明代医家万全论治痢疾探析

Discussion on Ming Dynasty Physician Wan Quan′s Approach to Treating Dysentery

本文通过研究明代著名儿科及养生学家万全《保命歌括》《万氏女科》《育婴家秘》等著作中有关痢疾的论治以及医案,认为万全辨治痢疾,融会了《神农本草经》《伤寒论》《金匮要略》等著作的精髓,提出痢疾的病因为火邪与湿邪,并根据正邪相争的情况将痢疾分为3类:实热证、虚寒证、虚实夹杂证,还以此为依据提出需结合水、火、气、血的运行情况辨治用药的原则。文章对此进行深刻剖析,以期为痢疾的临床诊疗提供参考。

This paper studies the treatment of dysentery described in the works of the famous Ming Dynasty pediatrician and longevity expert Wan Quan,including Bao Ming Ge Kuo,Wan Shi NüKe,Yu Ying Jia Mi and so on.The author think Wan Quan′experience in the treatment of dysentery integrates the linchpin of Shen Nong Ben Cao Jing,Shang Han Lun,and Jin Gui Yao Lue,etc.He proposed that the cause of dysentery was fire evil and dampness evil,and divided dysentery according to the conflict between good and evil into three categories:excessive heat syndrome,deficiency and cold syndrome,syndrome of intermingled deficiency and excess.On this basis,the principle of combining the operation conditions of water,fire,qi and blood was proposed.This paper provides a detailed analysis to provide a reference for the clinical diagnosis and treatment of dysentery.