不同时期脏腑辨证理论内涵差异初探

摘要

目的:明晰不同时期医家对脏腑辨证理论的发挥,完善脏腑辨证理论,并对临床诊治提供新的思路.方法:通过文献分析和差异比较法,对脏腑辨证理论在历史源流与内涵传承及创新两方面,分别从广度和深度上进行总结、分析.结果:自《黄帝内经》始,脏腑辨证经《中藏经》《备急千金要方》《小儿药证直诀》发挥,尤其是张元素《医学启源》对脏腑辨证理论进行了更为系统和全面的总结后,形成理法方药完备的脏腑辨证论治体系.结论:脏腑辨证理论体系的建立对后世易水学派、温补学派及扶阳学派各医家关于脏腑辨证理论的形成产生重要影响.%Objective:This paper is to summarize understandings on syndrome differentiation in terms of zang-fu pathological changes theory from physicians in different periods,so as to improve the theory and provide new prospects for clinical practice.Methods:By literature analysis and difference comparison,this paper is to summarize and explore historical source,inheritance and innovation of Zang-fu organ syndrome differentiation theory horizontally and vertically.Results:Dating from Huangdi′s Canon of Medicine,the theory of Zang-fu organ syndrome differentiation developed in Treasured Classic,Invaluable Formulas for Emergencies,and Key to the Therapeutics of Children′s Diseases,especially Zhang Yuansu summed up the theory systematically and comprehensively based on his acquisition from Medicine Origin,forming differentiation and treatment theory according to zang-fu pathological changes in principles,strategies,formulas and medicinals.Conclusion:The theoretical system of Zang-fu organ syndrome differentiation makes great influence to the formation of syndrome differentiation theory according to zang-fu pathological changes in later Yishui shcool,warm-recuperation school,strengthening-yang school and other physicians and schools.