摘要
《医理信述补遗》是清代民间医家夏子俊之著作,其中,《痘疹秘录》也是为数不多的记载关于痘疹方面的篇章。整理分析发现,《痘疹秘录》篇章简洁而理法周全,论述了麻疹与痘疹的辨治及预防。麻疹分为三候,概而述之,每候各系以治方治法,共录七方;痘疹分为六候,从发热、见点、起脓、贯脓、收靥、落痂六个阶段详细叙述顺险逆症及其预后,并将证候治法归纳为歌括,方便记忆,更有不同时期出痘者的饮食、看护方法等。在麻疹的诊治上,认为肺部的症状尤为明显,治疗当清肺宣表为主,同时强调治疗过程中要调胃和中,勿伤脾胃。在痘疹的诊治上,认识到气血虚实对痘疹治疗预后的影响,强调从气血论治痘疹,故多采用疏风解表、清热解毒、补气养血、理气健脾之类的药物,并根据患者的实际病情进行调整,以治其本。判断预后则认为当痘出至化脓收靥时,自上而下者顺为吉,从脚循腰上逆者为凶。总而观之,《医理信述补遗·痘疹秘录》的学术思想对临床辨治麻疹、痘疹具有重要的参考价值。
Yili Xinshu Buyi is a medical book written by XIA Zijun,a civilian Chinese medicine practitioner in Qing dynasty,and Chapter Douzhen Milu is one of the few chapters that records poxes.After sorting out and analyzing,it is found that Chapter Douzhen Milu,which discusses the syndrome differentiation,treatment and prevention of measles and poxes,is short in length but the principles and methods recorded are comprehensive.In the Chapter,the course of measles is divided into three phases,and each phase is given a brief introduction,prescriptions and treating methods respectively,and a total of seven prescriptions are recorded.The course of poxes is divided into six phases,from fever,poxes-appearing,forming of pus,accumulation of pus,restraining of pustule,forming of scab to falling off of scab,and the favorable,dangerous and unfavorable patterns as well as corresponding prognosis are described in detail from the above six phases.The syndromes and treatment are summarized as medical songs that are convenient for memory.There are also diets and care methods for patients with poxes in different periods in this chapter.In the diagnosis and treatment of measles,due to the particularly obvious symptoms of the lung,the treatment should mainly focus on clearing the lung and diffusing the exterior,regulating the stomach and harmonizing the center,without injuring the spleen and stomach during the treatment.In the diagnosis and treatment of poxes,the influence of qi,blood,deficiency and excess on the prognosis should be taken into account,and the treatment should mainly focus on treating it from the qi and blood,so Chinese herbs with functions of scattering wind and releasing the exterior,clearing hear and detoxifying,supplementing qi and nourishing blood,and rectifying qi and fortifying the spleen should be used and modified according to the actual condition of patients,so as to treat the root.After analyzing the prognosis of the disease,it is believed that during the process from poxes appearing to festering and forming of scab,if the poxes start from top to bottom,it indicates a positive prognosis;if they start from feet to lumbar,it indicates a negative prognosis.In general,the academic thoughts in Chapter Douzhen Milu of Yili Xinshu Buyi has important reference value for clinical differentiation and treatment of measles and poxes.
作者
蒋梦霞
李顺东
李伟林
陈筱琪
JIANG Mengxia;LI Shundong;LI Weilin;CHEN Xiaoqi
出处
《新中医》
CAS
2022年第4期217-220,共4页
New Chinese Medicine
基金
浙江省中医药科技计划项目(2018ZA130)。
关键词
《医理信述补遗·痘疹秘录》
痘疹
诊治特色
夏子俊
Chapter Douzhen Milu of Yili Xinshu Buyi
Poxes
Characteristics of diagnosis and treatment
XIA Zijun