清代的陈修园是伤寒学派的中坚力量之一,有16本中医学著作,为推广张仲景的学术思想与中医学教育做出了无可替代的贡献,其宗亲弟子们也在陈修园的启发之下继续深挖张仲景的学术思想与伤寒学派的用药特点,指出并阐释了经方的精妙之处,在陈修园的著作中留下按语,记录下自己对于方药的理解,为后世医家继续研究伤寒学派提供了指导.

林慧光赞同李杲“内伤脾胃,百病由生”的观点,继承和发展了脾胃学说.治疗气虚便秘,自创健脾降胃方;小儿脾虚厌食,自创健脾化积方,妇人月经量少,自创调经促卵泡汤,脾胃不和不寐,自创芳香健脾安神汤.痰饮头晕,自创健脾益智方,慢性萎缩性胃炎,自创健脾胃炎方.

王好古在《阴证略例》中所记载的阴证,是由于邪气伤及厥阴、少阴、太阴,导致肝阳、肾阳、脾阳损伤的病症.治疗用药多选用干姜、附子,同时强调诊断明确,以脉诊为主要依据,避免滥用,注重用药安全.《阴证略例》中记载的医案内容详尽,很好地体现了王好古的用药思想.其重视温养脾肾的学术思想,以及阴证用姜、附的经验对火神派以及温病学的理论产生了影响.

Professor LIN Hui-guang thinks that the occurrence of internal damage headache is because of the deficiency of body,long illness,head damage,emotion and so on.Based on widely clinical experience in the treatment of internal damage headache in traditional Chinese medicine,Qi deficiency type,Qi stagnation and blood stasis type,Yin deficiency type,turbid phlegm have been put forward.Professor LIN's prescription for treating internal damage headache has been used.Yiqi Bunao decoction has a remarkable effect on Qi deficiency type.Yiqi Tongqiao decoction has a good effect on Qi stagnation and blood stasis type.Sanjia Anshen decoction has an effect on Yin deficiency type.Under the treatment of Jianpi Yizhi decoction,the symptom of turbid phlegm can be improved.

基于金元医家张从正对小儿“六易一弱”的生理病理特点及“二源四病”的病因病种的概括,探索其在《儒门事亲》一书中的小儿鞠养思想,并联系当前儿童健康现状,讨论其思想对小儿保健的指导,总结为勿娇护、倡奉养、重脾胃、调情志、慎用药5个方面.

There exist 31 prescriptions with details on ingredients, production, usages in the Zhuxiang chapter of Pu Ji Fang, giving a relatively comprehensive conclusion on aroma therapy before 15 century.Further studies are included such as comparison of compatibility, textual research on synonyms of medicine, analysis of drug action and mechanism, notes of precaution.

通过文献整理的方法,总结陈修园对儿科的诊治特点.针对儿科“五难”,陈修园提出独具特色的验纹按额诊法,对不同年龄阶段的患儿采取相应的诊法.阐述小儿在体质、症状、病机方面的特殊之处,以审证求因,对证治疗.在治疗疾病时,强调要中病即止、补泻有度;注重脾胃作为后天之本在治疗儿科疾病中的作用;极力反对峻补误治,过度治疗,注重小儿自身正气的修复作用;并认为一般患儿都会愈后较好.这些都对临床实践提供了重要的指导.

探讨南宋时期养生著作《养生类纂》的养生思想与方法.该书引用了南宋以前许多养生文献,作者倡导积极的养生态度,强调保精、调气、养神,主张形神并养,颇具治未病思想.具体养生方法有精神调撮、起居养生、饮食养生、环境养生等内容,其养生思想和方法颇有特色,既遵循了中国传统文化中天人合一的养生理念,又糅合了儒家、道家、中医学等多学科的养生理论知识,简便易行,对现代的养生实践仍有较大参考价值.

近年来,阴痒患者逐年增多.笔者于2010年7月-2013年6月用自拟的芳香外洗方治疗外阴瘙痒84例,疗效较好,现报道如下. 1 临床资料 1.1 诊断标准 根据《中药新药临床研究指导原则(试行)》[1]拟定.①症状:外阴瘙痒,灼痛,或伴有尿频,尿急,尿痛.②妇科检查:宫颈及阴道黏膜充血,分泌物异常,滴虫性阴道炎分泌物呈黄色泡沫状,霉菌性阴道炎分泌物呈豆渣样,老年性阴道炎分泌物为脓疡或黄水样.③实验室检查:滴虫性阴道炎阴道分泌物在显微镜下可以找到滴虫,霉菌性阴道炎阴道分泌物中可以查到霉菌,阴道清洁度在Ⅱ°以上.

运用易之意象思维比较分析李东垣“阳升阴降”与朱丹溪“阴升阳降”的差异,得出两者所论藏象不同,而脏腑气机升降、阴阳交感的实质相同,两者皆完善了中医升降学说.援易解医之法是学习理解中医理论的回归,亦即中医经典理论的运用,学易解医是理解与运用中医经典理论的正道.

