张赞臣辨治咽喉病学术思想与临证特色

Exploration of ZHANG Zanchen’s Academic Thoughts and Clinical Characteristics in the Differentiation and Treatment of Pharyngeal Diseases

目的:探究民国海派医家张赞臣辨治咽喉病的学术思想与临证特色。方法:以张赞臣1931年出版的《咽喉病新镜》为主要研究对象,结合其同时期所发表文章等文献资料中的咽喉病相关内容,对张赞臣辨治咽喉病的学术思想与临证特色进行分析研究。结果:张赞臣立足经典、溯源辨彰,同时积极汲取西医精华,贯彻中医为本、西学为用的原则,其临证特色可概括为:咽喉病证治种类全面,治法详尽,辨证多样;详察病因,从本论治;咽喉疾病,内外兼治;重视预防,寓于日常四个方面。结论:张赞臣辨治咽喉病经验独到,辨证精确,治法多样,研究继承张赞臣治疗咽喉病的经验特色,有助于丰富咽喉病中医理论与临床经验,对现代咽喉疾病辨治具有借鉴意义。

Objective:To explore the academic thoughts and clinical characteristics of ZHANG Zanchen,a Shanghai-style physician in the Republic of China,in the differentiation and treatment of pharyngeal diseases.Methods:This paper takes the New Mirror of Pharyngeal Diseases published by ZHANG Zanchen in 1931 as the main research object,combines the related contents of pharyngeal diseases published in the same period,such as articles and advertisements,analyzes and studies the academic thoughts and clinical characteristics of ZHANG Zanchen in the differentiation and treatment of pharyngeal diseases.Results:ZHANG Zanchen believed in the classical theory of Chinese medicine and was eager to learn,reflecting the thought of distinguishing the classic and tracing the source.At the same time,he actively absorbed the essence of western medicine and carried out the principle of adhering to the Chinese medicine treatment and applying western medicine as an auxiliary.ZHANG Zanchen’s clinical characteristics could be summarized in the following four aspects.Comprehensive treatment types of pharyngeal diseases,detailed treatment methods,and diversified differentiation of syndromes.Detailed investigation of the causes of the disease,and treatment targetting the root causes.Internal and external treatment in the differentiation and treatment of pharyngeal diseases.Attaching great importance to the prevention of pharyngeal diseases in the daily life.Conclusions:ZHANG Zanchen has the characteristics of unique experience in the treatment of pharyngeal diseases,precise differentiation of syndromes and various treatment methods.Studying and inheriting ZHANG Zanchen’s experience in the treatment of pharyngeal diseases is helpful to enrich the traditional Chinese medicine theory and clinical experience in the treatment of pharyngeal diseases,and has reference significance for the differentiation and treatment of the modern pharyngeal diseases.