唐宗海与张锡纯论治吐血之异同探析

比较了唐宗海及张锡纯论治吐血的异同。二者对吐血的病因多责之于气逆与火热，治疗以降胃止血为首要, 并均注重消瘀。但唐宗海主张止血后再消瘀，张锡纯则以消瘀寓于止血中；急性出血，唐宗海予以独参汤，张锡纯则以独参汤配代赭石；对于血证复发，唐宗海立宁血及补血法，而张锡纯善用代赭石。认为张锡纯的论述对唐宗海治吐血四法可形成一定的补充，对现代临床也有一定的借鉴意义。 

Comparison of the Similarities and Differences between Tang Zonghai's and Zhang Xichun's Ideas on the Treatment of Hematemesis

The paper compares the similarities and differences between Tang Zonghai's and Zhang Xichun's ideas on the treatment of hematemesis. Both of them attribute the cause of hematemesis to the adverse rising of qi and fire-heat, and the priority of treatment method is lowering the stomach qi to stop bleeding and should focus on eliminating blood stasis. However, Tang Zonghai (Tang) advocates eliminating blood stasis after stopping bleeding, while Zhang Xichun (Zhang) uses methods of eliminating blood stasis in the process of stopping bleeding. Besides, as to acute bleeding, Tang prescribes Dushen Decoction, while Zhang copes it with Daizheshi (haematitum) in addition to Dushen Decoction. Moreover, Tang establishes the method of soothing and tonifying blood, while Zhang makes good use of haematitum to treat sequela arising from blooding. It proposes that the exposition of Zhang enriches the content of Tang's four methods of treating blood patterns and can be a reference to modern clinical practice.