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中风斠诠附中风论
$39.33
此书是张山雷在张伯龙《雪雅堂医案·类中秘旨》的基础上,引证古籍,进一步发挥而成。书中从《素问》气血上菀立论,强调中风乃由内风暴动为患,主张参合西医之说,是一本中风病临床专著,有较高的参考价值。
书中张山雷融会中西学说,阐述中风病名及证治,见解独特,具有重要的临床指导意义;并根据中风证情,结合自己的多年经验,总结出治疗中风的八种方法——闭证宜开、脱证宜固、肝阳宜于潜镇、痰涎宜于开泄、气逆宜于顺降、心液肝阴宜于培养、肾阴宜渐滋填、偏瘫宜于宣通,可谓别开生面;在卷三中张山雷还选择了可供治疗中风的古今成方,分类编次,阐释其制方之旨,改正其不切合之处。
张山雷,名寿颐,江苏嘉定(今属上海市)人,生卒于1872年-1934年间,清末至民国时期医学家。因母病开始学医,先后随当地老中医俞德琈、侯春林及吴门黄醴泉诸先生学习内科,后又随朱阆仙学习外科。曾自出家资,筹设中医学校于黄墙村家塾。后又应浙江兰溪中医专门学校聘请,担任教务主任,为中医人才培养作出了贡献。著有《难经汇注笺正》、《脏腑药式补正》、《中风斠诠》、《疡科概要》、《沈氏女科辑要笺正》、《医事蒙求》、《脉学正义》、《本草正义》、《小儿药证直诀笺正》、《医论稿》等。
中风斠诠《中风斠诠》高序 …………………………………………………… 3《中风斠诠》自序 …………………………………………………… 8《中风斠诠》张序 ………………………………………………… 10《中风斠铨》杨序 ………………………………………………… 15《中风斠诠》张序 ………………………………………………… 17《中风斠诠》自序 ………………………………………………… 19《中风斠诠》后序 ………………………………………………… 28卷之一 中风总论………………………………………………… 31节 论风之为病以外因内因为两大纲……………………… 31第二节 论中风之病汉唐治法皆是外因,金元辨证乃识内因… 32第三节 论昏瞀猝仆之中风无一非内因之风…………………… 41第四节 论医学家类中之病名不如迳作内风之明显…………… 52第五节 论《甲乙经》之中风本是外因而始有以内风之病认作 外风之误………………………………………………… 56第六节 论仲景伤寒六经皆有中风,本言外感之风,而后人误以内动之风附会六经,遂有中风中经络之一说………… 62第七节 论《金匮》之中风本是外因,而所叙各证皆是内因 之误……………………………………………………… 67第八节 论续命等方古人专治外因寒风而并用凉药,可见古时已是内热之证……………………………………………… 78第九节 论古书所谓真中风之病必不多有……………………… 80第十节 论张伯龙之类中秘旨…………………………………… 83第十一节 论张伯龙之所谓阳虚类中…………………………… 118第十二节 论今人竟以昏瞀猝仆为脑病之不妥………………… 122第十三节 论时病杂病亦多气血冲脑之证…………………… 125第十四节 论虚寒之病亦能激动脑神经发为昏厥暴仆、痉直瘛疭等证…………………………………………………… 127第十五节 论昏愦暴仆之病未发之前必有先兆………………… 129卷之二 内风脑神经病之脉因证治…………………………… 131节 脑神经病脉因证治总论………………………………… 131第二节 脉法总论………………………………………………… 132第三节 治法总论………………………………………………… 137第四节 论闭证宜开……………………………………………… 138第五节 论脱证宜固……………………………………………… 144第六节 论肝阳宜于潜镇………………………………………… 146第七节 论痰涎之宜于开泄……………………………………… 150第八节 论气逆宜于顺降………………………………………… 152第九节 论心液肝阴宜于培养…………………………………… 153第十节 论肾阴渐宜滋填………………………………………… 154第十一节 论通经宣络…………………………………………… 155卷之三 古方平议……………………………………………… 158节 中风成方总论…………………………………………… 158第二节 开关之方………………………………………………… 160救急稀涎散… …………………………………………………… 160附:《齐氏医案》神应散… ……………………………………… 161胜金圆… ………………………………………………………… 161通关散… ………………………………………………………… 163白矾散… ………………………………………………………… 163又方… …………………………………………………………… 164第三节 固脱之方………………………………………………… 164独参汤… ………………………………………………………… 165参附汤… ………………………………………………………… 165三生饮… ………………………………………………………… 166星附散… ………………………………………………………… 166三建二香汤… …………………………………………………… 167养正丹… ………………………………………………………… 169黑锡圆… ………………………………………………………… 169黄饮子… ……………………………………………………… 170资寿解语汤… …………………………………………………… 171第四节 潜阳摄纳之方…………………………………………… 173风引汤… ………………………………………………………… 173张文仲疗诸风寒水石煎散方… ………………………………… 175《广济》疗风痫卒倒呕沫无省觉方… …………………………… 176《广济》疗风邪狂乱失心安神定志方… ………………………… 176镇心汤方… ……………………………………………………… 177《千金》疗风癱方… ……………………………………………… 178崔氏疗热风惊掣,心忪恐悸,风邪狂叫,妄走极效方… …… 178张文仲疗诸风煮散方… ………………………………………… 179五石汤… ………………………………………………………… 179铁精汤… ………………………………………………………… 180真珠母圆… ……………………………………………………… 181薯蓣圆… ………………………………………………………… 183第五节 化痰之方………………………………………………… 185枕中方… ………………………………………………………… 