《医林耕读录》7 O) h, o& q7 p6 S/ p" K, G
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石宝宝 任鸿义 主编
3 l* W0 Q" X! u7 | Q7 ~天津出版传媒集团
+ Y+ }9 Y6 B3 J9 ~8 K" k' @天津科学技术出版社! _+ @3 K$ q4 ?" Q
( C$ ?: u4 ~1 ?- Q& G* M9 [7 @引言! J* m( w3 N6 r6 h
石宝宝老师是交城县中医医院的第一任院长,中医院的成立是石老师经多方努力、历经风雨建成的。适逢大学毕业,被分配到中医院工作,中医院时为旧单位改建,还是给人以残破的感觉,但石老师还是常常以“斯是陋室,惟吾德馨”来激励大家。后侍诊于旁,石老师首先告诉我要守得住清贫,要有坐十年冷板凳的准备,要守得住中医人的平常心。并鼓励我要多读书,只有多读书、多临证,才能有所建树。
! `4 L# y$ l/ i% e( l# D石老师知识渊博,才思敏捷,不仅精通医学,还精通文史哲。开始只知道其爱买书、爱读书,没想到其记忆力惊人,对其读过之书,都有非常好的印象,一次,门诊来了位眉棱骨痛的患者,石老师说:“此病在秦伯未的《中医临证备要》记载用选奇汤治疗。9 _6 B N4 n% x
你们可以翻翻看”。但石老师给我最深印象的还是他的书,第一次去石老师家中,其收藏书籍放满了家中的所有能放书的的地方,其卧榻上书籍占了二分之一还多,高垒盈尺,他告我说是为方便读书,夜卧时能随时翻阅学习。
6 ^% y. a- K( q石老师除忙于行政、门诊、读书外,还与时俱进,涉猎于互联网中,以网名“却波渔翁”广交同道,与同道交流医理,在多个中医论坛开专栏、任版主、发帖子,广泛传播中医。此书中收集的渔翁诊历等均整理于网络中。/ H1 K# N5 g; N8 n) h) K$ T/ g
退休后,石老师仍然坚持每天出门诊,带教后学、服务百姓。并于2018年获得山西省名中医称号,2020年成立名中医传承工作室,工作室成立之初,石老师突患中风之疾,手术后,精神大不如前,但他仍然坚持出门诊,一心为患者服务,一心为培养后学而尽力。
4 Q7 {; \8 R5 U& ?9 S石老师学风严谨,用药精巧。其学术特点:一是注重脾胃,脾胃为后天之本,只有脾胃健运,才能生化不息;二是注重化湿浊,湿浊之邪是当代人患病的特有之疾,可以说“百病皆生于湿”;三是用药轻灵,每剂药不过十一二味,每味药不过三到六克,药精量少。3 U+ {* B1 w) `9 |# n4 u
本次成书,从石老师网络发文及师承弟子整理病案中收集,还有许多不足,尚祈高明补正!
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2023.10
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3 {9 c( |, z* d4 X2 O目录
4 R; w% P- G6 r石宝宝名中医学术经验集
- u& v5 @ ~" U% {名医简介..…...............................................2
" q1 q6 J8 z) x引言................................................................................3+ D; I1 X6 |: S9 W: t) ~
“心路”拾瓣.................................. .............................................4
# A" I1 L' \1 ^ N! G$ o! h1 b4 s$ ?1.少年感受中医神奇.......................……...….....…..…..…................4
& Q: t: \: p6 c% W6 V7 V7 [/ V2.师长指迷:初学读书勿过驳杂.…........................................4, v5 `' E6 E% Q! {
3.端着簸箩上课的胡老师….…….…...................4
( C7 R; ~/ p/ V6 I2 q4.“忘年交”老师们......…..............................................4
2 [) w' t6 u% p Z% P( z% H5.患者亦为师…….......................................5) Y& i: K8 T4 c* e U( y
6.灯下乱翻书...............................................................................5
' X6 r# u( L. Z: }, x* V# z% j7.抄书亦学习.........................................…......……..............64 C6 V, f6 @; t, m8 o+ e4 ~
8.“教”“学”相益彰……………………….….….…....….….…………...…....................6
4 z" U: o# ~9 _9.怀念几位“西学中”老师..…..…....……..…..................................6) [" g% _6 T; s2 u/ W
临床篇.......................................................................…......……….......................7
; V: M ^6 W ]% J一、渔翁诊历.………......7* G4 b9 ] M/ p2 f2 H+ v, F
1.小孩眨眼案................................................................79 ^6 |0 m0 j6 H2 ?1 N3 `5 e9 G" t
2.积滞..............................................................7
) }& \# B& p# A3.呃逆....……........…....…….….….........…..….....8
8 Y" `; ?- l' E. ]+ s5 E8 ~4............…...................................……....….…...…...…...........90 \7 W2 l, z: z3 R. Z' f
5.便...................................................................9
- X3 |' [# Z" R' Z6.儿枕痛.........................................................9
' |4 ]$ K4 `- H9 b- r7.月事淋漓不止.……….............................................10- L% K7 z( p( V0 N8 }, z
8.湿热疱疹.................................10- @* R3 D5 S% L( X. D* O
9.盗汗..................................…..............................10( m, n' h- K- \' J
10.耳鸣耳聋案....….....…........................................................11
) \9 |5 P( t @; {8 n11.纯中医缓解脊髓血管瘤….............…...............................................12; N8 {! G) N- }8 h- t6 J+ K
12.小儿咳喘..……..........................12
( a! k1 z9 J r; c9 R, S13.肾...................…………….......................................................13
