中医药研究论丛

201.9从《理虚元鉴》探讨虚劳之病因和治疗

 

从《理虚元鉴》探讨虚劳之病因和治疗
Investigate the Etiology and Treatment about Consumptive Disease from “Li-Xu-Yuan-Jian”
徐培倩1 陈肜瑄1 王宏铭1*
1 奇美医疗财团法人奇美医院,台南,台湾
【摘要】
《理虚元鉴》为明末医家汪绮石所撰写,是一部详尽叙述如何治疗虚劳病证的专着。该书编撰严谨,且辨证论治及立法遣药独具一格。本文就《理虚元鉴》中「虚劳病」的学术思想进行初步探讨,包含虚劳之病因病机、学术起源、治法和治则,以及不同方剂之间的组成比较等角度阐述汪氏对虚劳之论治。
汪绮石提倡「三本二统」和「虚劳六因」为治疗虚劳病之核心理论,汪氏将虚劳病分为两个部分,包含阳虚成劳和阴虚成劳,主要之治疗法则为补益脾胃气血和滋养肺肾之阴。汪氏对虚劳病的治疗不仅继承了传统,更有他独到的诊治经验,是值得我们临床学习和应用的。
【关键词】
汪绮石、理虚元鉴、虚劳、文献探讨
 
Pei-Chien Hsu1 Tung-Hsuan Chen1 Hung-Ming Wang1*
1Department of Chinese Medicine, Chi Mei Medical Center, Tainan, Taiwan
【Summary】
Li-Xu-Yuan-Jian, written by Wang Qi Shi at the end of Ming dynasty, is a fine detailed and original monograph for treating the consumptive disease. Li-Xu-Yuan-Jian was compiled strictly and recorded treatments based on different syndromes and many prescriptions. The academic thoughts of Li-Xu-Yuan-Jian in treating the consumptive disease were analyzed in this study which includes pathogenesis, academic origin, treatment, and comparing the difference between the decoctions in the form of there composition.
Wang Qi Shi advocated "Sanben Ertong"and six etiology theory, which are the principle of treating the consumptive disease. Qi Shi divided consumptive disease into two parts, which include yang deficiency pattern and ying deficiency pattern. The main therapeutic principle is strengthen the spleen, benefit qi and nourish blood, enrich lung yin and kidney yin.
Wang’s treatment in consumptive disease not only inherited the tradition, but also got distinct experiences, which are worthy to learn and application in clinic.
Keywords:Wang Qi Shi, Li-Xu-Yuan-Jian, consumptive disease, literature review.