《景岳全书》对中医急诊重症学科的贡献
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摘要
《景岳全书》记载了大量急诊重症的资料。张景岳详细地阐释了急诊重症的疾病名称;在前人对疾病认识的基础上,通过自身的理解,总结了急诊重症的病因病机;客观而翔实地描述了急诊重症的临床表现,为后世提供了急诊重症的诊断思路和治则治法;强调了预防护理在治疗急诊重症过程中的重要性。《景岳全书》对中医急诊重症学科的贡献,为临床诊治急诊重症疾病提供了思路和方法。
Jingyue Quanshu( Jingyue's Complete Works) presented a comprehensive understanding of emergencies and other life-threatening conditions. Most of all,Zhang categorized the causes and mechanisms of these disorders according to his own understanding with reference to opinions of former experts.He also offered detailed and objective descriptions of their clinical manifestations. All of these have been valued references for later generations. In addition,Zhang emphasized the importance of prognostic care in the treatment of critically ill patients. This paper attempts to summarize the contribution of Jingyue Quanshu to the critically ill subjects of TCM emergency treatment,and provide ideas and methods for clinical diagnosis and treatment of acute and severe diseases.
Jingyue Quanshu( Jingyue's Complete Works) presented a comprehensive understanding of emergencies and other life-threatening conditions. Most of all,Zhang categorized the causes and mechanisms of these disorders according to his own understanding with reference to opinions of former experts.He also offered detailed and objective descriptions of their clinical manifestations. All of these have been valued references for later generations. In addition,Zhang emphasized the importance of prognostic care in the treatment of critically ill patients. This paper attempts to summarize the contribution of Jingyue Quanshu to the critically ill subjects of TCM emergency treatment,and provide ideas and methods for clinical diagnosis and treatment of acute and severe diseases.
引文
[1]徐福平,杨洋,王凯,等.《景岳全书》不寐学术思想及其方药特色探讨[J].西部中医药,2017,30(5):41-43.Xu FP,Yang Y,Wang K,et al.Exploration into academic thinking and the features of prescription and herbs for insomnia in Jing Yue Quan Shu[J].Western Journal of Traditional Chinese Medicine,2017,30(5):41-43.
[2]黄星垣,郭铭信.中医急诊大成[M].北京:中医古籍出版社,1987:31.Huang XY,Guo MX.The Great Compendium of Acute Symptoms in Traditional Chinese Medicine[M].Beijing:TCM Ancient Books Publishing House,1987:31.
[3]朱文锋,贺泽龙.论坚持中医病名诊断的必要性[J].辽宁中医杂志,2000,27(2):50-52.Zhu WF,He ZL.Discussion on the necessity of insisting on diagnosis applying the names of diseases of TCM[J].Liaoning Journal of Traditional Chinese Medicine,2000,27(2):50-52.
[4]王丽荣,马晓燕.中医药治疗慢性肾衰研究进展[J].云南中医中药杂志,2017,38(10):81-83.Wang LR,Ma XY.Progress of TCM in the treatment of chronic renal failure[J].Yunnan Journal of Traditional Chinese Medicine and Materia Medica,2017,38(10):81-83.
[5]闫璞,王世东,肖永华,等.慢性肾功能衰竭中医病名辨析[J].环球中医药,2018,11(3):411-413.Yan P,Wang SD,Xiao YH,et al.Identification of chronic renal failure in Chinese Medicine[J].Global Traditional Chinese Medicine,2018,11(3):411-413.
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[7]孙一鸣,张朋飞,李岳.中医治疗癃闭方法概论[J].黑龙江中医药,2017,46(3):64-65.Sun YM,Zhang PF,Li Y.An introduction to traditional Chinese medicine in the treatment of uroschesis[J].Heilongjiang Journal of Traditional Chinese Medicine,2017,46(3):64-65.
[8]中华中医药学会肝胆病分会.病毒性肝炎中医辨证标准(2017年版)[J].中西医结合肝病杂志,2017,27(3):193-194.Branch of Hepatobiliary Diseases,Chinese Association of Chinese Medicine.The standards of traditional Chinese medicine syndrome differentiation for viral hepatitis(2017ed.)[J].Journal of Clinical Hepatology,2017,27(3):193-194.
[9]谭子虎,陈丽珠.基于古今医案数据挖掘的痉病中医证候分布特点研究[J].江苏中医药,2016,48(4):65-67.Tan ZH,Chen LZ.Research on the distribution of TCM syndromes of spasmodic diseases based on data mining of ancient and modern medical records[J].Jiangsu Journal of Traditional Chinese Medicine,2016,48(4):65-67.
