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《临证指南医案》"通阳蠲饮法"辨治痰饮思路探析

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探究叶天士"通阳蠲饮法"治疗痰饮的方药规律.叶天士认为痰饮病机属阳衰阴盛,饮邪上逆是痰饮病的典型特征.而治则方面,法遵仲景"温药和之"又多有发挥,认为温不是方法,而是目的,拓展温的概念为温阳、通阳、温养.治法方面,细化"通阳蠲饮法"为轻苦微辛开宣太阳、苦降辛通理运中阳、辛热淡渗温固肾阳.阐释叶天士治痰求本、重视宣畅气机、辨证四诊合参、详于三因制宜的个人特色.文章通过总结《临证指南医案》痰饮类案,管窥叶天士"通阳蠲饮法"治疗痰饮的方药规律,不揣谫陋,以飨诸君.
Analysis of the idea of "TongJuan drinking Method"
To explore the prescription rules of Ye Tianshi's"Tongyang Juanyin method"in the treatment of phlegm and drink.Ye Tianshi believed that the pathogenesis of phlegm and dampness is the decline of Yang and the excess of Yin,and the in-version of Yin and dampness is the typical feature of phlegm and dampness.In the aspect of therapeutic principles,the law com-pliance of Zhongjing,"warming medicine and its combination",was also developed.It was believed that warming was not a meth-od,but a goal,and the concept of warming was expanded to warm Yang,promote Yang and warm nourishing.In terms of treat-ment methods,the"Tongyang Juan-yin method"is refined to lighten the bitterness and slight xin to open the sun,reduce the bit-terness and reduce the xin to promote the circulation and Yang,and lighten the heat and weaken the permeability and warm the kidney Yang.This paper expounded that Ye Tianshi sought the root cause of treating phlegm,paid attention to the promotion of qi,combined the four diagnostic methods of syndrome differentiation,and detailed the personal characteristics of the three factors in treatment.By summarizing the cases of phlegm and drink in the Medical Records of Clinical Guide,this paper reviews the pre-scription rules of Ye Tianshi's"Tongyang and Juan-yin method"in treating phlegm and drink,which is suggested for you.

Ye TianshiPhlegm DrinkTongyang Juan-yin methodClinical Evidence Guide Medical Case

陈政伟、王茜、王俊涛、尹怡、王祥麒

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河南中医药大学,河南郑州 450046

河南中医药大学第三附属医院肿瘤科,河南郑州 450003

叶天士 痰饮 通阳蠲饮法 《临证指南医案》

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(1)
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