' E6 u" Q$ r! a8 d" n6 Q8 K14.眩晕(前庭神经元炎)....................................13
( d, m- w; \3 i6 q3 X' k- u& ~( J15.误服巴豆案………………….…..…….…..….….…..….……….….…………………….……….….......…...14
: H3 ^7 N( V2 E; I: x16.眩晕案….........................................................................................14
- Y. ?) ?: W5 j _1 C二、临床医案.…………………...........................................163 R" ?$ y9 M& l6 y/ ?5 v s0 z
1.鼻炎.......…….....................................................16$ I$ }+ Y: A/ m }. F) W- M4 V
.咳...…….....................................18( a- V9 h8 `8 q/ h8 \0 S
3.胃............................................................21
" f4 G# z9 o9 `* Z {% o4.痞满…........…........................….....….…....…….…............…....................24
$ G" J, s2 M' Y" T8 l! l5.眩................................................................253 d& L* E$ E# S* W3 V
6.头....................................................................................28
" r/ w8 O! E* I' @8 n$ c7.耳鸣...................................................................................................298 K3 s+ z" z" h b' Y n& a' i: e9 R
8.耳闷........................................................................................32
0 l9 U" N$ F; y: k- z( E n9.乏力.....................................................................33
0 D( ~0 b+ t/ z3 p ^' L+ ~: ?: |& a10..................................................................34: C; c1 g8 s0 P1 R% }# r- P1 U$ C
11.水..……………………….….………………….….…................35
; I: i6 v- E* n. B; r12.喑哑…..........…..................................……….…......…..………………......396 t/ W5 b9 Z) @) A X/ H
13..证.….…………...….….................................40# T2 b3 T, m+ N. O
14.痛风病..…………...….........413 k" \- |) N9 u1 q3 E* d& Z) ]
15.心.............................................42
T5 j2 k/ o; S$ W, q3 ]16.月经过多...................................................................43
* i' |$ Y" h9 s. N. L( b/ r4 z17.月经过少.................................................................................451 V0 I# g; F9 n9 f5 X
18.不..................................................…………..….....…....46
' G/ m& J6 Y- S/ G- b+ _1 |19.围绝经期综合征.…..............................................472 Y6 k! c. E0 ]& F* \: B
20.崩.................................................482 y9 v2 _1 _9 r, b% m& p
21.痤...........................................495 N8 Q0 H6 {# T
22.玫瑰糠疹........................….........................................499 c. P9 N6 @4 o" }+ o- D1 i
23.结节性红斑.......................................................................50
! @2 u$ S+ ^2 J( I+ i, {% b, X24.黑皮病........................................................................52
1 S; Q6 n- Z; Y0 ^25.虹膜炎........................................53
. n9 u. s- V6 j0 ~3 J! O26.腮腺炎...............…..............................…...............................532 v# ]' X3 R% W; P8 y
治学篇............................…...................................................................552 v! }! V, Q: O& t# q
一、勤斋医话..........................................…................……….............55
9 r4 S+ @' G0 i4 X% u1.渔翁答问录 与山西中医学院学生…..…….........................55$ Z* S, |: j- | n
2.破“知障”为现代中医人之首务...........................60, F7 ?" U" f$ W* ^' _% b7 _
3.“立秋”发病闲话..……………........61
9 H I) _6 f0 w7 a4.戴震死于庸医之手…......................…*........................................61
5 ^9 d* n- q9 P5 q5.清代文人,医士俞万春小叹…...…..................................61) N8 u& T* i. z
6.古代名家暮年力作值得玩味..........................................................62
1 }3 b/ J! \ [ m. b+ [: v' |% O7.仲景学说.悟道录..............................63' _$ e v6 P- I! i
