医临床仍有较大的指导意义,值得深入研究和借鉴。

[Objective] To explore the background, origin and development and academic characteristics of LEI’s medicine in Quzhou. [Methods] This paper systematically analyzed and summarized the background, origin and development and academic characteristics of LEI’s Medicine by using the research methods of traditional medical history literature and modern database mining technology. [Results] Various subjective and objective factors, such as superior geographical environment, regional economic prosperity, profound history and culture and unique social environment in Quzhou, laid the foundation for the formation of LEI’s Medicine. Along with the famous doctor of Xin’an CHENG Zhitian practicing medicine in Quzhou, he brought the academic thoughts of syndrome differentiation medication with the mental cultivation methods to Quzhou, and integrated CHENG’s Medicine with various theories. Many doctors such as LEI Shaoyi, LEI Dazhen, CHENG Xi, JIANG Cheng and GONG Xiangpu emerged one after another, and formed the unique LEI’s Medicine in Quzhou. LEI’s medical academic thoughts were derived from the classics of traditional Chinese medicine, inherited from the academic exchange and innovated in the fusion of new knowledge, attached importance to intergration of Chinese and western medicine, advocated hierarchical treatment, and medicated according to four categories of etiological factors. [Conclusion] Quzhou, with its unique geographical location and outstanding people, has given birth to a splendid medical civilization. With CHENG Zhitian teaching his apprentice LEI Yixian as the beginning, LEI’s Medicine gradually developed, which advocated classics, adopted numerous merits, had the courage to innovate, and implemented syndrome differentiation and treatment according to the time. The academic thoughts still has great guiding significance for the clinical practice of modern Chinese medicine, which is worthy of study and reference.