唐代医学文献大师:王焘

2014 年 12 月 2 日4530

王焘(约670~755年),唐代眉B县(今陕西眉县)人。

王焘出身于世代官僚家庭,祖父是唐朝宰相,自己亦是官僚,曾做过徐州司马。王焘性至孝,其母患病,经年不解带,亲自调理汤药;自己亦因“幼多疾病”,故对医学饶有兴趣,常喜欢与高明的医生探讨医学理论和治病技术,从中受到许多教益。约于公元8世纪初,曾管理国家图书中心弘文馆,在此期间,他夜以继日地沉醉于数千卷医药文献的阅读。凡所参考之书,均经他逐条地鉴别摘录,去粗芜,采精华;凡经摘录者,都注明出自某书某卷,严肃认真,一丝不苟。在紧张的阅读、鉴赏、摘录中度过了 20个春秋,积累了大量宝贵资料。后被贬官房陵,仍继续整理医学文献。时值溽暑,患病众多,因他保存了不少验方,病者多赖以治愈,遂促使他集历代名医之论和经验,又经10个寒暑,著成《外台秘要》一书,为保存唐以前医药文献作出了贡献,被称为医学文献整理大师。另著有《外台要略》。

王焘对唐以前的医学作了比较全面的整理和总结,不仅于医药学方面有所成就,而且在中医文献学方面作出了更大的贡献。

中医文献学方面的成就。王氏全面整理和部分保存了从古代到唐初的医学典籍,其所著《外台秘要》中引用文献选69家、2802条,除《伤寒论》、《诸病源候论》等现代尚存医籍外,其他共数十种医籍,到宋代都已散佚,由于王焘的引用而得以部分保存。

王氏不仅搜罗详备,笼而不杂、先论后方,次序井然,更出色的是方法严谨,体例统一,对1104门所引用的理论和方剂等,都一一注明原始出处和来源,书名和卷数。若该方、论同出于多种医书,也都详列不误,有的还注明作者校勘证误的意见。这是我国医学史上整理医学文献详诠引书卷第的创始。他还创立了整理文献的科学方法,为我们树立了光辉的典范。

对我国医药学多方面的创造性成就的总结和反映。王氏所论包括内、外、妇、儿、五官、精神病、外伤急救与兽医等科,内容广泛。在内科方面,特别重视急性传染病,对伤寒、肺结核、疟疾、天花、霍乱等均有论述。如肺结核,他把“肺痨”病的下午潮热、盗汗、面部潮红,以及神经、消化系统的症状,描述得非常细致,并提到若有赤黑色大便或腹水等并发症出现,则是病情发展严重的象征。他还对天花的症状,如发疹、起浆、化脓、结痂的全部过程,以及预后判断都作了明确的说明,可见当时对这些急性传染病的诊断、防治,都达到了较高的科学水平。至于治疗方法,除药物处方外,他还介绍了艾灸疗法、人工急救,以及疾病检查、医疗护理等方面的技术经验。这些都由于王焘的整理而保存下来,也体现了王氏引书详注出处的重要意义和价值,同时也说明他忠实于前人的高贵品质和治学的严谨态度。

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