明清医家辨治痰证特色举要

Characteristics of medical practitioners' experience in the differentiation and treatment of phlegm syndrome in Ming and Qing dynasty

痰证是中医学特有的概念,富含着中医学的原创性思维。明清至近代是痰证发展的鼎盛阶段,其内涵与理论日臻成熟。明清医家重视对前人理论的系统总结,较为深入地探讨了痰证病因病机、辨证论治等内容,形成了"理、法、方、药"一套完整的理论体系。诸多医家从不同角度论治痰证,注重对痰与气血津液、痰与脏腑关系、病证规律等内容的探讨。治疗上,明清医家临证辨治经验尤为丰富,强调从脏腑功能失常治痰,治必求于本,对于当今临床实践仍颇有参考价值。

Phlegm syndrome is a specific concept of traditional Chinese medicine(TCM), which is rich in the original thinking of TCM. From Ming and Qing dynasty to modern times, the development of phlegm syndrome was at its peak, and its connotation and theory were becoming more and more mature. Medical practitioners in Ming and Qing dynasty attached great importance to the systematic summary of the phlegm syndrome theory, thoroughly discussed the causes, pathogenesis, and the treatment of phlegm syndrome based on syndrome differentiation. They formed a complete theoretical system of ’theory, principle, prescription and medicine’. Medical practitioners in Ming and Qing dynasty have discussed phlegm syndrome from different angles, and they focused not only on the relationship between phlegm and qi, blood and body fluid but also phlegm and viscera. They also have accumulated rich experience in the clinical differentiation and treatment of phlegm syndrome, especially valued treating phlegm syndrome through the correction of viscera dysfunction, which is still of great reference value for today’s clinical practice.