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1.北京中医药大学,北京 100029
2.北京市东城区社区卫生管理服务中心,北京 100100
姜婧,女,37岁,博士,副教授。研究方向:易水学派学术思想。Email:jiangjingbucm@126.com
纸质出版日期:2024-12-25,
收稿日期:2023-11-28,
移动端阅览
姜婧,刘刚,张钰欣,等.易水学派医家张元素对张仲景思想的继承与创新[J].北京中医药,2024,43(12):1339-1341.
JIANG Jing,LIU Gang,ZHANG Yuxin,et al.Inheritance and innovation of ZHANG Zhongjing's thoughts by ZHANG Yuansu of the Yishui School[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(12):1339-1341.
姜婧,刘刚,张钰欣,等.易水学派医家张元素对张仲景思想的继承与创新[J].北京中医药,2024,43(12):1339-1341. DOI: 10.16025/j.1674-1307.2024.12.003.
JIANG Jing,LIU Gang,ZHANG Yuxin,et al.Inheritance and innovation of ZHANG Zhongjing's thoughts by ZHANG Yuansu of the Yishui School[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(12):1339-1341. DOI: 10.16025/j.1674-1307.2024.12.003.
张仲景之《伤寒论》《金匮要略》经北宋校正医书局校正刊行后,在宋、金两朝广泛流行,并对以张元素为代表的易水学派医家产生了深远的影响。张元素在《医学启源》中明言“仲景”10次,在“六气方治”一篇中详论仲景方11首,另在其余诸篇中论及仲景方29次,并对张仲景之方给予了充分的肯定与研究,充分说明了其对张仲景学术思想的继承;并从另一侧面证明《金史》与张吉甫《医学启源·序》中所言之元素治病“不用古方”之语有失偏颇。张元素结合自身“脏腑议病”学术特点对张仲景之方有了全新的分类认识,并突破张仲景以辛散发汗疗湿热痹证之囿,首倡苦寒泄热之法以疗此证,并创制了对后世影响深远的当归拈痛汤。
After the Medical Book Bureau in the Northern Song Dynasty corrected and published ZHANG Zhongjing's
Treatise on Cold Pathgenic Febrile Diseases
and
Synopsis of Golden Chamber
, these works became widely circulated during the Song and Jin dynasties, having a profound impact on the physicians of the Yishui School, represented by ZHANG Yuansu. In his work
Revelation of Medicine
, ZHANG Yuansu explicitly mentions "Zhongjing" 10 times, and in the chapter "Six Qi Methods of Treatment", he discusses Zhongjing's formulas in detail, citing 11 prescriptions. In other chapters, he mentions Zhongjing's formulas 29 times, providing thorough affirmation and study of them, thus demonstrating his inheritance of Zhongjing's academic ideas. This also indirectly refutes the claim in The
History of Jin
and ZHANG Jifu's
Revelation of Medicine
:
Preface
, which states that ZHANG Yuansu did not use ancient formulas, showing that the interpretation is biased. ZHANG Yuansu, incorporating his own academic approach of "organ and viscera pathology", developed a new classification system for Zhongjing's formulas, breaking free from Zhongjing's focus on using pungent drugs to expel sweat for treating dampness-heat and joint obstruction. He was the first to propose the use of b
itter cold drugs to clear heat for treating these conditions and created Danggui Niantong Decoction, a prescription that has had a profound influence on later generations.
易水学派张元素《医学启源》张仲景《伤寒论》《金匮要略》
Yishui SchoolZHANG YuansuRevelation of MedicineZHANG ZhongjingTreatise on Cold Pathgenic Febrile DiseasesSynopsis of Golden Chamber
许恒, 张金民, 张雅绮,等. 近10年易水学派研究热点与发展趋势的CiteSpace知识图谱可视化分析[J]. 医学研究与教育,2022,39(2):29-40.
郝万山. 汉代度量衡制和经方药量的换算[J]. 中国中医药现代远程教育,2005,3(3):48-51.
赵鸿君. 论宋明理学对金元时期医学流派形成与创新的影响[J]. 中国中医基础医学杂志,2005,11(2):98-100.
姜婧, 刘刚, 张钰欣,等. 从《医学启源》初探易水学派张元素组方用药规律[J]. 北京中医药,2022,41(7):791-793.
王清全,汤秀华.当归拈痛汤治疗糖尿病周围神经病变临床观察[J].中国中医药现代远程教育2023,21(4):95-97.
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