中文摘要 |
本文目的在探討金代著名醫家張從正所著儒門事親的學術思想,及其對婦科疾病的治病思想,其結果顯示,張氏治病主張汗吐下三法可盡治諸病,均以實熱體質為研究對象,蓋其認為疾病皆由邪氣引起,因此主用攻下方法,目的要將邪氣迅速袪除,以免留下後遺症。張氏攻下方法的主要治療法則,先以藥物為主,病後調養則以食補為先,包括穀類、肉類、水果類、蔬菜類等。其治婦科疾病的思想,與內科不同,大抵皆先吐後下,如經閉不行與婦人不孕皆與痰瘀有關,先涌吐痰涎,後通經瀉下;帶下乃濕熱引起,先上涌痰水,後瀉下以去其濕。此張氏之所以在中國醫史上被列為金元時代四大醫家之一,與其用汗吐下三法治病的特色和攻下學說有密切關係。The purpose of study is to review and essay discussion the thought of Ru-Men-Shi-Qin included women diseases described by Zhang-Chong-Zheng. He was a famous physician at Jin-Yuan Dynasty in China. The result demonstrated that the thinking process of Zhang’s methods by Diaphoresis, Ejection and Precipitation can treat diseases completed remission. All the researched subject constitution is repletion and heat pattern. Zhang’s thought that etiology of disease is come from evil. So he used Attacking precipitation to treat diseases in order to quickly remove the evil and prevent complication occurred. The main principle of Zhang’s Attacking precipitation is firstly used herbs, and post-illness regulated the body intaked by dietary supplementation including rice, meat, fruit and vegetable. The thought of Zhang’s treated gynecological diseases is different from internal medicine. The thinking process is firstly used Ejection and then Precipitation applied. As for the amenorrhea and infertility is related with phlegm and blood stasis on basis of Chinese Medicine theory. Zhang’s treated amenorrhea and infertility is firstly ejecting phlegm-drool from upper burner and then expelling the static blood in the channels. Zhang’s treated leucorrhea caused by damp and heat evil is used the method of ejecting phlegm–water and precipitating dampness. The inclusion of results that Zhang’s as a famous author of Jin-Yuan Dynasty’s four big physicians in China Medical history is relationship with the character of treated diseases by Diaphoresis, Ejection and Precipitation and Attacking precipitation hypothesis. |