《敖氏伤寒金镜录》学术渊源探讨

《敖氏伤寒金镜录》是现存第一部舌诊专著。该书从病态舌象的病位,病性、治疗方药,病机解释几个方面,可说明其作者属于刘完素的学术流派,舌诊是基于刘完素的火热论学说而建立的、用于辨别温热病的诊断方法。《敖氏伤寒金镜录》利用直观的视觉,证明了红舌与热证之间的直接联系,这是使温热病学说从进学中裂变出来的重要环节,同时,红舌－里热证－清解里热的诊断,治疗模式,也由于舌诊的建立而被确立。

Discussion on academic origin of Ao shi shang han jin jing lu (Ao's Records of golden mirror on cold pathogenic diseases

Ao shi shang han jin jing lu (Ao's Records of Golden Mirror on Cold Pathogenic Diseases) is the extant first work of lingual diagnosis. It is demonstrated that the author of this book is categorized under the school of Liu Wansu based on the location of disease, the nature of disease, therapies and drugs, and pathogenesis in pathological lingual pictures described in this book. The lingual diagnosis was based on Liu Wansu's theory of fire-heat, and used for diagnosing warm diseases. Intuitionistic vision was used in this book to prove the direct relation between red tongue and heat syndrome, which was the important joint for the theory of warm diseases to derive from the theory of cold pathogenic diseases. At the same time, the set up of the model of diagnosis and treatment for red tongue-inner heat syndrome, and clearing inner heat is established.