清代岭南医家黄岩《医学精要》学术思想探析

Discussion on the academic thought of Lingnan physician HUANG Yan's Yixue Jingyao inQing dynasty

《医学精要》是清代岭南名医黄岩代表性著作,其主要学术思想包括:重视整体辨证,明析阴阳虚实,细察脏腑气血;传承《黄帝内经》和张景岳学术思想,强调脾肾真元的作用;用药精专,治病求本,创制多首新方;临证倡杂病诊治,不为科分,一同辨治。本书仿明代《景岳全书》体例,内容从小儿胎病惊疳、大小杂症,至麻痘伤寒、妇科经产崩带,糜不毕具,但此前多部目录学著作均将其归属于儿科书籍,笔者认为应归属至内科综合性医著更妥,其学术价值有待进一步研究。

Yixue Jingyao is the representative work of the famous doctor HUANG Yan in Lingnan in Qing dynasty.Its main academic ideas include:pay attention to the overall dialectical thinking method,clear analysis of yin and yang,distinguish deficiency and excess syndrome,and examine the Zang-fu organs,qi and blood;Inherit Huangdi Neijing and ZHANG Jingyue academic thought,emphasize the function of spleen and kidney;Accurate use of drugs and create a number of new traditional Chinese medicine prescriptions to cure diseases;advocates that the diagnosis and treatment of miscellaneous dise-ases,regardless of which clinicaldepartment,can be identified and treated together.This book imitated the style of Jingyue Quanshu in Ming dynasty,and its contents range from pediatric diseases,internal diseases,measles,pox,typhoid fever,gynecological diseases,etc..However,many previous bibliographic works had classified it as a pediatric medical work,and the authors believed that it should be classified as a comprehensive medical book of internal medicine,and its academic value needed to be further studied.