普陀山僧医释心禅《一得集》外治法初探并发微

Preliminary study on the external treatment of Yi De Ji by buddhist doctor SHI Xinchan of Putuo Mountain

《一得集》成书于1889年,是普陀山清代僧医释心禅所著,其中涉及外治法的论著和应用外治法治病的医案亦占将近六分之一。通过对《一得集》中有关外治法学术理论的论述,以及有外治法参与的医案,从辨病施治、各司其法,循证组方、尊经创新,喉科三纲、吹药专治,纠时医谬、列效验法4个方面进行归纳总结。整理发掘心禅僧外治法治病的学术经验:擅长刺血之法、以治热邪实证,阴寒当施灸法、择穴必循六经,讲究三因制宜、重症外治先行。并举两则遵《一得集》外法而治的医案,介绍当地外治法传承现状。

The book Yi De Ji was written in 1889 by buddhist doctor SHI Xinchan of Putuo Mountain in the Qing dynasty,among the treatise on external treatment and the cases of applying external treatment accounted for nearly one sixth.Through the discussion of the academic theory of external treatment in the Yi De Ji and the medical cases involving external treatment,this article summarized the four aspects of disease diagnosis and treatment,such as syndrome differentiation and treatment,each treatment following its own methods,innovation in respecting the classics,the three principles of laryngology,the use of herbal external therapy to treat pharyngeal diseases,correcting the mistakes of other doctors,and summarizing effective treatment methods.Organize and explore the academic experience of external treatment methods in treating diseases of SHI Xinchan:skilled in acupuncture and bloodletting therapy to treat excess heat syndrome,using moxibustion to treat yin cold syndrome,and following the six meridians when selecting acupoints,emphasizing the adaptation of the three factors and prioritizing external treatment for severe cases.Introduce the current status of the inheritance of local external treatment laws by citing two medical cases that followed the Yi De Ji external treatment principle.