Syndrome differentiation and treatment of external pathogen constraint in <italic style="font-style: italic">Case Records as a Guide to Clinical Practice</italic>

SHEN Xiaoqian; LIAN Yajun; ZHAO Yunfan; SUN Xiaoguang

doi:10.3969/j.issn.2095-6606.2023.03.014

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Syndrome differentiation and treatment of external pathogen constraint in Case Records as a Guide to Clinical Practice

Theoretical Exploration | 更新时间：2023-06-06

- Syndrome differentiation and treatment of external pathogen constraint in Case Records as a Guide to Clinical Practice
- Modern Chinese Clinical Medicine Vol. 30, Issue 3, Pages: 72-77(2023)
- 作者机构：
  
  1.北京中医药大学中医学院　北京　100029
  2.南京中医药大学中医学院中西医结合学院
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2023.03.014
  CLC： R2-52
- Published：30 May 2023，
  
  Received：25 July 2022，
- 稿件说明：
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SHEN Xiaoqian, LIAN Yajun, ZHAO Yunfan, et al. Syndrome differentiation and treatment of external pathogen constraint in Case Records as a Guide to Clinical Practice. [J]. Modern Chinese Clinical Medicine 30(3):72-77(2023)
DOI：

SHEN Xiaoqian, LIAN Yajun, ZHAO Yunfan, et al. Syndrome differentiation and treatment of external pathogen constraint in Case Records as a Guide to Clinical Practice. [J]. Modern Chinese Clinical Medicine 30(3):72-77(2023) DOI： 10.3969/j.issn.2095-6606.2023.03.014.

摘要

目的

探讨叶天士辨治外邪之郁的特色。

方法

运用文献研究和数据分析法，筛选《临证指南医案》中有关外邪之郁的医案，分析其理、法、方、药，总结叶天士治疗外邪之郁的特色。

结果

《临证指南医案》中外邪之郁医案总数为458则，其中占比较高的前三位依次为暑郁27.5%，湿郁占24.5%，火郁占22.9%。风郁常用辛散法；寒郁常用辛散温通法；暑郁以暑邪为重者，常用清热法，湿郁为重者，常用分散法；湿郁常用散法；燥郁常用辛凉甘润法；火郁常用透热养阴法。

结论

叶天士在治疗外邪之郁时，总以辛散、宣通，祛除外邪为主，同时注重体质，立足本病，辨证论治。

Abstract

Objective

To explore the characteristics of Ye Tianshi’s differentiation and treatment of external pathogen constraint.

Methods

By using the method of literature research and data analysis

we screened the medical records related to the constraint of external pathogensin the

Case Records as a Guide to Clinical Practice

(

Lín Zhèng Zhǐ Nán Yī Àn

)

analyzed the principles

methods prescriptions and medicinals involved

and summarized the treatment characteristics of Ye Tianshi.

Results

The total number of cases of constraint caused by external pathogenic factors in the book was 458

with the top three most frequently seen types of pathogens being heat constraint (27.5%)

damp constraint (24.5%)

and fire constraint (22.9%).Wind constraint is usually treated with acrid medicinals with a dispersing effect

cold constraint with acrid medicinals with a dispersing effect and warming and dispersing. For heat constraint

the heat clearing method is used if heat pathogen is dominant

and the dispersing method is used for the type characterized by severe heat constraint. For damp constraint

the dispersion method is often used. Dryness constraint is often treated with acrid-cool and sweet-moistening herbs. For fire constraint

it is needed to relieve heat and nourish yin method.

Conclusion

For the treatment of the constraint of external pathogens

Ye Tianshi’s main idea of syndrome differentiation and treatment was to useacrid medicinals with a dispersing effect

to diffuse and unblock

and to dispel external pathogens

with special attention given to the constitutions.

关键词

叶天士临证指南医案外邪之郁辛散宣通

Keywords

Ye TianshiCase Records as a Guide to Clinical Practice (Lín Zhèng Zhǐ Nán Yī Àn)external pathogen constraintacrid medicinals with a dispersing effectdisperse and unblock

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⁰

Syndrome differentiation and treatment of external pathogen constraint in Case Records as a Guide to Clinical Practice

DOI：10.3969/j.issn.2095-6606.2023.03.014

摘要

Abstract

关键词

Keywords

references