秦昌遇论治吐血病思想探骊

Exploration of Qin Changyu's thoughts on treating hemtemesin

晚明医家秦昌遇一生笔耕不辍,著作丰厚,继承发扬了前代医家辨治吐血病的经验思想并有所发明,认为脾不裹血、火载上冲是发病关键所在,并提出辨血色来判断病位和推测预后的方法,在治疗原则上主张先去血中之火,待血止后再补真阴,并将吐血病分为外感与内伤两端,外感吐血时重视病情变化与经络传变的关系,在治疗内伤吐血时强调辨别病变脏腑的用药差异。

Qin Changyu,a doctor in the late Ming Dynasty,never stops writing all his life and produces a lot of works.He inherits and carries forward the experience and thoughts of previous generations of doctors in the differentiation and treatment of hematemesis,and puts forward some unique ideas as well.He believes it is the key to the onset of hematemesis that the spleen cannot control the blood and the blood is carried up by fire.He proposes a method to judge the location of the disease and speculate on its prognosis by distinguishing the color of blood.In terms of its treatment principle,he advocates that fire in the blood should be removed first,and essential yin should be replenished after haematemesis stops.He also divides hematemesis into one that is caused by external infections and another that is caused by internal injuries.As for the former,an attention should be attached to the relationship between the change in its condition and the transmission of meridians,while with regard to the latter,an emphasis should be directed to differentiating the medication for treating different diseased viscera.