[目的]探讨明末清初新安名医郑重光先生《素圃医案》中暑证的治疗经验。[方法]通过对《素圃医案》进行认真学习,整理、分析书中相关暑证验案,阐述、归纳郑重光治疗暑证的学术特色,并总结出郑氏治疗暑证的独特经验。[结果《]素圃医案》为郑氏晚年的医案集成,其中暑证治效11案,用温热药者5例。素圃治疗暑病不概用香薷,亦长于以干姜、桂、附子等辛温药治疗阴暑之证;脱证以参、芪救逆固脱,气虚则习用生脉饮清补之,益气生津而不恋邪;素圃辨病多平脉用药,精于脉诊,并注意服药时以粥养胃。[结论《]素圃医案》中暑证的治疗经验颇具特色。素圃治疗暑证与同时代医家并不完全相同,有自己的独到见解,他善用温热药物,其中医理对现代临床有一定参考价值。
[Objective]To explore the summer diseases treating experience in Supu’s Medical Cases’s,written by Xin’an doctors Chongguang Zheng,who was lived between Ming and early Qing dynasty.[Methods]By studying the summer cases in the book,discussing and summing up the treating treatment experience of summer diseases.[Results]Supu’medical cases was written in Supu’ late years.in this book,there are 11 summer cases,with warm and hot medicines in 5 cases.Supu not only use Chinese Mosla Herb to treat the yin summer diseases,but only use dry ginger,laurel,monkshood,et al.He often use ginseng,astragalus to tonify qi,prevent exhaustion and treat the prostration syndrome.As well as Using sehngmai yin to tonify qi and engender liquid.Supu was good at taking pulse based on syndrome differentiation.He often told patients to eating porridge when taking medicine in order to nourishing the stomach.[Conclusion] Supu has distinguished experience in treating summer diseases.He has his own insights,good at in using warm medications in the treatment of summer card,which has some medical knowledge on modern clinic.