《傷寒論》源於《內經》之說的辨證研究

• Main Author: 歐陽玉娥
• Other Authors: 宋光宇
• Format: Others
• Language: zh-TW
• Published: 2013
• Online Access: http://ndltd.ncl.edu.tw/handle/52056301564861410005

碩士 === 佛光大學 === 生命與宗教學系 === 101 === Shanghan Lun, Treatise on Cold-Induced Febrile Diseases (傷寒論), is one of the four literature classics in traditional Chinese-medicine (TCM) which deduces the treatment methods theoretically and clinically with supreme authority. In Shanghan Lun, there are lots of reliably effective Chinese prescriptions for medical decoctions composed of appropriate Chinese crude drugs in precise and accurate dose. Those decoctions are still widely used in clinical today. This study focuses on the ten topics in Shanghan Lun from chapter five: the treatment methods of Tai-yang stylish diseases, to the chapter fourteen: the treatment methods of syndromes during yin-yang-yi or convalescence stage. In order to clarify the clauses which are the originally written by Zhongjing and distinguish the derivative parts from other descendant Chinese medical physicians, the author thoroughly studied the history, took textual and comparison research, of the Song-dynasty edition Shanghan Lun, the Kōhei edition Shanghan Lun, et cetera. Meanwhile, the author also observed the effectiveness of decoctions in clinical use. As a result, the author found many differences among the editions and analyzed the reasons. Thereby physicians can correctly use the decoctions in Shanghan Lun to treat the patients with efficacy. The author also proposed that the Kōhei edition can be considered as the best Shanghan Lun edition and explained why. Chinese medical practitioners use the provisions from the Song-dynasty edition Shanghan Lun of as the criteria, but now the author has put forward that the Kōhei edition Shanghan Lun can be regarded as the standard edition when use the decoctions in Shanghan Lun. This point of view can also be proven by other newly excavated Chinese literatures (such as輔行訣五藏用藥法要,湯液經法) in China in 20th century. When people catch a cold, there is a general law of reaction but shows a variety of different disease-patterns in sick bodies. These deduce by three yin-yang levels (tai-yang, shao-yang, yang-ming, tai-yin, shao-yin, and jue-yin) in Shanghan Lun. The concept of six-diseases is from the three yin-yang levels, which reveals the decoctions-to-syndromes principles. These ideas are also mentioned in the article. In contrast to the two treatment methods in western medical systems (medication versus surgery), there are also two systematic treatment methods in TCM: one is using decoctions (describes in Shanghan Lun), the other is using the acupuncture and moxibustion (describes in Nei-jing). Nowadays, Chinese medical practitioners always confuse and misuse these two treatment methods. This study also shows how to identify and use properly. This study is at once representative of, and an excellent guide to, the marvelous scholarship which marks the studies on Shanghan Lun research and bibliology in Taiwan.