浙江中医药大学学报
浙江中醫藥大學學報
절강중의약대학학보
JOURNAL OF ZHEJIANG UNIVERSITY OF TRADITIONAL CHINESE MEDICINE
2014年
7期
844-845
,共2页
《醉花窗医案》%王堉%鉴别诊断%脉诊%脉证合参
《醉花窗醫案》%王堉%鑒彆診斷%脈診%脈證閤參
《취화창의안》%왕육%감별진단%맥진%맥증합삼
medical record of ZuiHuaChuang%WangYu%differential diagnosis%pulse diagnosis%refer to pulse and symptoms
[目的]分析清代名医王堉所著《醉花窗医案》中的各种鉴别诊断方法及其特色之处,期以提高临床辨治水平。[方法]对全书明确涉及鉴别诊断的58案进行分析提练,总结《醉花窗医案》的鉴别诊断特点。[结果]《醉花窗医案》全书共有101案,其中58案明确涉及鉴别诊断,其鉴别方法,多从主症、兼症、脉诊三方面入手,而又尤重脉诊,是为特色。[结论]抓住主症,参以兼症,注重脉诊,脉证相合,是《醉花窗医案》中鉴别诊断的最重要特点。
[目的]分析清代名醫王堉所著《醉花窗醫案》中的各種鑒彆診斷方法及其特色之處,期以提高臨床辨治水平。[方法]對全書明確涉及鑒彆診斷的58案進行分析提練,總結《醉花窗醫案》的鑒彆診斷特點。[結果]《醉花窗醫案》全書共有101案,其中58案明確涉及鑒彆診斷,其鑒彆方法,多從主癥、兼癥、脈診三方麵入手,而又尤重脈診,是為特色。[結論]抓住主癥,參以兼癥,註重脈診,脈證相閤,是《醉花窗醫案》中鑒彆診斷的最重要特點。
[목적]분석청대명의왕육소저《취화창의안》중적각충감별진단방법급기특색지처,기이제고림상변치수평。[방법]대전서명학섭급감별진단적58안진행분석제련,총결《취화창의안》적감별진단특점。[결과]《취화창의안》전서공유101안,기중58안명학섭급감별진단,기감별방법,다종주증、겸증、맥진삼방면입수,이우우중맥진,시위특색。[결론]조주주증,삼이겸증,주중맥진,맥증상합,시《취화창의안》중감별진단적최중요특점。
Objective To analyze the characteristics of differential diagnosis in "medical record of ZuiHuaChuang", so that to improve level of medical diagnosis and treatment in clinical work. [Methods] Analyze and research 58 cases of medical records which involved in differential diagnosis in the book, to summarize the characteristic of differential diagnosis in"medical record of ZuiHuaChuang". [Results] There are 58 cases in 101 cases medical records in the whole book written by WangYu in Qing Dynasty. The differential diagnosis methods base on perimal symptoms, concomitant symptoms and pulse diagnosis, and the pulse diagnosis is attributed to the most importantly. The differential diagnosis based on pulse diagnosis is the key charcteristic of"medical record of ZuiHuaChuang".