1.北京中医药大学第二临床医学院 北京 100078
2.北京中医药大学
3.黄山市人民医院中医科
4.首都医科大学附属北京世纪坛医院
叶冠成,男,在读硕士生
#赵歆,博士,副教授、硕士生导师,E-mail:zhaoyyyx@sohu.com
纸质出版日期:2022-01-30,
收稿日期:2021-02-08,
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叶冠成, 张泽涵, 杨志然, 等. 基于虚劳探究叶天士对经方的继承与创新*[J]. 现代中医临床, 2022,29(1):34-38.
Guancheng YE, Zehan ZHANG, Zhiran YANG, et al. Exploration of Ye Tianshi’s inheritance and innovation of classic formulas based on consumptive diseases*[J]. Modern Chinese Clinical Medicine, 2022,29(1):34-38.
叶冠成, 张泽涵, 杨志然, 等. 基于虚劳探究叶天士对经方的继承与创新*[J]. 现代中医临床, 2022,29(1):34-38. DOI: 10.3969/j.issn.2095-6606.2022.01.008.
Guancheng YE, Zehan ZHANG, Zhiran YANG, et al. Exploration of Ye Tianshi’s inheritance and innovation of classic formulas based on consumptive diseases*[J]. Modern Chinese Clinical Medicine, 2022,29(1):34-38. DOI: 10.3969/j.issn.2095-6606.2022.01.008.
虚劳是一种由外感、内伤、七情过度所诱发,以脏腑亏损、气血阴阳俱损为基本病机的慢性虚损性疾病,也可作为症状出现在诸多疾病中。叶天士对于各类杂病治疗造诣颇深,尤善治虚劳。《临证指南医案》是叶氏学术思想的集中体现,其中虚劳医案较多,也独具特色。通过阅读《临证指南医案》医案,探讨叶氏经方特色。叶氏论治虚劳的理论特色包括:建中培元,调和营卫;胃有阴阳,分证论治;脾肾双补,中下兼顾。叶氏经方应用特色包括:善用食疗,胃喜为补;血肉有情,补肾填精;用药清灵,柔阳滋液;甘寒濡润,保阴养正;共调气机,升降相因;久病入络,化瘀散结。
Deficiency in traditional Chinese medicine refers to a series of chronic debilitating diseases induced by exogenous pathogenic factors
internal injuries
and excessive seven emotions. The basic pathogenesis is loss of viscera and qi
blood
yin and yang. It can also appear as a symptom in many diseases. Ye Tianshi had deep insights in the treatment of various miscellaneous diseases
especially in treating consumptive diseases.
The Clinical Guide to Medical Records
is a concentrated expression of Ye’s academic thoughts. Among them
there have been many medical records about insufficiency
with distinctive features. We explored the characteristics of Ye’s classic prescriptions by reading the medical records of
The Clinical Guide to Medical Records
. The theoretical characteristics of Ye’s theory on the treatment of asthenia included fortifying the middle and promoting the
yuan
regulating and harmonizing
yin
and
wei;
The stomach(disease) has both yin and yang
thus its treatment should be based on the pattern identification; The spleen and the kidney should be both tonified with an eye to the middle and the lower energizers. The application features of Ye’s classic formulas included good use of dietary therapy; nourishing the kidney and essence; medication for clearing spirits
emolliating yang and nourishing liquid; protecting yin and nourishing healthy qi; co-regulating qi movements; removing blood stasis and dispelling congestion
as chronic illnesses may affect the collaterals.
虚劳叶天士《临证指南医案》临证特色
consumptive diseaseYe TianshiClinical Guide to Medical Casesclinical features
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