閱讀難度:⭐️⭐️⭐️411Please respect copyright.PENANAbSXTFdxK5y
康熙三十二年,江蘇吳江縣徐家誕生了一個嬰兒,名叫大椿。他出生於書香之家,家裏長輩都是文人雅士,自然都是寄望他讀書做官。但是到了十四歲開始,他已對學時文感到煩厭,而他的興趣全部投入到經學和醫學上。411Please respect copyright.PENANApql4E0vQo0
411Please respect copyright.PENANAENP0HhVjKE
徐大椿整理了前人的經驗,寫了很多本醫學著作。單憑他對古書的研讀,寫出了《用藥如用兵論》,收錄於《醫學源流論》一書中。未曾踏入過朝堂和戰場的他是否懂得用兵,我們不得而知,但用藥一定是胸有成竹。他一生出入醫館,卻想到用兵法比喻治法,如非當時沒有冷氣,否則他應算是古代數一數二的「冷氣軍師」。411Please respect copyright.PENANArHk4U7KPXj
411Please respect copyright.PENANAgBo0c6NWUh
在徐大椿的學術思想中,他堅持對古書「掇其精華,摘其謬誤」,並注了《難經》,指出當中的錯誤之處。而且他對清代醫界沿襲明代「溫補派」也作出了批判,並強調醫家診斷要實事求是,也要慎重用藥。徐大椿的著作提出了很多先進的思想論點,值得往後分篇論述。411Please respect copyright.PENANAKc0XMgUER7
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#不得已而後用411Please respect copyright.PENANAxKkZyaGvKK
《用藥如用兵論》全文不長,可反覆閱讀琢磨其含義。其觀點也不難理解,而且有一定啟發性。現取幾點詳說,首先,藥有藥用,但不能亂用。411Please respect copyright.PENANA86ZkRUiKGy
411Please respect copyright.PENANAncxBLH0yEO
將藥比喻作兵,有不一定要用,頻繁用藥服藥等同窮兵黷武,必會遭致禍端。所以軍隊只用作除敵,藥物只用作治病。411Please respect copyright.PENANAtf2PIl84Ma
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其次,用之前也要了解藥性。打仗要知己知彼,用藥也要清楚藥物的特性、疾病的特性,和怎樣才能治癒。然後最簡單的就是多管齊下,以滅絕疾病。411Please respect copyright.PENANA8nRqHOVc6e
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#急保其未病411Please respect copyright.PENANAf9esNNiZMV
當然絕大多數情況都沒有這麼簡單,在治病上要注意的地方也很多。對於會傳變的病和來勢洶洶的病,應當切斷傳變路線或者保護未病部位。如同切斷敵軍進攻路線或是守衛我軍險要關口。《金匱要略》云:411Please respect copyright.PENANA0L9A8eK2x6
411Please respect copyright.PENANAIHIemvwOPd
「見肝之病,知肝傳脾,當先實脾。」411Please respect copyright.PENANAOvzfUs66DW
411Please respect copyright.PENANAdsoK01jJQL
這正正反映了準確預計病情轉歸的重要,而且也符合中醫「治未病」的原則。411Please respect copyright.PENANAB7cG9ELM5i
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#辦經絡而無泛用之藥411Please respect copyright.PENANAlWr5dTMh60
對於逐個細節,文中也有相應的兵法應對。例子有先除食積如毀敵軍糧草、防舊病如防內應、引經藥作先鋒探路等等。最形象的一項描繪是用反治,《黃帝內經·素問》云:411Please respect copyright.PENANAIr6uBeedpS
411Please respect copyright.PENANAPhgRNpxhzL
「熱因熱用,寒因寒用。」*411Please respect copyright.PENANAhXQse8geUe
411Please respect copyright.PENANAjqDGNhILT7
以熱治熱,以寒治寒。兩者都是因為病情至極,出現與病情相反的徵象,屬於真寒假熱,或者真熱假寒。這裏以同一屬性的藥治療,其實是引君入甕,避免因為寒或熱過盛而出現格拒。實質治療仍然是以熱治寒,以寒治熱。這可算是反間計。411Please respect copyright.PENANAtTsF9XaPFA
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#選材必當,器械必良,克期不愆,布陣有方411Please respect copyright.PENANASSzLY9yY9p
此外還有幾對相反的情況,文中都有提出攻治之法。把病邪當作敵人,例如可以分散敵人來對付,也可集中對付敵人頭目。敵人進逼時應該避其鋒芒,敵人衰退時應該乘勝追擊。也要顧及自身實力,即正氣的盛衰。正氣足可以一戰,正氣不足則應韜光養晦,免得傷敵一千,自損八百。411Please respect copyright.PENANAogJ5hoyAMI
411Please respect copyright.PENANAboz7ExfXU5
然而,用兵之道變化萬千,用藥亦然,唯一不變的而且對的是要養精蓄銳,其實就是保持身體健康。《孫子兵法·謀攻篇》云:411Please respect copyright.PENANAekng07wTIG
411Please respect copyright.PENANAStqxRJLAur
「是故百戰百勝,非善之善也;不戰而屈人之兵,善之善者也。」411Please respect copyright.PENANAIpKJathWt9
411Please respect copyright.PENANAJJxwb7aSVW
此話意味深長,如何不戰而勝,箇中玄機還需大家在歷史和經驗中參透。411Please respect copyright.PENANAoBq7iaNEG6
411Please respect copyright.PENANAQjuw7MnRol
411Please respect copyright.PENANACQ2oL2tcUK
411Please respect copyright.PENANAHg7Lk4BeXa
*原文為「熱因寒用,寒因熱用。」後人根據根據上下文律,作此改動。《素問注證發微》:「熱以治寒,而佐以寒藥,乃熱因寒用也。」411Please respect copyright.PENANAjA4HXjbtZ9
411Please respect copyright.PENANAN0cTOT65Kq
#香港 #中醫 #中醫藥 #關中醫事 #治未病 #熱因熱用 #軍事 #戰爭 #兵法 #治法 #反治 #經絡 #分治 #合治 #醫學源流論 #黃帝內經 #金匱要略 #孫子兵法 # 素問注證發微 #本貼文純屬個人意見節目 #20210817411Please respect copyright.PENANAPX9NwyID1m
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用藥如用兵
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懸壺廬
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