摘要
文章总结了叶天士以《黄帝内经》理论为基础,确立了脾瘅的病因病机为中虚伏热,概括了脾瘅的临床证候变化,认为脾瘅的肇基主要是脾虚,虽然在脾瘅的发生发展过程中会变生他证,但是脾虚是一直存在的,治疗上尊仲景之法,以补虚泻实,辛开苦降为基础,辨治脾瘅,充实了脾瘅的临床诊疗体系,在治疗脾瘅的过程中逆向思维,创甘肥温脾(胃)之法,充分体现了叶天士范于古而不囿于古的临床思维。
Based on the theory of Yellow Emperor(Huangdi Neijing),Ye Tianshi established the etiology and pathology of Pi-dan as Spleen deficiency and heat,summarized the clinical syndromes changes of Pi-dan.Ye Tianshi believes that the fundamental cause of Pi-dan is mainly spleen deficiency.Although other syndromes may arise during the occurrence and development of Pi-dan,spleen deficiency has always existed.Ye Tianshi respected Zhongjing's method in treatment,basing on Buxu-Xieshi and Xinkai-Kujiang method,and treated Pi-dan according to syndrome differentiation,which enriched the clinical diagnosis and treatment system of Pi-dan.Ye Tianshi adopted the reverse thinking and created the method of Ganfei-Wenpi in the treatment of Pi-dan,which fully reflected the clinical thinking of Ye Tianshi,who was not confined to the inherent knowledge,but mastered their meanings.
作者
赵加
张玉璞
刘瑞云
王倩
苑浩彬
唐迎超
ZHAO Jia;ZHANG Yupu;LIU Ruiyun;WANG Qian;YUAN Haobin;TANG Yingchao(Baoding No.1 Hospital of TCM,Baoding 071000,China)
出处
《中国民族民间医药》
2023年第9期16-19,共4页
Chinese Journal of Ethnomedicine and Ethnopharmacy
基金
河北省名中医传承工作室建设项目
保定市科技计划项目(2141ZF102)。
关键词
脾瘅
叶天士
临证指南医案
中虚伏热
辛开苦降法
Pidan
YE Tianshi
Guide to Clinical Practice with Medical Records
Moderate Deficiency latent Heat
Xin Kai Kujiang Method
