从竖读伤寒 横看温病 谈胡宝书临证心法.docVIP

从竖读伤寒 横看温病 谈胡宝书临证心法摘 要:胡宝书为绍兴伤寒学派的临床实践家,致力于时病,尤其对伤寒、温病的研究,治外感病颇具特色,诊断注重望诊与切诊。主张以太阳病开始,由表及里,由浅入深,纵向排列,次第相传,则为循经。上焦病不治,传中焦脾与胃;中焦病不治;即传下焦肝与肾。始上焦,终下焦的传变规律。故有“竖读伤寒、横看温病”之说。治湿重气化保阴津,并注重热病后期阴津亏乏的调养。 关键词:竖读伤寒;横看温病;胡宝书;临证心法 中图分类号:R22 文献标识码:A 文章编号:1673-7717(2010)01-0036-03 Study of HU Bao?shu’s Clinical Experiences from Reading Exogenous Febrile Disease Vertically and Warm Diseases Horizontally SHENYuan?liang (Shaoxing Hospital of TCM,Shaoxing 312000,Zhejiang,China) Abstract:HU Bao?shu was an eminent physician,and belonged to Exogenous Febrile Diseases Sect of Shaoxing. He devoted himself to epidemic diseases, especially to Exogenous Febrile Diseases and Warm Diseases. He had his characteristic idea when treating diseases caused by exogenous pathogenic factor. He emphasized inspection and palpation when diagnosing diseases. He advocated that the pathogen transformed from Taiyang Channel ,from superficies to interior, from the surface to the bottom, in regular longitudinal orientation, and handed down ,which was called “Along Channels”. If the diseases of upper energizer was failed to be cured , it could be transformed to middle energizer ,the spleen and the stomach; If the diseases of middle energizer was failed to be cured ,it could be transformed to lower energizer, the liver and the kidney .It followed the rule that beginning from upper energizer and terminating at lower energizer. Therefore there was a saying , “Reading Exogenous Febrile Diseases Vertically, reading Warm Diseases horizontally”. He paid attention to Qihua in order to preserve fluid when expelling dampness. And he emphasized nourishing Yin and fluid when treating warm diseases. Key words:Reading Exogenous Febrile Diseases Vertically;reading Warm Diseases horizontally;HU Bao-shu;clinical experiences 胡宝书(1865-1929),为“绍派伤寒”医家中之杰出代表。胡宝书精研经典及诸家学说,对仲景之《伤寒论》及叶天士等温病大家尤为推崇,毕生致力于时病,尤其对温病的研究。胡宝书诊务之繁忙,为临床的实践医家,著有《伤寒十八方》、《新药性赋》、《湿温篇》等医籍。 1辨证论治颇具特色 胡宝书对外感病的治疗诊断重在望切。临证诊治无需病家开口,凭切脉望色,便知患者病候。“凡