叶天士治疗中风学术思想探析  

Analysis of YE Tianshi’s Academic Thought of Treating Stroke

作　　者：林志康 孙西庆[2] 张风霞[2] LIN Zhikang;SUN Xiqing;ZHANG Fengxia(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250011,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学附属医院,山东济南250011

出　　处：《山东中医杂志》2023年第5期425-429,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：山东省中医药科技发展项目(编号:2019-0093);国家中医药管理局全国名老中医药专家王新陆传承工作室项目(鲁财社指〔2016〕47号);国家自然科学基金项目(编号:81573945)。

摘　　要：基于《临证指南医案》探析叶天士治疗中风学术思想,提出叶天士在理论上完全地否定中风的外风学说,并基于《黄帝内经》和金元以后诸家经验,将其病机总结为阳化内风。临床倡用补益肝肾法治疗中风,主张用至阴静药制约风火;同时重视脾胃的重要地位,善用益气补虚、消痰理气方法,同时主张柔润甘缓治木郁、重视岁气节候、应用复方合法等治疗中风,对临床极具指导意义。Analyze YE Tianshi’s academic thoughts on stroke treatment based on Medical Records for Clinical Guidance.YE Tianshi completely denied the external wind theory of stroke in theory,and summarized its pathogenesis as yang transforming into internal wind based on the experience of Huangdi’s Internal Classic and other scholars after Jin and Yuan Dynasties.YE Tianshi advocated the method of tonifying the liver and kidney in the treatment of stroke,advocated the use of yin and tranquilizing drugs to restrict wind and fire,in addition,paid attention to the important position of the spleen and stomach,and made good use of the methods of tonifying qi and deficiency,eliminating phlegm and regulating qi.At the same time,YE Tianshi advocated soft,gentle and sweet treatment of wood depression,giving attention to traditional Chinese solar terms,application of compound method to treat stroke,which was of great guiding significance for clinical practice.

关 键 词：中风 叶天士 学术思想 阳化内风 阴虚阳亢 补益肝肾 重视脾胃 

分 类 号：R255.2[医药卫生—中医内科学]