张简斋肺系病证辨治特点探析

Characteristics of the Differentiation and Treatment of Lung-Related Syndromes and Diseases According to Zhang Jianzhai

介绍民国名医张简斋先生治疗肺系病证的辨治特点,选取咳嗽、喘哮、肺痨三种疾病作为代表分别论述。关于咳嗽,张简斋常用的治法有辛宣疏化、清肃平逆、健脾化痰、益气托化等;关于喘哮,首辨虚实新久,治疗以宣肃及摄纳为主;关于肺痨,重视辨病体与本虚之异同,治疗则以和养为主,重视脏腑之间的传变关系及气血阴阳的亏损。张简斋治疗肺系疾病,灵活运用托化、和养、清肃、疏化、辛宣、育阴潜阳等多种治法,用药轻灵,不伤正气。

This study introduces the characteristics of the differentiation and treatment of lung-related syndromes and diseases according to Zhang Jianzhai,a famous doctor in the Republic of China.Besides,we select three diseases including cough,asthma,and lung consumption as representatives and discuss them separately.Regarding cough,Zhang Jianzhai's common treatment methods include diffusing and rectifying the lung with acrid medicine,purifying the lung and directing counterflow downward,fortifying the spleen,and dissolving phlegm,as well as boosting qi to eliminate pathogens.As for asthma,doctors should first differentiate whether the syndromes are newly contracted or formerly contracted,deficient or excess,and then treat the diseases with main methods of diffusing and purifying the lung along with receiving and containing qi.For lung consumption,doctors should identify the differences and similarities between the disease body and the deficient root based on regulating and nourishing treatment,emphasize transmission and change relationships between viscera,and take into account the loss of qi,blood,yin,and yang.In conclusion,Zhang Jianzhai's treatment of lung-related diseases is based on a variety of therapeutic methods including boosting qi to eliminate pathogens,regulating and nourishing,purifying and rectifying the lung,applying acrid medicine to diffuse the lung,as well as nourishing yin and suppressing the excessive yang.In addition,his treatments are characterized by applying light medicines without hurting the healthy qi.