朱丹溪与张景岳论治月经病学术思想
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摘要
目的:对朱丹溪与张景岳论治月经病的学术思想进行辨析,以丰富中医妇科学关于月经病的临床与理论研究。方法:通过研读朱丹溪、张景岳著作中涉及月经病的内容以及后人论述二者学术思想的文献,对两位医家论治月经病的学术思想进行探析。结果:朱丹溪突出调补脾胃之气对治痰的重要地位,在治疗上提出辨证论治和辨症论治;张景岳则以"血"为首要原因,在治疗上擅长从气血入手,并注重补益脾肾。结论:朱丹溪与张景岳两位医家对月经病学术思想的发展和创新均做出较大的贡献,值得我们从理论上和临床上进一步探讨。
Objective: To differentiate ZHU Danxi's and ZHANG Jingyue's academic thoughts on treating menstrual diseases, so as to enrich the clinical and theoretical research on menstrual diseases in gynecology of traditional Chinese medicine. Methods: By studying the contents of ZHU Danxi's and ZHANG Jingyue's works on menstrual diseases and the literature on their academic thoughts, the academic thoughts of the two physicians on treating menstrual diseases were explored. Results: ZHU Danxi highlights the tonifying spleen and stomach Qi on the important position in the treatment of phlegm, the syndrome differentiation and syndrome differentiation; ZHANG Jingyue think blood as the primary reason in the treatment is good at starting from the blood, and focus on tonifying the spleen and kidney. Conclusion: ZHU Danxi and ZHANG Jingyue have made great contributions to the development and innovation of the academic thought of menstrual diseases, which deserves further theoretical and clinical discussion.
Objective: To differentiate ZHU Danxi's and ZHANG Jingyue's academic thoughts on treating menstrual diseases, so as to enrich the clinical and theoretical research on menstrual diseases in gynecology of traditional Chinese medicine. Methods: By studying the contents of ZHU Danxi's and ZHANG Jingyue's works on menstrual diseases and the literature on their academic thoughts, the academic thoughts of the two physicians on treating menstrual diseases were explored. Results: ZHU Danxi highlights the tonifying spleen and stomach Qi on the important position in the treatment of phlegm, the syndrome differentiation and syndrome differentiation; ZHANG Jingyue think blood as the primary reason in the treatment is good at starting from the blood, and focus on tonifying the spleen and kidney. Conclusion: ZHU Danxi and ZHANG Jingyue have made great contributions to the development and innovation of the academic thought of menstrual diseases, which deserves further theoretical and clinical discussion.
引文
[1]田思胜,高巧林,刘建青.朱丹溪医学全书[M].北京:中国中医药出版社,2015:22.
[2]吕直.朱丹溪妇科学术思想初探[J].吉林中医药,1983,5(3):4-6.
[3]朱星,王明强.金元四大家妇科病证治浅探[J].贵阳中医学院学报,2012,34(3):1-2.
[4]王晓冰,侯丽辉,吴效科.月经病从痰证治的历史源流[J].中国中医基础医学杂志,2007,13(7):497-499.
[5]王晓冰,侯丽辉,满玉晶,等.朱丹溪从痰论治月经病之探析[J].时珍国医国药,2006,17(11):2345.
[6]张景岳.妇人规[M].北京:中国医药科技出版社,2017:4-11.
[7]李勤,祈冰,郝松莉,等.浅议张景岳《景岳全书·妇人规》的调经特色[J].中医杂志,2011,52(9):729-730.
[8]杜凯.浅析张景岳“阴阳论”在其治疗月经病中的应用[J].国医论坛,2002,17(5):49-50.
[9]罗颂平.张介宾的学术思想及其妇科专著《妇人规》[J].广州中医药大学学报,2005,22(4):307-310.
[10]王新智.张景岳《妇人规》学术特点探究[J].中医文献杂志,2004,22(3):30-31.
[11]张永跟,陈馨馨,李友林,等.营卫与气血、阴阳、脾胃的关系[J].北京中医药大学学报(中医临床版),2010,17(1):23-24.
[12]张曾玲,杨正望.《妇人规》辨证论治特色探析[J].中医中药,2007,4(36):132-133.
[2]吕直.朱丹溪妇科学术思想初探[J].吉林中医药,1983,5(3):4-6.
[3]朱星,王明强.金元四大家妇科病证治浅探[J].贵阳中医学院学报,2012,34(3):1-2.
[4]王晓冰,侯丽辉,吴效科.月经病从痰证治的历史源流[J].中国中医基础医学杂志,2007,13(7):497-499.
[5]王晓冰,侯丽辉,满玉晶,等.朱丹溪从痰论治月经病之探析[J].时珍国医国药,2006,17(11):2345.
[6]张景岳.妇人规[M].北京:中国医药科技出版社,2017:4-11.
[7]李勤,祈冰,郝松莉,等.浅议张景岳《景岳全书·妇人规》的调经特色[J].中医杂志,2011,52(9):729-730.
[8]杜凯.浅析张景岳“阴阳论”在其治疗月经病中的应用[J].国医论坛,2002,17(5):49-50.
[9]罗颂平.张介宾的学术思想及其妇科专著《妇人规》[J].广州中医药大学学报,2005,22(4):307-310.
[10]王新智.张景岳《妇人规》学术特点探究[J].中医文献杂志,2004,22(3):30-31.
[11]张永跟,陈馨馨,李友林,等.营卫与气血、阴阳、脾胃的关系[J].北京中医药大学学报(中医临床版),2010,17(1):23-24.
[12]张曾玲,杨正望.《妇人规》辨证论治特色探析[J].中医中药,2007,4(36):132-133.