河北大学学报(哲学社会科学版) ›› 2017, Vol. 42 ›› Issue (6): 1-11.DOI: 10.3969/j.issn.1005-6378.2017.06.001

• 宋史研究 •    下一篇

南宋许叔微医案与临床疾病诊疗初探

韩毅,于博雅   

  1. 中国科学院 自然科学史研究所, 北京 100190
  • 收稿日期:2016-05-20 出版日期:2017-12-20 发布日期:2017-12-20
  • 作者简介:韩毅(1974—),男,甘肃临洮人,博士,中国科学院自然科学史研究所研究员、博士研究生导师,主要研究方向:医学史。
  • 基金资助:
    中国科学院科学技术史青年人才研教特别支持项目(Y522021010);国家哲学社会科学基金项目(14BZS105)

The Study on the Cases of Diagnosis and Clinical Treatment in Disease by Xu Shuwei in South Song Dynasty

HAN Yi, YU Bo-ya   

  1. The Insititute for the History of Natural Sciences, Chinese Academy of Sciences, Beijing 100190, China
  • Received:2016-05-20 Online:2017-12-20 Published:2017-12-20

摘要: 南宋医学家许叔微所撰《伤寒九十论》是我国现存最早的医案专著,《类证普济本事方》和《类证普济本事方续集》是宋代方书附案的代表性著作。三部医书共载医案236例,其中伤寒病医案124例,杂病医案112例,充分反映了许叔微对伤寒病和杂病的重视与防治。许氏医案不仅连续、完整记录了病人的病情变化、诊疗经过、处方用药和治疗效果,而且还揭示了许叔微临证实践的经验、病因病机的解释、方剂用药的创新和医学学术思想的演变等,对于认识中医辨证论治诊疗模式的发展具有积极的借鉴意义。

关键词: 宋代, 许叔微, 医案, 疾病, 诊疗

Abstract: Shang Han Jiu Shi Lun written by Xu Shuwei in the Song Dynasty is the earliest medical case book in China. Lei Zheng Pu Ji Ben Shi Fang and Lei Zheng Ben Shi Pu Ji Fang Xu Ji are the representative formulary books that contain lots of medical cases in the Song Dynasty. There are 236 medical cases in three books, containing 124 cases of typhoid diseases and 112 cases of miscellaneous diseases. These medical cases not only reflect that Xu Shuwei paid most attention and prevention on typhoid disease and miscellaneous diseases, but also show the process of the medical clinical disease diagnosis, the change of etiology and pathogenesis of interpretation, the innovation of the prescription drug use and the development of medical academic ideas in the Song Dynasty, which has positive reference significance for the development of TCM syndrome diagnosis and treatment model.

Key words: the Song Dynasty, Xu Shuwei, medical cases, disease, diagnosis and treatment

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