程国彭外科证治思想探析

Exploration on CHENG Guopeng s Thought of Syndrome and Treatment in Surgery

据《外科十法》对清代医家程国彭的外科证治学术特点进行分析与探讨。程国彭晚年为完备《医学心悟》外科方面的不足而撰《外科十法》,并在继承前人的基础上又结合自身临床有所创新。并在《外科十法》中先论治疗痈疽发背的十条大纲方法,即内消法、艾灸法、神火照法、刀针砭石法、围药法、开口除脓法、收口法、总论服药法、复论五善七恶救援法、将息法,后分别对外科病症进行论述并附证治方药。程氏内症极精由内科而通外科,《医学心悟》中所倡的医门八法,即“汗、和、下、消、吐、清、温、补”8种治法影响广泛,程氏将此融入外科证治之中颇具特色。本文依据《外科十法》从医门八法在外科中的运用、疮疡的阴阳辨析与分期论治、脾胃的擅护思想、五善七恶救援法、方药特色及内外治并举等方面,对其外科证治特点进行探讨。

According to Wai Ke Shi Fa,the academic characteristics of surgical certificate treatment of CHENG Guopeng,a doctor in Qing Dynasty,are analyzed and discussed.CHENG s later years for the complete Yi Xue Xin Wu surgical deficiencies and wrote Wai Ke Shi Fa,and on the basis of inheriting the predecessors and combined with their own clinical innovation.CHENG s ten outline methods for treating the back of anthrax in Wai Ke Shi Fa,namely,internal elimination method,acupuncture method,Shen fire method,knife-needle zircon method,enclosure method,open pus method,Shoa Kou method,general taking drug method,compound the method of rescue of five good and seven evils,the method of interest,and then the surgical diseases are discussed separately,and the prescription is attached.CHENG s internal disease is extremely refined,from internal medicine and general surgery,Yi Xue Xin Wu in the initiative of the eight methods of medicine,that is,"han、he、xia、xiao、tu、qing、wen、bu"eight treatments have a wide range of effects,CHENG s integration into the surgical certificate treatment,quite characteristic.In this paper,according to the Wai Ke Shi Fa from the use of the eight methods of medicine in surgery,sores selected Yin and Yang analysis,stage theory treatment,spleen and stomach of the idea of good care,five good seven evil rescue method,prescription characteristics and internal and external co-operation of CHENG Guopeng s surgical characteristics.