摘要
肺主一身之气,禀清肃之体。若浊邪凝滞,肺气痹阻,扰及周身,可见咳喘、憋闷、呃逆、呕恶、痞胀、二便不通等多脏腑病症。叶天士独创开宣肺痹法,其常法有三,清内伤外感之邪以畅肺气、清肺卫、通肺络;其变法有三,清上焦肺痹以和中焦胃气、通大肠腑气、行膀胱水气。叶天士开宣肺痹法用药特点鲜明,苦辛轻剂合化以复肺气宣肃,取药材表皮、嫩心与药汁以使轻清气药上浮于肺,取柔润通行之品护娇脏之体。叶天士处方用药灵活多变,临证可宗其开宣肺痹法随证发挥。
The lungs govern the body's qi and possess a depurative descending nature.If turbid pathogenic factors accumulate in them and obstruct the lung qi,lung bi develops and affects the whole body,leading to symptoms such as coughing,wheezing,chest tightness,belching,nausea,distention,difficult urination and constipation.Ye Tianshi,a famous physician in the Qing Dynasty,creates the methods of opening and ventilating lung bi,with the regular methods including clearing internal damages and external pathogenic factors to smooth lung qi,clearing lung-defense phase,and opening lung collaterals,while its three modified treatment methods involving clearing the upper energizer lung bi to harmonize the middle energizer stomach qi,promoting the large intestine qi circulation,and facilitating the bladderfluid circulation.In addition,his methods of opening and ventilating lung bi show distinctive medication characteristics.Firstly,the combination of bitter and pungent herbs in mild doses is used to restore lung qi and promote its dispersion and descent.Secondly,herb peels,tender cores and herbal juice are used to allow light depurative herbs tofloat up to the lungs.Thirdly,gentle and moistening herbs are selected to protect delicate zang-organs.Ye Tianshi's prescription and medication approaches areflexible and variable,allowing for individualized applications based on his methods and the specific symptoms in clinical practice.
作者
张莉唯
付守强
朱晓云
刘喜明
ZHANG Liwei;FU Shouqiang;ZHU Xiaoyun;LIU Ximing(Beijing University of Chinese Medicine,Beijing 100029,China;Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)
出处
《吉林中医药》
2024年第1期18-21,共4页
Jilin Journal of Chinese Medicine
基金
北京市科技计划项目(D08050703020803)。
关键词
叶桂
《临证指南医案》
肺气郁痹
Ye Gui
Guide to Clinical Practice with Medical Records
dysfunction of lung qi