[10]马家驹,张晓雷,王玉光.中医传承应以名老中医特色治则治法传承为核心[J].环球中医药,2016,9(10):1212-1214.Ma JJ,Zhang XL,Wang YG.The inheritance of traditional Chinese medicine should be centered on the inheritance of the characteristic rules and regulations of famous old Chinese medicine[J].Global Traditional Chinese Medicine,2016,9(10):1212-1214.
[11]黄汉儒,余瀛鳌.张景岳论内科危急重证[J].广西中医药,1982(5):11-13.Huang HR,Yu YA.Zhang jingyue’s comments on the medical department of critical syndrome[J].Guangxi Journal of Traditional Chinese Medicine,1982(5):11-13.
[12]赵瑜,万长秀.中医护理发展的难点分析与对策[J].全科护理,2017,15(5):541-543.Zhao Y,Wan CX.Analysis and countermeasures of the difficulties in the development of TCM nursing[J].Chinese General Practice Nursing,2017,15(5):541-543.
[2]黄星垣,郭铭信.中医急诊大成[M].北京:中医古籍出版社,1987:31.Huang XY,Guo MX.The Great Compendium of Acute Symptoms in Traditional Chinese Medicine[M].Beijing:TCM Ancient Books Publishing House,1987:31.
[3]朱文锋,贺泽龙.论坚持中医病名诊断的必要性[J].辽宁中医杂志,2000,27(2):50-52.Zhu WF,He ZL.Discussion on the necessity of insisting on diagnosis applying the names of diseases of TCM[J].Liaoning Journal of Traditional Chinese Medicine,2000,27(2):50-52.
[4]王丽荣,马晓燕.中医药治疗慢性肾衰研究进展[J].云南中医中药杂志,2017,38(10):81-83.Wang LR,Ma XY.Progress of TCM in the treatment of chronic renal failure[J].Yunnan Journal of Traditional Chinese Medicine and Materia Medica,2017,38(10):81-83.
[5]闫璞,王世东,肖永华,等.慢性肾功能衰竭中医病名辨析[J].环球中医药,2018,11(3):411-413.Yan P,Wang SD,Xiao YH,et al.Identification of chronic renal failure in Chinese Medicine[J].Global Traditional Chinese Medicine,2018,11(3):411-413.
[6]吴玉婷,周迎春.冠心病从痰论治的现代理论研究[J].中国中医基础医学杂志,2017,23(7):1029-1031.Wu YT,Zhou YC.Modern theoretical study on the treatment of coronary heart disease from phlegm[J].Journal of Basic Chinese Medicine,2017,23(7):1029-1031.
[7]孙一鸣,张朋飞,李岳.中医治疗癃闭方法概论[J].黑龙江中医药,2017,46(3):64-65.Sun YM,Zhang PF,Li Y.An introduction to traditional Chinese medicine in the treatment of uroschesis[J].Heilongjiang Journal of Traditional Chinese Medicine,2017,46(3):64-65.
[8]中华中医药学会肝胆病分会.病毒性肝炎中医辨证标准(2017年版)[J].中西医结合肝病杂志,2017,27(3):193-194.Branch of Hepatobiliary Diseases,Chinese Association of Chinese Medicine.The standards of traditional Chinese medicine syndrome differentiation for viral hepatitis(2017ed.)[J].Journal of Clinical Hepatology,2017,27(3):193-194.
[9]谭子虎,陈丽珠.基于古今医案数据挖掘的痉病中医证候分布特点研究[J].江苏中医药,2016,48(4):65-67.Tan ZH,Chen LZ.Research on the distribution of TCM syndromes of spasmodic diseases based on data mining of ancient and modern medical records[J].Jiangsu Journal of Traditional Chinese Medicine,2016,48(4):65-67.
[10]马家驹,张晓雷,王玉光.中医传承应以名老中医特色治则治法传承为核心[J].环球中医药,2016,9(10):1212-1214.Ma JJ,Zhang XL,Wang YG.The inheritance of traditional Chinese medicine should be centered on the inheritance of the characteristic rules and regulations of famous old Chinese medicine[J].Global Traditional Chinese Medicine,2016,9(10):1212-1214.
[11]黄汉儒,余瀛鳌.张景岳论内科危急重证[J].广西中医药,1982(5):11-13.Huang HR,Yu YA.Zhang jingyue’s comments on the medical department of critical syndrome[J].Guangxi Journal of Traditional Chinese Medicine,1982(5):11-13.
[12]赵瑜,万长秀.中医护理发展的难点分析与对策[J].全科护理,2017,15(5):541-543.Zhao Y,Wan CX.Analysis and countermeasures of the difficulties in the development of TCM nursing[J].Chinese General Practice Nursing,2017,15(5):541-543.