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齐鲁清代儒医孔继菼考OA

A Textual Research on Kong Jigan,a Confucian Physician from the Qilu Region during the Qing Dynasty

中文摘要英文摘要

在山东省南部的滕州、曲阜、邹城、济宁一带,"孔灵仙"的传说在民间广为流传,其原型便是清代儒医孔继菼.作为孔子第六十九代孙,孔继菼于乾隆丁酉年考中举人,本是儒学出身,因祖母久病,遂研习《黄帝内经》《伤寒论》等中医典籍,踏上从医之路.他医术精湛,尤擅疑难杂症,在时疫防治、儿科、妇科等领域疗效卓著,曾成功治愈济宁孙状元之子的精神失常之症、邹县天花女子等.其诊病注重辨证施治,处方因人而异,屡屡妙手回春,故而被尊称为"灵仙".行医过程中,孔继菼医德高尚,对患者一视同仁,不贬同行,深得时人敬重.晚年著成《医鉴草》(又名《孔氏医案》《一见草》),书中以病为案,议证精详,为中医理论与临床实践留下珍贵财富.

In the areas of Tengzhou,Qufu,Zoucheng and Jining in southern Shandong Province,the legend of"Kong Lingxian"is widely spread among the people,whose prototype is Kong Jigan,a Confucian physician during the Qing Dynasty.As the 69th descendant of Confucius,Kong Jigan passed the provincial civil service examination in the Dingyou year of the Qianlong reign.Originally educated in Confucianism,Kong Jigan began to study traditional Chinese medicine(TCM)classics such as Huangdi Neijing and Treatise on Cold Pathogenic Diseases and embarked on a medical career because his grandmother suffered from a long-term illness.Kong Jigan was superb in medical skills,especially good at treating difficult and complicated diseases,and achieved remarkable curative effects in the prevention and treatment of epidemic diseases,pediatrics,gynecology and other fields.Kong Jigan successfully cured the mental disorder of the son of the top scholar Sun in Jining and a woman suffering from smallpox in Zouxian,etc.Kong Jigan paid attention to syndrome differentiation and treatment in diagnosis,with prescriptions tailored to individuals,and often brought the dying back to life,so he was honored as"Lingxian".In his medical practice,Kong Jigan was noble in medical ethics,treated all patients equally and did not belittle peers,winning deep respect from his contemporaries.In his later years,Kong Jigan wrote Yijian Cao(also known as Kong's Medical Records or Yijian Cao).The book takes diseases as cases with detailed and precise discussion on syndromes,leaving a precious legacy for TCM theory and clinical practice.

孙作乾;张滕;余晨

枣庄科技职业学院医药卫生学院,山东 滕州 277500滕州市龙泉社区卫生服务中心,山东 滕州 277500齐鲁医药学院,山东 淄博 255300

医药卫生

儒医孔继菼《医鉴草》

Confucian physicianKong JiganYijian Cao

《光明中医》 2026 (3)

17-21,5

2025年省高水平智慧康养专业群"揭榜挂帅""超星杯"专项教学改革研究(No.zzkj2025zc-02)

10.70976/j.issn.1003-8914.2026.03.004

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