《辨证录》从肝论治心肾不交探微

山西中医2008年9月第24卷第9期SHANXIJOFTCMSep.2008Vo1.24No.9?1

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学术探讨?

《辨证录》从肝论治心肾不交探微

吴静

摘要:据许多学者考证,署名陈士铎述的《辨证录》实为明清之际医家傅山的医学遗着,其辨

证精细,见解独特.书中对

心肾不交一证颇多论述,其中从肝立论治疗心肾不交,很有创见,颇能启迪后学.结合《辨证

录》,对从肝论治心肾不交略作

探讨,以说明调肝法在治疗心肾不交中的重要作用.

关键词:辨证录;肝;心肾不交

中图分类号:R22文献标识码:A文章编号:1000—7156(2008)09—0001—03

TryingtofindoutSubtleSecretofCarduonephricDisharmony,vithLiver-BasedTherapy

Theoryin’CollectingRecordofDifferentiationofSymptomsandSigns’WUJing(Shan—

dongUniversityofChineseMedicine,Jinan,250355,China)

Abstract:Accordingtolotsofscholarsresearchesinmanyways,’CollectingRecordofDifferentiationof

SymptomsandSigns’,signedwiththenameofCHENShi—duobutbeingamedicalposthumousworkwrittenby

FUShaninfact,hadrefinedsymptomsdifferentiationanduniqueconsideration.Thereweremanydiscus

sionsa—

boutcarduonephriedisharmonyinthisbook.Amongthemtheargument”treatingcarduonephricdishar

monywith

liver-basedtherapytheorywasfulloforiginality,andcouldopenandenlightenthethinkingoflaterdoctor

s:This

articleexpoundedtreatingcarduonephricdisharmonywithliver-basedtherapytheorybyCollectingRe

cordofDif-

ferentiationofSymptomsandSigns.SOastodeducetheimportantcontributionofadjustinglivertheoryt

otreating

carduonephricdisharmony.

Keywords:’CollectingRecordofDifferentiationofSymptomsandSigns’,liver,carduonephricdisharmony

《辨证录》又名《辨证奇闻》,该书见解独特,辨

证精细,制方灵活精妙,临床应用多有捷效.关于

本书作者一直是医学界长期关注的问题,颇多争

议.原书署名为陈士铎述,但据许多学者多方考

证认为实为傅山医学遗着.如《中医大辞典》阐

释:”傅山博览医书,医术高明…世传陈士铎撰述

的《辨证录》,《石室秘录》,《洞天奥旨》等书,其原

作者即为傅氏.因反清斗争之需,均隐作者