《孙氏医案》验案撰写及临证思想特色抉微

【摘 要】 明代著名新安医家孙一奎所著《孙氏医案》，是我国中医学历史上一本颇具特色，且声名远扬、影响深远的医案著作。笔者拟从医案本身撰写的特色及临证时诊疗思想经验的特色两个方面，系统总结《孙氏医案》的鲜明特点，并列举验案一则，以充分展现孙氏验案撰写与临证思想的独特魅力。

【关键词】 《孙氏医案》；体例；内容；临证思想；特色

【中图分类号】R2-52

【文献标志码】 A    【文章编号】1007-8517（2024）20-0090-04

DOI：10.3969/j.issn.1007-8517.2024.20.zgmzmjyyzz202420019

The Author of Sun’s Medical Records and the Characteristics of the Thought of Clinical Evidence

SONG Xin XUE Xiaohu PENG Jiahua*

Jiangxi University of Chinese Medicine，Nanchang 330006，China

Abstract：The Sun’s Medical Records，written by the famous Xin’an Sun Yikui in Ming Dynasty，is a medical records work with unique features and far-reaching influence in the history of Chinese medicine.The author intends to systematically summarize the distinctive characteristics of Sun’s Medical Records from the two aspects of the special characteristics of the medical records themselves and the characteristics of the clinical diagnosis and treatment thought experience，and enumerate a trial case to fully demonstrate the unique charm of Sun’s medical records writing and clinical evidence thought.

Keywords：Sun’s Medical Records; Style; Content; Clinical Thought; Feature

孙一奎作为明代的医学大家，其临证思想与辨治精华，不仅体现在其所著《赤水玄珠》《医旨绪余》的医论医话理论阐述中，而且充分展现在其所留存汇编的《孙氏医案》之验案中，前者医理彰明而颇有发挥，后者治验真实而巧发奇中。（剩余6767字）