喻嘉言《寓意草》中小儿惊风案治法探析

Analysis of the treatment method of infantile convulsions in YU Jiayan's Yuyi Cao

喻嘉言是明末清初著名医家,《寓意草·辨袁仲卿小男死症再生奇验并详诲门人》中载有其治疗小儿惊风的医案。喻氏通过病案举例,以外感风寒立论,认为惊风之热多源于寒,惊风为外感发热之病,主张效法《黄帝内经》和《金匮要略》中痉病思想去辨证论治,反对不明医理、妄投寒凉的治法。喻氏治疗小儿惊风的思路体现了其对经典的孜孜不倦以及对张仲景审慎求因、辨证论治等学术思想的继承和发扬。

YU Jiayan,a famous physician in the late Ming and early Qing Dynasty,recorded a medical case of treating infantile convulsions in his book Yuyi Cao:Distinguishing the Extraordinary Healing Powers of Yuan Zhongqing's Treatment of a Boy's Resurrection,and Giving Detailed Instructions to His Students.Through the exam-ple of the case,YU argues that the heat of convulsions often originates from coldness caused by external wind and cold.He believed that convulsions are a type of febrile disease caused by external factors,and advocated for using the idea of"jingfeng"(convulsive disease)in the Huangdi Nejing and Jingui Yaolue to differentiate and treat the disease,while opposing the irrational use of cold treatments.YU Jiayan's treatment of infantile convulsions reflects his diligent study of classical texts and his inheritance and development of ZHANG Zhongjing's academic ideas such as seeking the cause and differentiating treatment.