《医林改错》方剂归“经”经络理论认识及中医传承发展的思考.docVIP

《医林改错》方剂归“经”经络理论认识及中医传承发展的思考 　　摘要：通过对《医林改错》中的解剖知识和所创立新方剂的系统研究，全面展现王清任在“西学东渐”时期，立足于解剖实证和中医临床实践的药物归“经”经络理论，并对张仲景《伤寒论》中方剂的归经重新解读，为中医学者对于古代非针灸领域的经络理论研究提供参考，同时亦为当前中西医卫生法规提供中医在传承和发展方面的历史依据。关键词：《医林改错》；方剂归“经”；经络理论；中医卫生法规doi： 10.3969/j.issn.2095-5707.2014.02.010Understanding of Prescription of Channel Tropism in Correction of the Errors in Medical Works and Thinking of Traditional Chinese Medicine Inheritance and Development Li Zhe1， Li Li2*. Direct： Yu Ying’ao3（1. Development Center of China Academy of Chinese Medical Sciences， Beijing 100700， China； 2. Guang’anmen Hospital， China Academy of Chinese Medical Sciences， Beijing 100700， China； 3. Institute of Chinese Medical History of Literature， China Academy of Chinese Medical Sciences， Beijing 100700， China）Abstract： Through the study of anatomical knowledge and new formulae in the Correction of the Errors of Medical Works， this article comprehensively displayed physician Wang Qingren’s clinical practice of Chinese medicine in the Western learning spreading to the East period， based on the anatomical evidence and the theory of prescription of channel tropism. It also freshly interpreted prescription of channel tropism and meridians theory recorded in Treatise on Febrile Diseases written by Zhang Zhongjing. This article has a certain reference value for collateral channels theory research of traditional Chinese scholars in ancient non-acupuncture field. At the same time， it also provided historical reference for hygiene regulations of TCM and western medicine.Key words： Correction of the Errors of Medical Works； prescription of channel tropism； main and collateral channels theory； TCM hygiene regulations 《医林改错》成书于清道光庚寅年（1830年），是清代颇具创新精神的医学家王清任唯一的一部传世之作。从书中可以看到，王清任通过解剖实证，从主观上改正古人对于脏腑经络认识讹误及历代有关医著所载述脏腑、经络的矛盾之处，立足于解剖实证和临床实践，对经络理论认识有独特的见解。他在临证中的方剂不多，但临床应用价值为世医所肯定，治疗疑难病每获奇效，至今还广泛使用。审读研究《医林改错》中的主要方剂并对照王清任解剖实证，发现第一作者：李哲，副研究员，研究方向：中医药临床文献。E-mail： zheli99@163.com*通讯作者：李黎，主治医师，研究方向：中医药临床文献。E-mail： lilidawn@王氏对经络理论具有独特认识，也为未来关于中医经络理