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张志坚临证验案集
$42.69
本书全面、系统总结了张志坚教授70余年治学、行医、教学与科研生涯的心得体会及经验荟萃。张志坚教授幼年罹患髋关节结核,因病发奋立志学医,他博览医籍,熟通医理,实践经验丰富,为患者诊治多能取得卓著的疗效。他一生致力于为病患服务,在临床实践中,他看重疗效,不仅对中、西医理相结合身体力行,而且十分重视中医传统的辨证论治,强调“有是证,用是药”,并结合自身多年肾脏病临床诊疗经验提出了 “三因治病”学说,“从风论治慢性肾病”理论等;自创...
本书全面、系统总结了张志坚教授70余年治学、行医、教学与科研生涯的心得体会及经验荟萃。张志坚教授幼年罹患髋关节结核,因病发奋立志学医,他博览医籍,熟通医理,实践经验丰富,为患者诊治多能取得卓著的疗效。他一生致力于为病患服务,在临床实践中,他看重疗效,不仅对中、西医理相结合身体力行,而且十分重视中医传统的辨证论治,强调“有是证,用是药”,并结合自身多年肾脏病临床诊疗经验提出了 “三因治病”学说,“从风论治慢性肾病”理论等;自创“保元排毒丸”治疗慢性肾衰竭、“三黄肾乐冲剂”“宣肺靖水饮”治疗慢性肾小球肾炎,“龙凤清合剂”治疗尿路感染,“五花升降汤”治疗肾病血尿,在本验案集中均有体现。
张志坚教授为第四批全国老中医药专家学术经验继承指导老师,其治学严谨,医术精湛,从事中医工作60余年,擅长中医内科疑难杂病及妇科病的诊治,尤其对中医肾脏病的诊治深有研究。本书将张志坚临证医案,择其精粹予以汇集,张志坚教授不仅擅长肾系疾病的诊疗,对其他疾病的辨证论治亦颇有心得。全书以中医五脏为纲,中医病名为目,每病以辨证分型论治、立法选方,诊后附有按语。本书分为肺系病证、心系病证、脾胃病证、肝系病证、肾系病证、气血津液病证、肢体经络病证等章节,对中医的常见疾病以及优势病种如鼓胀、肿瘤、消渴等均有涉及。张志坚诊疗疾病坚持以中医思维为主,通过本医案可以很好地指导后学,故颇有临床价值。
张志坚,主任中医师,南京中医药大学教授、博士生导师,江苏省名中医,第四批全国老中医药专家学术经验继承指导老师,全国劳动模范,享受国务院政府津贴。1948年从武进国医专科学校肆业后,即在常州潘墅镇悬壶济世;1957年结业于现南京中医药大学的前身江苏省中医学校医科师资班,先后在河北中医学院、天津中医学院任教。1966年调入常州市中医医院从事临床工作,曾任大内科主任、肾内科主任。张志坚从医60余年,不仅理论功底深厚,且不断总结经验,相继在省级以上刊物发表文章40余篇,先后出版了养生保健丛书系列:《这样生活更健康——著名中医张志坚谈保健》《肾脏病患者如何生活得更好——著名中医张志坚谈肾脏病的调养》,参编《新编中医临证备要》。张福产,常州市中医医院副主任医师,常州市名中医,张志坚学术经验继承人。1989年毕业于南京中医学院,曾任肾内科科主任,及江苏省中医药学会肾病专业委员会委员。师从全国名老中医张志坚教授,从事中医治疗肾脏病临床工作48年。在核心期刊发表论文19篇,主编出版专著1部、出版科普书2本。获中华中医药学会科学技术奖三等奖一项,江苏省卫生厅医学新技术引进奖二等奖一项。2004年被卫生部授予全国卫生系统先进工作者称号。2008年获全国总工会一五劳动奖状奖章。本地报纸及杂志经常报道本人为传统中医的践行者。
