| 引用本文:周鹏飞1，陆金根1，王佳雯1，张胜威2，陈淑君3.基于《伤寒杂病论》总结张机在中医外科中的辨证论治[J].世界中医药,2024,(15):. |
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| 基于《伤寒杂病论》总结张机在中医外科中的辨证论治 |
| ZHANG Ji's Syndrome Differentiation and Treatment in Traditional Chinese Medicine Surgery Based on Treatise on Cold Damage and Miscellaneous Diseases |
| 投稿时间：2023-07-20 |
| DOI：10.3969/j.issn.1673-7202.2024.15.023 |
| 中文关键词: 张机 《伤寒杂病论》 辨证论治 理法方药 六经 脉诊 经方外治 |
| English Keywords:ZHANG Ji Treatise on Cold Damage and Miscellaneous Diseases Treatment based on syndrome differentiation Principles and prescriptions Six meridians Pulse diagnosis Classic prescriptions External treatment |
| 基金项目:国家自然科学基金项目（82004374）；河南省卫生健康委员会国家中医临床研究基地科研专项项目（2022JDZX149）；上海市进一步加快中医药传承创新发展三年行动计划项目(ZY〔2021-2023〕-0209) |
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| 中文摘要: |
| 《伤寒杂病论》是中医学的方书之祖，开辨证论治的先河，在《素问·热论篇》的基础上，总结东汉以前医家著作，结合自身临证经验，勤求古训，博采众方而完成。本书不仅论述外感热病，同时也包括内伤杂病、妇科、外科疾病的诊治，所录外科病证如痈肿肠痈、浸淫疮、阴阳毒、百合病等，其辨证治法至今仍对具有较高的应用价值和学术价值。经查阅文献发现，张机在外科疾病的诊治中具有以六经辨证为本，重视疾病传变，重视脉诊，以经方为主，采用合方，内外并重，预防为主防治结合等特点。 |
| English Summary: |
| Treatise on Cold Damage and Miscellaneous Diseases(Shang Han Za Bing Lun) is the foundational text of traditional Chinese medicine(TCM) formulas，pioneering the approach of syndrome differentiation and treatment.Building on theories from the Plain Questions：Discussion on Heat(Su Wen：Re Lun Pian)，ZHANG Ji synthesized medical writings from before the Eastern Han Dynasty，combined his clinical experience，and incorporated various formulas to complete this comprehensive work.It expounds the diagnosis and treatment of not only external febrile diseases but also internal diseases，gynecology，and surgical conditions.The diagnostic and therapeutic methods based on syndrome differentiation for the recorded syndromes in surgical diseases，such as carbuncle，intestinal carbuncle，soaking ulcers，yin-yang toxin，and lily disease，still hold significant practical and academic value today.Through literature review，ZHANG Ji's approach to surgical diseases is marked by basing diagnosis on six meridians differentiation，emphasizing disease transmission and transformation，focusing on pulse diagnosis，primarily using formulas in combination，combining internal and external treatments，and prioritizing prevention，and combining prevention and treatment. |
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