8.望一一忘丢了什麽?..…....................….............….......................64% e$ R& \" u0 Y" N* x
9.庞泉闲弹...........................................................................655 [# p- Y+ h ^( c7 r+ Q
二、夜读录..........................................................................66+ K# q8 S2 T' I$ F
1.裘沛然谈程门雪老先生的治学过程.................................66
. a' k2 l* n8 s% w( }$ b; N* Z2.裘沛然谈行医治学感悟.….......................................66 g& f; R E' I3 N: x
3.《内经》鸡矢醴治验.....…....….............….....................................66
. U; q* a x8 x: G4.黑舌.................................……...........................67
# W3 `8 T1 s7 q8 d" H) e( c, S5.世有畏麻、桂如蛇蝎者….….…...............................67
5 `# R2 [" V2 F( a2 p6.翻新版《张聿青医案》…..........................................................68
1 P; r( E+ l, C. j1 G7.批评当前“中医”出版物泛滥..................................................68
- B& F- F; g d( ^- \* X" I8.五毒之药...........................................................................685 s( o1 M6 ^+ ~/ Z
9.范文甫治乳蛾案…....................................................................69+ R& M* A- e6 G
10.读《周小农医案》.…..........................................................................69
# P% G. W& J# F/ n* V$ v11.丝瓜藤...............................*.................................................69
2 \0 W$ y2 k, s, G; ?6 v: D12.古代文献中记载收藏雨水或雪水之法..................706 G- q/ B# f! L
13.熊继柏:古方求旨一二….........................................................701 s9 u2 k/ s' N
14.壮者气行则愈,弱者著而为病.......................................71
# O! b4 f% L, l" T {9 D: R, l& E% I; D15.栀子大黄.............................................................71
& A; R# m G! t" U. [0 ], g. ? a16.万病一毒之说.…................................................71
, \2 i# X" c0 y- f7 X; I) p1 Z17.赵桐论少阳.....................................................72
, `' ^( O+ X r; a1 d; U18.交加散可复肾功….…..…..…..…................…......…...................72
( e0 g2 N1 [# g4 H9 w- @# @19.升麻鳖甲汤可试用于癌症….................................................................72 c Z8 t6 x1 z* m
三、文学中觅医学......................................................................74
+ R4 v; G& v* V8 z! A1.《红楼梦》与中医学(1)【脉法).............…............................747 g# [% m6 |% o
2.《红楼梦》与中医学(2)【辨治)….….…….......................76) O1 @- R6 V/ c& w8 T* O2 C/ r/ u
3.《红楼梦》与中医学(3)【药方)......…...........................778 d9 v/ F2 c) S) u9 p3 E
4.《红楼梦》与中医学(4)【膏药)........…..…........................786 w# t6 k/ j4 `# m
5.《红楼梦》与中医学(5)【淫邪发梦)....….……..….....................78
4 [/ I. M# O0 i9 n8 j F* G+ h0 k6.《镜花缘》里觅医迹(1)骂庸.............................................795 w+ ]( c% g- U. `( Y
7.《镜花缘》里觅医迹(2)结胸....................................79: n8 I3 c j5 T- P/ Z) e5 ^
8.《镜花缘》里觅医迹(3)海参调理“阴虚”症.............................80! U7 `3 m1 i8 C' n
四、书序..................................................…......………..............……............81
; _: J& r2 `& z9 S3 ~1.《经络学说真面目》石序.............................................................81, Y; w7 Q, T/ o. h7 i
2.《诊余诗草》自序..........................................……................………….…….....….814 E. N8 F( C, y" F: X4 e
3.《青山依旧在》石序一-汾州奇人杨耀学.......................................82
! [# [! W9 h) O) d8 h2 x* l2 c3 V4.金栋《百度百科中医词汇辑录》石序..............................................83
3 L' j& O% `$ w2 o, ~5.《杂病治验秘钥》石序........................................83
1 J# M- Y8 f/ \8 v0 m- S& a+ i五、勤斋医稿.....…...…….…...….....…….…..…...….…….………………………….….…..….…...........84
, ~6 j- o$ p6 n医序咀华录.…….………..….…....….....…..….….................842 b8 f5 [( h* w% S4 A5 w, O
六、国医咏叹五首........................................................................................102
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