185星香汤… ………………………………………………………… 187省风汤… ………………………………………………………… 187大省风汤… ……………………………………………………… 187正舌散… ………………………………………………………… 188二陈汤… ………………………………………………………… 189温胆汤… ………………………………………………………… 190导痰汤… ………………………………………………………… 190涤痰汤… ………………………………………………………… 190青州白丸子… …………………………………………………… 190指迷茯苓丸… …………………………………………………… 191控涎丹… ………………………………………………………… 192礞石滚痰丸… …………………………………………………… 192贝母瓜萎散… …………………………………………………… 193第六节 顺气之方………………………………………………… 194乌药顺气散… …………………………………………………… 194八味顺气散… …………………………………………………… 194匀气散… ………………………………………………………… 195第七节 清热之方………………………………………………… 196生葛根三味汤… ………………………………………………… 196附:千金竹沥汤…………………………………………………… 198生地黄煎… ……………………………………………………… 200《千金》治积热风方… …………………………………………… 200排风汤… ………………………………………………………… 201石膏汤… ………………………………………………………… 201芎酒… ………………………………………………………… 202五补丸… ………………………………………………………… 203延年急疗偏风,膈上风热,经心脏恍惚神情,天阴心中…惽惽如醉不醉方… ……………………………………………… 204薏苡仁等十二味饮… …………………………………………… 205苦参十二味丸… ………………………………………………… 206黄连八味散… …………………………………………………… 206广济疗热风旋,心闷冲,风起即欲倒方… …………………… 207天麻丸… ………………………………………………………… 207凉膈散… ………………………………………………………… 209泻青圆… ………………………………………………………… 210龙胆泻肝汤… …………………………………………………… 212当归龙荟丸… …………………………………………………… 212第八节 滋养之方………………………………………………… 213集灵膏… ………………………………………………………… 214滋水清肝饮… …………………………………………………… 215一贯煎… ………………………………………………………… 216滋营养液青… …………………………………………………… 217心脾双补丸… …………………………………………………… 218左归饮… ………………………………………………………… 219第九节 通络之方………………………………………………… 219独活寄生汤… …………………………………………………… 219白 薏苡汤… …………………………………………………… 220菊花酒… ………………………………………………………… 221桑枝煎… ………………………………………………………… 221张文仲疗一切风,乃至十年、二十年不差者方… …………… 222史国公酒方… …………………………………………………… 222三痺汤… ………………………………………………………… 223天麻酒… ………………………………………………………… 223虎骨四斤丸… …………………………………………………… 224续骨丹… ………………………………………………………… 225大活络丹… ……………………………………………………… 225第十节 风家服食之方…………………………………………… 227枸杞菖蒲酒… …………………………………………………… 227乌麻酒… ………………………………………………………… 227虎骨酒… ………………………………………………………… 228枲耳散… ………………………………………………………… 228豨莶圆… ………………………………………………………… 228第十一节 通治中风诸方之辨正………………………………… 229小续命汤… ……………………………………………………… 230侯氏黑散… ……………………………………………………… 231羌活愈风汤… …………………………………………………… 233大秦艽汤… ……………………………………………………… 236肘后紫汤… ……………………………………………………… 238华陀愈风散… …………………………………………………… 239中风论自 序………………………………………………………………243序……………………………………………………………………245论脏象………………………………………………………………247论经络次序…………………………………………………………251论经络浅深…………………………………………………………254论奇经八脉…………………………………………………………256论 总………………………………………………………………258论宗气………………………………………………………………259论营气………………………………………………………………260论卫气………………………………………………………………261论脉诀………………………………………………………………265论病因………………………………………………………………269论中风………………………………………………………………270论八风………………………………………………………………271论轻重………………………………………………………………274论寒热………………………………………………………………276论证候………………………………………………………………277论风脉………………………………………………………………283论治法………………………………………………………………285论药饵………………………………………………………………290附 案………………………………………………………………296
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