通讯作者: 汪玲莉, WLL19791011@163.com

DOI：10.12201/bmr.202503.00072

Treatment of Zheng Jia from Perspective of Qi and Blood in Yi Zong Jin Jian.Fu Ke Xin Fa Yao Jue

• 摘要：《医宗金鉴》是由清代医家吴谦所编撰的一部中医临床巨作,《妇科心法要诀.癥瘕积痞痃癖疝诸证门》中详述了妇人癥瘕发病受饮食、寒凉、情志等诸多种因素影响,导致气血失调,离经之血瘀阻胞宫,日久成癥。中医理论认为,气血共同构成和协调人体的生命活动,妇女又以血为先天,气血功能失调则会导致诸多病证的形成。《妇科心法要诀》中明确阐述“癥”、“瘕”二者之别,并归纳其病因病机乃“概言之,非在气分,或在血分”,治疗时需辨认气血功能,平衡阴阳,结合病情分期进行治疗。《妇科心法要诀》中关于癥瘕病的记载立意颇有特色,对后世辨证施治具有重要指导意义。

  关键词： 医宗金鉴; 妇科心法要诀; 气血理论; 癥瘕

   

  Abstract: The Golden Mirror of the Doctor is a great clinical work of traditional Chinese medicine compiled by Wu Qian, a doctor of the Qing Dynasty. In Fu Ke Xin Fa Yao Jue, the Syndrome of Bubo Syndrome and Bubos hernia, the author describes in detail that the onset of Zheng Jia of women is influenced by many factors such as diet, cold, emotion, etc., which leads to the disorder of Qi and Blood, and the blood stasis from the meridian obstructs the uterine cell and becomes a disease over time. According to the theory of traditional Chinese medicine, Qi and Blood together constitute and coordinate the life activities of the human body, women are born with blood, and the dysfunction of qi and blood will lead to the formation of many diseases. Fu Ke Xin Fa Yao Jue clearly states the difference between disease and lump, and concludes that its etiology and pathogenesis are in a word, not in the Qi division or in the blood division. During treatment, it is necessary to identify the function of Qi and blood, balance Yin and Yang, and combine the treatment of disease stages. The record of Zheng Jia in Fu Ke Xin Fa Yao Jue has its own characteristics, which is of great guiding significance for the treatment of syndrome differentiation in later generations.

  Key words: ; ; ; 

  提交时间：2025-03-24

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