Objective]To summarize the treatment of Professor Lin Huiguang in treating chronic atrophic gastritis(CAG).[Method]The author studies from the teacher, collecting related medical records, analysing etiology and pathogenesis of Professor Lin Huiguang in chronic atrophic gastritis, and sums up dialectical and treatment of chronic atrophic gastritis and exemplify that. [Results]Professor Lin Huiguang thinks that the occurring of chronic atrophic gastritis because of diet, emotion, exogenous evil and so on. It causes the stomach out of harmony, dysfunction of the spleen, and qi stagnation and blood stasis, the spleen and stomach qi deficiency type, dysfunction of the spleen type, liver-spleen disharmony type, cold and heat type, stomach yin deficiency type of chronic atrophic gastritis have been put forward, and the relevant treatment also is proposed.[Conclusion]Professor Lin Huiguang has rich clinical experience and unique insights on the treatment of chronic atrophic gastritis in traditional Chinese medicine. Curative effect is distinct and it is worth learning and promoting.

痤疮是一种好发于青春期男女的皮肤病.林慧光教授在治疗痤疮方面有独到见解,依其临床经验分为肺经蕴热证、胃肠湿热证、热毒炽盛证、阴虚火旺证、痰瘀互结证,临床疗效颇佳.

肖诏玮馆员、继《榕峤医谭》之后,又一部呕心沥血之作《壶天墨痕——近现代榕医锦翰》问世.读后,但觉如入中医药文化宝库,琳琅满目,美不胜收.不揣浅陋,谈谈读后感. 1.实用价值 笺笺一方,实际是医者理论基础的、临床思路、遣药技巧的结晶及传神所在,“一张好的处方,不但配伍严谨、加减有度,而且在一定程度上还能反映医者的学术流派及其临床的特点.这类的处方,往往得到同行的赞赏,甚至令人叫绝”.

徐春甫(1520-1596),明代医家,字汝元,号东皋,安徽祁门人.嘉靖时医名甚著,曾任太医院医官.撰有《古今医统大全》,为综合性医书,其中对养生的论述主要见于《老老余编》和《养生余录》.所辑资料丰富,既引录历代养生大家古说,也有徐春甫阐发,对于今天的中医养生理论研究和临床应用有较高参考价值.

Acute upper respiratory tract infections (AURTIs) are the illnesses caused by an acute infection with various viruses and bacteria involving the upper respiratory tract. Shuanghuanglian (SHL) injection, a Chinese medicine intravenous preparation extracted from honeysuckle,Scutellaria baicalensis, and fructus forsythiae, is commonly used to treat AURTIs. Although it is used largely in Chinese hospitals, there is no substantial evidence to demonstrate its clinical effect on AURTIs. We conducted a systematic review to evaluate the effectiveness and safety of Shuanghuanglian injection for the treatment of acute upper respiratory tract infections.

陈念祖,字修园,福建省长乐人,是我国清代著名的医学家、中医科普大师.兹将陈修园对经典著作的继承与发展特点总结如下. 1 编撰教材 陈修园在《医学三字经·凡例》中指出:“学医始,基在于入门.入门正则始终皆正,入门错则始终皆错.”可见编撰一套适当的教材重要性.在《医学三字经·医学源流第一》开篇强调:“医之始,本岐黄;《灵枢》作,《素问》详;《难经》出,更洋洋;越汉季,有南阳;六经辨,圣道彰;《伤寒》著,《金匮》藏;垂方法,立津梁.”陈修园积数十年的学习心得,融会贯通,编撰出一套既不出经典本意,又浅而易懂的普及性注释教材,其中和经典著作息息相关的有《灵素节要浅注》、《伤寒论浅注》、《长沙方歌括》、《伤寒真方歌括》、《伤寒医诀串解》、《金匮要略浅注》、《金匮方歌括》、《神农本草经读》等著作.

陈修园尊<内经>、<难经>、仲圣等书,力纠时人用药弊端,涉及药物约40种.强调上品补益,不宜治急病、大病,认为时人用药弊端主要是对药物功效的认识偏颇,同时涉及药物炮制欠妥及药物用量失当等诸多问题.陈氏以中医思维与理论解释药物功效,必"透发出所以然之妙".

<正>在中医学术发展过程中,造就了历代名医大家,他们有继承,有创新,形成了中医学派。学派是由于一门学问中由于师承不同而形成的派别。《中医各家学说》创始人任应秋教授指出:"凡一学派之成立,必有其内在的联系,否则,便无学派之可言。所谓内在联系,不外两端:一者,师门授受,或亲炙,或私淑,各承其说而光大之。一者,学术见解之不一致,各张其说,影响于人。"[1]陈修园流派是以陈修园为代表形成的中医流派,他们在研究《伤

<正>清代著名医家陈修园尊经崇古,著《景岳新方砭》,对张景岳自创的186首新方,加以评论,褒多贬少,世人皆认为陈修园与张景岳存在重大学术分歧。笔者在深入研究《陈修园医学全书》之后,发现陈修园对张景岳学术思想的评价就事论事,有褒有贬。本文试从陈修园对张景岳学术思想认同的角度﹐展开讨论,以就正于同道。