摘要
叶天士善用辛香流气法治疗淋浊、瘕聚、疝气等多种病症,为更加明晰其理论基础及方药用意,故对辛香流气法源流进行梳理,同时结合叶氏医案论述得出:虽然络主血,但亦有气分治法,辛香流气法是治疗络脉气分实证的主要治法。络脉病机由气痹到瘀血燥结的转化,对应了辛香流气法向辛润通络、虫蚁搜络法的转变。辛香流气法理论基础源于张子和从肝论治七疝,叶天士在吸收前人用药经验基础上结合《黄帝内经》任脉理论,进一步将本法拓展,广泛用于治疗奇络实证、胁痛等多类内伤病情,完善了络病的基本治法,对治疗当今很多疾病仍有借鉴意义。
YE Tianshi made good use of Xin Xiang Liu Qi in the treatment of turbid,mass accumulation,hernia and other diseases,in order to clarify its theoretical basis and prescription intention,combined with YE’s medical case,it is concluded that although the collaterals are the main blood,there is also the method of qi fen.The transformation of the pathogenesis of collateral disease from qi arthralgia to blood stasis and dryness corresponds to the transformation from Xin Xiang Liu Qi method to Xin Run Tong Luo method and insect ant search method.Xin Xiang Liu Qi originates from ZHANG Zihe’s theory of treating seven hernia from liver.On the basis of absorbing the previous experience of drug use,YE Tianshi combined with the theory of Huangdi Neijing to further expand this method,which was widely used in the treatment of Qiluo empirical,hypocritical pain and other kinds of internal injury,and improved the basic treatment of collateral disease,which still has reference significance for the treatment of many diseases.
作者
王钊
付广威
郭静怡
李富震
WANG Zhao;FU Guangwei;GUO Jingyi;LI Fuzhen(Heilongjiang University of Chinese Medicine,Harbin 150040,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2024年第1期464-466,共3页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
中央支持地方高校改革发展资金人才培养项目(No.2021ZYYQSK001)
国家中医药考试2021年度科研课题(No.TB2021004)
黑龙江省中医药科研项目(No.ZHY2020-80)
黑龙江中医药大学优秀青年骨干教师支持计划(No.15041190036)。
关键词
辛香流气法
叶天士
疝
癥瘕积聚
络病理论
Xin Xiang Liu Qi
YE Tianshi
Hernia
Zhengjia accumulation
Collateral disease theory
