叶天士论治淋浊特色探析  

Exploration and Analysis of Ye Tianshi’s Characteristics in Treating Stranguria with Turbid Discharge Disease

作　　者：张力文 张静宇 曹畅 年莉[1] Zhang Liwen;Zhang Jingyu;Cao Chang;Nian Li(Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)

机构地区：[1]天津中医药大学,天津301617 [2]天津市南开医院,天津300100

出　　处：《中国中医急症》2021年第11期2031-2032,2040,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划“973计划”(2012-CB-518400);天津市自然科学基金(18JCQNJC70000)。

摘　　要：通过对《临证指南医案》中淋浊相关医案分析,总结清代名医叶天士辨治淋浊经验。对于淋浊病因病机,叶天士提出了奇脉病论及败精浊瘀阻窍成病之说。治疗淋浊则首辨虚实,通补并重,可归纳为分利湿热法、清利火腑法、利气疏导法、滑利通阳法、益阴和阳法、补养下元法,并首论从奇经论治,开升固八脉之气法,同时提出诸法具体方药运用经验,使后世治疗淋浊疾病可师可法。Through the analysis of the medical records related to leucorrhea in the Lizheng Zhinan Yi’an,the Qing Dynasty famous doctor Ye Tianshi’s experience in treating stranguria with turbid discharge disease was summarized.Regarding the etiology and pathogenesis of gonorrhoea,Ye Tianshi proposed the theory of odd pulse disease and the theory of the disease caused by the disease caused by the blood stasis and stasis.In the treatment of drenching turbidity,it was the first to distinguish between deficiency and excess,and equal emphasis on tonifying and tonic,which could be summarized as the method of removing dampness and heat,clearing the fire and entanglement method,promoting the qi and dredging method,smoothing the yang method,replenishing yin and yang method,and nourishing the lower yuan method.Based on the treatment of the singular classics,the qi method of ascending and strengthening the eight meridians was introduced,and the specific experience of the use of various methods was put forward,so that the later generations can treat leucorrhea diseases.

关 键 词：淋浊 《临证指南医案》 叶天士 辨治经验 

分 类 号：R256.52[医药卫生—中医内科学] R249.8[医药卫生—中医学]