CAJ | 학술논문

[目的]分析《醉花窗医案》中对饮证诊治的独到之处，提高临床辨治水平。[方法]从诊断、治疗和调护等各个方面对全书所载水饮六证进行分析，总结《醉花窗医案》中对水饮为病的辨治特色与经验。[结果]《醉花窗医案》是清代山西省介休人王堉所著医案，共有医案101个，其中有6案明确诊为饮证，在饮证诊治上颇有特色。《醉花窗医案》中辨饮之主要脉症为：小便不利、胸膈满闷、渴、或肿、或悸、或吐、或不寐，脉弦而兼急、滞。其治多以五苓散为主方进行加减，病愈之后注重以六君等健脾化湿之品调摄之。[结论]《醉花窗医案》治饮证，善于凭脉定证，强调脉症相合。既诊则多以五苓散法治之，饮去之后强调摄养，以绝其生饮之源。
[목적]분석《취화창의안》중대음증진치적독도지처，제고림상변치수평。[방법]종진단、치료화조호등각개방면대전서소재수음륙증진행분석，총결《취화창의안》중대수음위병적변치특색여경험。[결과]《취화창의안》시청대산서성개휴인왕육소저의안，공유의안101개，기중유6안명학진위음증，재음증진치상파유특색。《취화창의안》중변음지주요맥증위：소편불리、흉격만민、갈、혹종、혹계、혹토、혹불매，맥현이겸급、체。기치다이오령산위주방진행가감，병유지후주중이륙군등건비화습지품조섭지。[결론]《취화창의안》치음증，선우빙맥정증，강조맥증상합。기진칙다이오령산법치지，음거지후강조섭양，이절기생음지원。
Objective] To analyze the character of diagnosis and treatment of "excessive fluid zheng" in "medical record of ZuiHuaChuang", so that to improve level of medical diagnosis and treatment in clinical work. [Methods] Analyze the diagnosis,treatment and nurse of medical records of "excessive fluid zheng" in the book, to summarize the characteristic of diagnosis and treatment of "excessive fluid zheng" in "medical record of ZuiHuaChuang". [Results] There are 6 cases involving"excessive fluid zheng"in 101 cases medical records in the whole book which written by WangYu in Qing Dynasty. The key symptoms of "excessive fluid zheng" in "medical record of ZuiHuaChuang" including difficulty in micturition,dyspnea,thirsty,edema, cardiopalmus, vomiting, insomnia and string-tight pulse accompanied with rapid or stasis pulse. It was treated with WuLin San most of time, and used the method of"invigorating spleen to eliminate dampness"to regulate the constitution.[Conclusion] The character of diagnosis and treatment of"excessive fluid zheng" in "medical record of ZuiHuaChuang" including:1. diagnosed by pulse diagnosis, especial y combined with symptoms,2.Treat with WulinSan,and emphasize regulation of constitution after erasing excessive fluid.