叶天士“久病入络”学术思想及络治法探析  

Analysis of Ye Tianshi's Academic Thought of"Chronic Diseases Transforming to Collaterals"and the Method of Treating Collaterals

作　　者：崔冰慧 郑旭锐[1] CUI Binghui;ZHENG Xurui(Shaanxi University of Chinese Medicine,Xianyang Shaanxi China 712046)

机构地区：[1]陕西中医药大学,陕西咸阳712046

出　　处：《中医学报》2020年第1期59-62,共4页Acta Chinese Medicine

摘　　要：络脉遍及全身,纵横交错,沟通表里两经、脏腑官窍、四肢百骸。邪气侵袭人体,首先侵及络脉,并通过络脉传入经脉、脏腑等。叶天士在总结前人经验的基础上,提出"久病入络"的观点,认为凡痛证,初起在气者,伤经,当以治气、理气为主;久病在血者,伤络,当以治血、活血为先。叶天士的络治法不同于一般的理气逐血之法,而是在"络以通为用"的原则下,归纳出多种通络方法,如辛温通络法、搜邪通络法、活血化瘀通络法、降气通络法、补虚通络法等,使血无凝滞、气血宣通而病自愈。The collaterals cover the whole body,criss-crossing,communicating the two meridians,the internal organs,and the limbs.When the pathogenic qi invades the human body,it first invades the collaterals and passes through the collaterals to the me-ridians,viscera and so on.On the basis of summing up the experience of predecessors,Ye Tianshi put forward the viewpoint of"chronic diseases transforming to collaterals".In his opinion,when the pain syndrome starts from the qifen and hurts the meridians,it should focus on the treatment of qi and regulating qi;when the pain syndrome is in the xuefen for a long time,it should focus on the treatment of blood and activating blood.Ye Tianshi's treatment of collaterals is different from the general Liqi Zhuxue method,but under the principle of"collaterals for communication",he summed up a variety of methods of collaterals,such as Xinwen Tongluo method,Souxie Tongluo method,Huoxue Huayu Tongluo method,Jiangqi Tongluo method,Buxu Tongluo method,etc.so as to make the blood free from stagnation,promote the circulation of qi and blood and self-healing.

关 键 词：叶天士 “久病入络” 络治法 “络以通为用”辛温通络法 搜邪通络法 活血化瘀通络法 降气通络法 补虚通络法 理气逐血法 

分 类 号：R224.1[医药卫生—中医基础理论]