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《仙授理伤续断秘方》通便祛瘀学术思想探究OA

Promoting Urination and Defecation,Resolving Blood Stasis:Academic Thoughts in Xianshou Lishang Xuduan Mifang

中文摘要英文摘要

二便不通是跌扑损伤患者尤其是严重跌扑损伤患者早期的常见症候,作为第一部伤科学专著《仙授理伤续断秘方》对此已有论述,认为损伤后大小便不通为体内瘀血所致,需以四物汤、大成汤内服通大小便、去瘀血,提出"通大小便去瘀血"的学术思想,且强调跌扑损伤后不可立即服用续筋接骨类损药,需待大小便通畅瘀血去除方可服用,此学术思想对跌扑损伤患者早期大小便不通病因病机、治法用药有清晰的认识,对现代临床治疗有明确的指导意义.

Dysuria and constipation are common early symptoms in patients with severe traumatic injuries.As the first specialized treatise on traumatology,Xianshou Lishang Xuduan Mifang(Means the secret formulas for treating injuries and mending fractures,taught by the Immortal)attributed these symptoms to blood stasis caused by injury.It recommen-ded using Siwu decoction and Dacheng decoction to promote urination,defecation,and remove blood stasis,establishing the academic principle of"promoting urination and defecation to eliminate blood stasis".The text also emphasized that bone-healing medicines should not be administered until blood stasis is cleared and excretory functions are restored.This aca-demic insight offers a clear understanding of the etiology,pathology,and treatment of early-stage excretory obstruction in traumatic injuries,retaining significant guidance value for modern clinical practice.

尤黎潇;杨豪;李孝林;何川;陈红兵

湖北中医药大学(武汉,430061)湖北中医药大学(武汉,430061)湖北中医药大学附属荆州市中医医院荆州市中医医院湖北中医药大学附属荆州市中医医院

医药卫生

《仙授理伤续断秘方》大小便不通通大小便去瘀血学术思想中医基础理论

Xianshou Lishang Xuduan Mifangurinary and fecal retentionpromoting urination and defecation,removing blood stasisacademic thoughtsbasic theory of traditional Chinese medicine

《中国中医骨伤科杂志》 2026 (2)

101-105,5

荆州市中医药研究所项目(ZZXT2025A06)湖北省时珍人才工程科研项目(鄂卫函[2024]256号)荆州市中医医院"杏林托举工程"人才项目(荆中医发[2023]63号)

10.20085/j.cnki.issn1005-0205.260218

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