章肺系病证1一、 感冒 / 1二、 咳嗽 / 5三、 哮病 / 11四、 喘证 / 13五、 肺痈 / 19六、 肺胀 / 20七、 肺痿 / 23八、 肺痨 / 24第二章心系病证 27一、 心悸 / 27二、 胸痹 / 33三、 不寐 / 37附健忘 / 41附多寐 / 44四、 癫狂 / 48五、 痫病 / 51六、 痴呆 / 53第三章脾胃病证57一、 胃痛 / 57二、 痞满 / 63三、 呕吐 / 68四、 噎膈 / 72五、 呃逆 / 74六、 腹痛 / 77七、 泄泻 / 82八、 痢疾 / 90九、 便秘 / 94第四章肝系病证100一、 胁痛 / 100二、 黄疸 / 106三、 积聚 / 112四、 鼓胀 / 117五、 头痛 / 122六、 眩晕 / 129附耳鸣耳聋 / 132七、 中风 / 133八、 瘿病 / 138九、 疟疾 / 141第五章肾系病证143一、 水肿 / 143二、 淋证 / 156三、 癃闭 / 163四、 阳痿 / 169五、 遗精 / 172第六章气血津液病证177一、 郁证 / 177二、 血证 / 182三、 痰饮 / 202四、 消渴 / 206附糖尿病变证 / 209五、 汗证 / 211六、 内伤发热 / 216七、 虚劳 / 222八、 肥胖 / 231第七章肢体经络病证234一、 痹证 / 234二、 痉证 / 243三、 痿证 / 248四、 颤证 / 251五、 腰痛 / 254第八章其他260一、 带下 / 260二、 不孕不育证 / 261三、 绝经前后诸证 / 263四、 痛经 / 265五、 风癣 / 266六、 瘾疹 / 267七、 蛔厥 / 267八、 恶露 / 268九、 狐惑病 / 269十、 行房无精 / 270参考文献272
张志坚(1930—),男,汉族,主任中医师,教授,博士生导师,第四批全国老中医药专家学术经验继承指导老师,全国劳动模范,享受国务院政府特殊津贴,江苏省名中医。古人云“三折肱方为良医”,余谓非读万卷书诊治数万患者,则不得为良医,此言诚可信也。家父少年患骨痨(右髋关节结核病),多年病痛折磨,几死者数,故对病痛感受刻骨铭心,所以少年立志学医。至其业成、行医诊病,对患者病痛感同身受。至今行医七十余载,孜孜不倦、博览群书,精研岐黄、博采众长,治学严谨。对中医学的理、法、方药造诣颇深。临诊时留心着手经验积累,总结治病心得,均有独到见解。其擅长中医内科疑难杂症及妇科疾病的诊治,尤其对中医肾脏病的诊治深有探究。治病特点在于注重人体正气,立法用药贯彻“正气存内,邪不可干,邪之所凑,其气必虚”的《经》旨。临证体现为“扶正达邪、祛邪安正”“扶正不恋邪、祛邪而不伤正”的学术思想。临床辨证分析精准、处方用药严谨合理,常用平凡之药力挽重危,疗效显著。家父启迪后学,引经据典,口授笔录,孜孜不倦。阐明辨证施治要点,举一反三,校正流俗之时弊,语重心长,盖一心以中医之继绝存亡为重,甘愿公开其一生心血之结晶,造福后代。今将家父临床医案,择其精粹予以汇编。全书以中医五脏为纲,中医病名为目,每病以辨证分型论治、立法选方,诊后附有按语,全书力求通俗易懂以助后学。由于笔者精力有限,书中可能有错误和疏漏之处,祈请读者指正,不胜感谢。本书历时4年而成编,所载医案仅系临床所得,虽经精选,未必能全面反映家父丰富的经验和学术特点。医案整理得到了张志坚工作室成员的大力支持,附此志念。承蒙国医大师邹燕勤教授和孟河医派江苏省著名中医药专家张琪教授为本书撰写序言,常州市中医院院长罗立波为此书题词,勉励精进,在此致以诚挚的谢意!
张福产2022年10月
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