| 王佳美,崔红生,弓雪峰,等.叶天士从营卫角度治疗肺系病的思路探讨[J].浙江中医药大学学报,2021,45(12):1311-1315. |
| 叶天士从营卫角度治疗肺系病的思路探讨 |
| Discussion on the Thinking of YE Tianshi in Treating Pulmonary Diseases from the Perspective of Ying-Wei |
| DOI：10.16466/j.issn1005-5509.2021.12.009 |
| 中文关键词: 营卫 肺系病 虚实 卫气营血 脾胃 叶天士 |
| 英文关键词: Ying-Wei pulmonary diseases deficiency and excess Weiqi Yingxue spleen and stomach YE Tianshi |
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| 中文摘要: |
| [目的] 探讨叶天士从营卫角度治疗肺系病的思路。[方法] 收集《叶天士医学全书》中收录的《临证指南医案》《眉寿堂方案选存》《叶氏医案存真》《未刻本叶天士医案》《叶天士晚年方案真本》等著作中涉及营卫理论的肺系病相关医案，进行分类、归纳，探讨叶氏的治疗思路。[结果] 收集到的医案涉及到咳嗽、咯血、失音、肺痿、肺痹、哮证、喘证、痰饮等疾病，从病因病机上可以分为营卫实证和营卫虚证两大类，实证主要为外感寒邪或温热类邪气所致，叶氏治以解表宣肺、清肃肺卫和清营凉血等法，体现了其卫气营血辨证思维；虚证可分为卫虚、营虚和营卫俱虚证，叶氏注重以甘药补养脾胃、化生营卫，并强调脾胃分治。[结论] 叶天士继承和发展了源自于《黄帝内经》的营卫学说，将卫气营血辨证体系和独特的脾胃思想运用于肺系病的治疗，大大拓宽了肺系病的临床治疗思路，值得深入探讨和学习。 |
| 英文摘要: |
| [Objective] To explore the thinking of YE Tianshi in treating pulmonary diseases from the perspective of Ying-Wei. [Methods] Through collecting， classifying and summarizing the medical records of pulmonary diseases related to the theory of Ying-Wei in the chapters of YE Tianshi‘s Complete Book of Medicine， YE Tianshi‘s treatment idea was discussed. [Results] The collected medical records involved cough， hemoptysis， aphasia， lung atrophy， pulmonary arthralgia， asthma， dyspnea syndrome， phlegm and other diseases， which could be divided into Ying-Wei excess syndrome and Ying-Wei deficiency syndrome from the etiology and pathogenesis. The excess syndrome was mainly caused by cold or warm evil Qi from the exterior， YE treated with relieving exterior syndrome， ventilating the lung， clearing Wei and Ying and cooling blood， which reflected his syndrome differentiation thinking of the Weiqi Yingxue. The syndrome of deficiency could be divided into Wei deficiency syndrome， Ying deficiency syndrome and both Ying and Wei deficiency syndrome. YE paid attention to nourishing the spleen and stomach with sweet herbs to cultivate Ying-Wei， emphasizing the treatment of spleen and stomach separately. [Conclusion] By inheriting and developing Ying-Wei theory originated from Inner Canon of the Yellow Emperor， YE Tianshi applied syndrome differentiation system of Weiqi Yingxue and unique thoughts of spleen and stomach to the treatment of pulmonary diseases， which greatly broadened the clinical treating ideas of pulmonary diseases and was worth further discussion and study. |
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