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中华养生保健 ›› 2024, Vol. 42 ›› Issue (22): 71-74.

• 学术探讨 • 上一篇    下一篇

浅析《针灸大成》医案脾胃病诊疗特色

李鸿儒1,2, 潘剑1,2, 陈伟鸿3, 陈峰2,*   

  1. 1.浙江中医药大学研究生院,浙江 杭州,310053;
    2.嘉兴大学附属医院中医针灸科,浙江 嘉兴,314001;
    3.安溪县医院临床药学室,福建 泉州,362400
  • 出版日期:2024-11-16 发布日期:2024-11-13
  • 通讯作者: *陈峰,E-mail:cfly149@126.com。
  • 作者简介:李鸿儒(1999—),男,汉族,籍贯:浙江省嘉兴市,硕士研究生在读,住院医师,研究方向:经络腧血与脏腑相关性研究。
  • 基金资助:
    全国名老中医专家传承工作室建设项目陈峰名老中医专家传承工作室[国中医药人教函(2022)75号]; 浙江省“十三五”中医药重点专科[浙卫办中医(2019)1 号]; 嘉兴市中医药重点学科项目(2023-ZYYJC-001)

Characteristics of the Treatment of Gastrointestinal Diseases in the Medical Case of "Zhenjiu Dacheng"

LI Hong-ru1,2, PAN Jian1,2, CHEN Wei-hong3, CHEN Feng2,*   

  1. 1. Zhejiang Chinese Medical University, Hangzhou Zhejiang 310053, China;
    2. Affiliated Hospital of Jiaxing University, Jiaxing Zhejiang 314001, China;
    3. Anxi County Hospital, Quanzhou Fujian 362400, China
  • Online:2024-11-16 Published:2024-11-13

摘要: “脾胃为本”思想横贯中医学发展,脾胃系病证是中医内科学的重要组成部分。《针灸大成》卷九的31则医案中有11则与脾胃病相关。脾胃病医案中,杨氏运用五行生克诊疗疾病,依据卦象解释疾病本质,基于疾病病机病势辨证施治。诊治过程中杨氏力求分清标本,明辨缓急;调摄气机,秉轴持钧;穴少而巧,奇正相配;通调任督,选特定穴;针灸并用,注重手法。《针灸大成》医案脾胃病诊疗思路对现今针灸临床具借鉴价值和指导意义。

关键词: 杨继洲, 《针灸大成》, 医案, 脾胃病, 治疗特色

Abstract: The thought of "spleen and stomach is the foundation" runs through the development of traditional Chinese medicine. The disease and syndrome of spleen and stomach system is an important part of internal medicine of traditional Chinese medicine. Of the 31 medical cases of‘Acupuncture Dacheng' Volume 9, 11 were related to spleen and stomach diseases. In the medical case of spleen and stomach disease, Yang used the five elements to diagnose and treat the disease, explained the nature of the disease according to the hexagram, and treated the disease based on the pathogenesis of the disease. In the process of diagnosis and treatment, Yang distinguishes the specimens and priorities; regulates Qi; gets a small number of acupoints to choose but a clever idea, matches the extraordinary points and points of the right meridian; adjusts the conception vessel and governor vessel, selects specific acupoints; uses acupuncture and moxibustion together, pays attention to the technique. The dignosis and treatment ideas of spleen and stomach diseases in‘Acupuncture Dacheng' medical records have reference value and guiding significance for today's acupuncture clinical practice.

Key words: Yang Jizhou, ‘Acupuncture Dacheng', medical records, spleen and stomach disease, treatment characteristics

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