摘要
以新安医家郑重光《素圃医案》中6则产后腹痛验案为主要研究内容,总结其主要辨治经验与用药特色。郑重光认为妇人产后腹痛的病因病机常责之“瘀”和“寒”,该病多由寒凝、血瘀或者瘀久化热引起;临证精审,重视脉诊,常常脉症合参以辨证论治;治疗上灵活运用活血、祛瘀、排脓、温阳、散寒之法;善用附子、干姜、肉桂温热之品以补气温阳、用阳化阴;并指出白术有闭气、助脓之弊,治疗妇人产后恶露未尽、腹痛未止时应当慎用白术。
In this paper,we take the six cases of postpartum abdominal pain in Xin’an physician ZHENG Chongguang’s Supu’s Medical Case Records as the main research content,summarize his main experience of syndrome differentiation,treatment and medication characteristics.ZHENG Chongguang often blamed“stasis”and“cold”for the etiology and pathogenesis of postpartum abdominal pain in women,and believed that postpartum abdominal pain was mostly caused by cold congealing,blood stasis,or prolonged blood stasis transforming into heat.The clinical syndromes were differentiated,emphasizing pulse examination.Syndrome differentiation and treatment were based on comprehensive analysis of pulse and symptom.In the treatment,the methods of activating blood,resolving blood stasis,expelling pus,warming yang and dissipating cold were flexibly used.He was adept in using warm and heat medicine such as Fuzi(Aconti Lateralis Radix Praeparaia),Ganjiang(Zingiberis Rhizoma)and Rougui(Cinnamomi Cortex)to tonify qi and warm yang,resolve yin with yang.In addition,he believed that Baizhu(Atractylodis Macrocephalae Rhizoma)had the disadvantages of suppressing qi movement and promoting suppuration.Therefore,it should be used with caution in the treatment of women with postpartum lochia and abdominal pain.
作者
吴杨璐
王玲
王鹏
WU Yanglu;WANG Ling;WANG Peng(Anhui University of Traditional Chinese Medicine,Hefei 230012,China)
出处
《山东中医药大学学报》
2023年第6期744-747,共4页
Journal of Shandong University of Traditional Chinese Medicine
基金
国家中医药管理局《中华医藏》提要编纂项目(编号:KJS-ZHYC-2020-012)。
关键词
《素圃医案》
产后腹痛
血瘀
寒凝
脉症合参
活血化瘀
温阳散寒
郑重光
Supu’s Medical Case Records
postpartum abdominal pain
blood stasis
cold congealing
comprehensive analysis of pulse and symptom
activating blood and resolving blood stasis
warming yang and dissipating cold
ZHENG Chongguang
