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叶天士论治湿邪经验拾萃

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目的:探讨叶天士辨治湿邪的学术特色,以期能有效指导临床。方法:本文通过研读《临证指南医案》湿病篇,并结合《临证指南医案》其它篇章中叶天士对湿邪的相关论述,进行归纳整理。结果:叶氏认为湿之来源分为外受和内生,并认为湿邪致病范围广泛,具有弥漫性、多变性、粘腻性、易伤阳气、阻滞气机等特点。在辨治上注重病所、着眼三焦、详查病情、顾护阳气、三因制宜;在遣方用药上重视药物味性,活用古方。结论:叶天士继承前贤,博采众长,独具创新,形成独具叶氏特色湿邪诊治思路,其见解独到,辨证精准,用药灵活,对临床辨治和治疗湿邪具有指导意义。
Ye Tianshi's experience in treating dampness evil
[Objective]To explore the academic characteristics of Ye Tianshi in distinguishing and treating dampness evil,in order to guide clinical practice effectively.[Methods]In this paper,through studying the wet disease chapter of Lin Zheng Zhi Nan Yi An,and combining the relevant discussion of Ye Tianshi on dampness evil in other chapters of Lin Zheng Zhi Nan Yi An,the author summarized and sorted out.[Results]Ye thinks that the source of dampness is divided into external and internal,and thinks that dampness pathogenic range is wide,with diffuse,variable,sticky,easy to injure Yang,block qi and other character-istics,in the differentiation and treatment pay attention to the disease,focus on the sanjiao,detailed investigation of the disease,care for Yang,three causes of measures,pay attention to the drug taste,use the ancient prescription.[Conclusion]Ye Tianshi inherited the previous sages,learned from others,and made unique innovations to form a unique Ye's characteristic diagnosis and treatment of dampness.His unique insights,dialectical accuracy,and flexible drug use have guiding significance for clinical dif-ferentiation and treatment of dampness.

Lin Zheng Zhi Nan Yi AnYe Tianshidampness evil

丁鹤影、方向明、程悦、叶卫东、袁亚美

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安徽中医药大学,安徽合肥 230012

《临证指南医案》 叶天士 湿邪

安徽省教育厅科学研究重点项目安徽中医药大学自然科学研究重点项目

2022AH0504462021zrzd18

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(5)
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