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作 者:堵吉[1] DU Ji(Suzhou Traditional Chinese Medicine Hospital,Suzhou 215000,China)
出 处:《中国医药指南》2023年第6期112-118,共7页Guide of China Medicine
摘 要:温病大家叶天士是研究伤寒的大家,李心机曾有“寒温相承宗一脉,叶吴本是经方家”的说法。其擅长运用仲景的经方,经过化裁、变方治疗各种疾病。笔者通过研读其医案,将其治疗生殖系统疾病的经方总结,涉及月经病,包括闭止性月经病、疼痛性月经病、出血性月经病、月经先期、月经愆期、带下病、妊娠病、产后病,妇科杂病如热入血室及癥瘕,男性病,包括阴囊疾病、遗精、阳痿及男性不育症。对其医案进行研究,不但有利于对叶天士学术思想的理解,同时可以提高对经方的理解和运用水平,更能对当前生殖系统的疑难杂症的诊疗提供启迪和思路。Ye Tianshi is not only an outstanding warm pathogen diseases expert,but also an authentic master of classical prescriptions. Li Xinji once said that "Cold pathogen diseases school and warm pathogen diseases school come down in one continuous line, Ye Tianshi and Wu Jutong are both masters of classical prescriptions". He is good at using Zhongjing’s classical prescriptions to treat various diseases through modification. Through studying his medical cases, the author summarized his classical prescriptions for treating reproductive system diseases, involving menstruation diseases, including amenorrhoea, dysmenorrhea, hemorrhagic menstrual disease, premenstruation, irregular menstruation, leukorrhagia, pregnancy disease, postpartum disease, miscellaneous diseases in women such as heat invasion of blood chambe and abdominal mass, male diseases, including scrotal diseases, spermatorrhea, impotence and male sterility. The study of his medical cases is not only conducive to the understanding of Ye Tianshi’s academic thoughts, but also can improve the understanding and application level of classical prescriptions, and can provide inspirations and ideas for the current diagnosis and treatment of difficult and complicated diseases of the reproductive system.
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