摘要
吴门医派完善了络病理论。叶天士是清代吴门医派代表人物,他确立了络病的病机特点,即“久病入络、久痛入络”。络病的病因包括络脉虚损、六淫外袭、内伤七情、痰瘀阻络、病久入络、跌扑金刃伤络,等等。络病具有易滞易瘀、易入难出、易积成形的病机特点。络病属于广义血瘀证、久病血瘀的范畴,其核心观点有:“初病气结在经,久病血伤入络”“久病入络”“久痛伤络”。基于吴门医派对络病络脉阻滞的病机特点,提出络病以通为用,通络治疗和一般意义的活血化瘀、攻积除坚不同,临床治疗络病具体分虚实论治。病证属虚者治以补虚通络为大法,具体有益气养络、养血荣络、滋阴润络、温阳煦络;病证属实者治以辛温通络、辛香通络、化痰通络、活血通络、虫蚁搜络、泄浊通络等。
The Wu school of medicine perfects the theory of collateral diseases.Ye Tianshi,a representative figure of this school in the Qing Dynasty,works out the pathogenesis characteristics of collateral diseases--"lingering illness entering collaterals and prolonged pains entering collaterals".The etiology of collateral diseases involves deficiency of collaterals,external assault by the six climatic exopathogens,internal injury of the seven emotions,obstruction of collaterals by phlegm and blood stasis,long-standing illness entering collaterals,and injury of collaterals by falls or sharp blades,etc.,and its pathogenesis is characterized by collaterals being vulnerable to stagnation and blood stasis,easily invaded by pathogens yet difficultly cured by expelling them out,and pathogens being easily accumulated in collaterals and evolving into diseases.Collateral diseases,in a broad sense,belong to the categories of syndrome of blood stasis,lingering diseases leading to blood stasis,etc.,on which core viewpoints are presented as:"At the onset of an illness,qi knots in meridians,and as a disease stays for a long time,blood stasis enters collaterals","lingering illness entering collaterals",and"prolonged pains impairing collaterals".Based on the pathogenesis characteristics of blockades in collaterals and meridians,the Wu school proposes that collateral diseases should be treated by dredging the collaterals,which is specifically different from the general meaning of promoting blood circulation for removing blood stasis,eradicating accumulations and resolving masses.And in clinic,collateral diseases should be treated on the basis of differentiation of whether being a deficiency case or an excess case.For those with a syndrome of deficiency,the principal method is to replenish deficiency and dredge collaterals,such as benefiting qi and nourishing collaterals,nourishing blood and reviving collaterals,nourishing yin and moistening collaterals,and warming yang and warming collaterals;while for those with a syndrome of excess,metho
作者
任燕
孙伟
段星星
金伟民
蒋春波
董宏利
周丽霞
REN Yan;SUN Wei;DUAN Xingxing;JIN Weimin;JIANG Chunbo;DONG Hongli;ZHOU Lixia(Suzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Suzhou 215000,China;Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing210029,China)
出处
《长春中医药大学学报》
2022年第12期1307-1310,共4页
Journal of Changchun University of Chinese Medicine
基金
苏州市科技发展计划项目(SYSD2019156)
2020年苏州市卫生青年骨干人才“全国导师制”培训项目
江苏省老年医学学会2019年度老年医学科技发展基金(医养结合)专项项目(JGS2019ZXYY019)。
关键词
吴文化
吴门医派
络病
Wu culture
Wu school of medicine
collateral disease
