浅析海派中医丁甘仁祖孙辨治淋浊特色
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R249

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Analysis on Features of DING Ganren Grandfather-Grandson Lineage of Shanghai School of Traditional Chinese Medicine in Treating Strangury with Turbid Discharge by Syndrome Differentiation
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    摘要:

    丁甘仁为近代著名中医学家,孟河医派四大家之一,以内科享誉沪上。上海中医药博物馆藏丁甘 仁及其长孙丁济万治疗淋浊的处方笺5张,现以馆藏处方笺为例,探讨分析丁氏辨治淋浊之理法方药,总结其 临证特色。丁氏认为淋浊的病机是以肝经湿、心经热、溺管瘀为标,以肾阴虚为本,治疗中细揆病因,审查虚 实,将淋浊分为3个阶段进行辨治,淋浊急性发作期,以实证为主,治以清利下焦湿热,辅以活血通淋;慢性 胶着期,或是以实证论治,或是因虚实夹杂证治以育阴清化;愈后恢复期,以虚证为主,治以滋肾健脾、淡渗 利湿。丁氏辨治淋浊不囿于传统“五淋二浊”分类辨证理论,采用根据疾病进展及病情虚实进行分阶段治疗, 并创育阴清化法治疗虚实夹杂之淋浊。

    Abstract:

    Abstract: DING Ganren is a famous Chinese medicine physician in modern times, one of the four masters of Menghe medical school, and is famous for his command of internal medicine in Shanghai. There are five pieces of prescription notes for strangury with turbid discharge collected by DING Ganren and his eldest grandson DING Jiwan in Shanghai Museum of Traditional Chinese Medicine. Taking the collection of prescription notes as an example,this paper discusses and analyzes the theory, method, prescription and medicine of DING in treating strangury with turbid discharge,and summarizes the clinical features. According to DING's theory,the pathogenesis of strangury with turbid discharge is characterized by dampness in the liver channel,heat in the heart channel,and stasis in the urethra as the manifestation, and kidney yin deficiency as the root. In treatment, the etiology must be carefully analyzed, and the excess and deficiency should be assessed. The treatment of strangury with turbid discharge is divided into three stages by syndrome differentiation. At acute stage, the excess syndrome is dominant, and it should clear damp-heat from the lower energizer and promote blood circulation to relieve strangury; at chronic protracted stage, treatment should be based on either excess syndrome or complex syndrome of excess-deficiency by nourishing yin and clearing heat; at convalescent recovery stage, deficiency syndrome is dominant, it should tonify kidney and strengthen spleen, and promote diuresis to eliminate dampness. DING's approach to treating strangury with turbid discharge transcends the traditional "five types of strangury and two types of turbidity" classification system. Instead,they adopt a stage-specific treatment therapy based on disease progression and the excess-deficiency balance,innovating the method of nourishing yin and clearing heat for complex syndrome.

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张培文,王丽丽,韩俊.浅析海派中医丁甘仁祖孙辨治淋浊特色[J].新中医,2026,58(2):180-185

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  • 在线发布日期: 2026-01-29
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