吉益南涯氣血水辨證介紹暨其思想初探

Study on the Qi-Blood-Fluid Pattern Identification Medical Thoughts of Nangai Yoshimasu

江戶時期（1603~1867），吉益南涯在繼承父親吉益東洞「萬病一毒」理論上提出「氣血水辨證」並著有《醫範》、《氣血水藥徵》等著作，分析方藥。在陰陽母綱下依照氣血水辨證分型，對臨床醫師辨證思考上貢獻良多。吉益南涯氣血水辨證法符合邏輯與醫理，驗證於臨床確然如此。吉益南涯提出之氣血水辨證對中醫內科思路有莫大助益、廣拓中醫思路，其亦傳道、授業，培養出中醫外科先驅華岡青洲等醫家，對醫學學術傳承居功厥偉。

In Edo period (1603-1867), kampo medical doctor Nangai Yoshimasu(1750-1813) wrote many medical books including I-Han（醫範）and KigetusuiYakucho（ 氣血水藥徵）, which contain Qi-Blood-Fluid pattern identificationmedical thoughts. Nangai Yoshimasu and his father Todo Yoshimasu were bothtwo practitioners broadening the disease pattern identification in traditionalmedical field. He was influenced by his father' s theory that all diseases comefrom one toxin but there were many differences in his theory. Nangai Yoshimasuestablished his own body pathophysiological viewpoint called qi-blood-fluidtheory, and widespread in clinical use. Nangai Yoshimasu considered there werethree kinds of the toxin: qi, blood and fluid. Besides, human constitution couldalso be seen as three types: qi-like, blood-like and fluid-like. Now the qi-bloodfluidpattern identification medical thought is one useful method in TCM practice.This article aims to introduce the Qi-Blood-Fluid pattern identification and themedical thoughts of Nangai Yoshimasu.