叶天士“透法”对张仲景“汗法”的继承与发展  

Inheritance and development of YE Tianshi’s‘Tou method’of ZHANG Zhongjing’s‘Han method’

作　　者：郑雨晓 李长香 任梓林 师玉玉 康向东 程发峰 王庆国 王雪茜 ZHENG Yuxiao;LI Changxiang;REN Zilin;SHI Yuyu;KANG Xiangdong;CHENG Fafeng;WANG Qingguo;WANG Xueqian(School of Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学中医学院,北京100029

出　　处：《中华中医药杂志》2024年第11期5754-5757,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：燕京刘氏伤寒流派传承工作室(No.1190062620029)。

摘　　要：“汗法”理论起源于《黄帝内经》,张仲景通过理法方药的实质运用将汗法从理论转为实践,并全面论述汗法的适用范围,使用原则法度以及药后将息调护,揭示汗法之本质不惟发汗,无分表里寒热之别,而在于宣通透畅,驱邪外出。后世温病大家叶天士对张仲景心法深有感悟,在卫气营血角度创立“透法”以驱邪,推动了张仲景汗法学说的发展,也将温病与伤寒紧密相连,不再割裂。文章以此为机,在汗法的机理原则、法度调护以及在伤寒温病中的应用浅谈叶天士对仲景汗法学说的继承与发展。The theory of‘Han method’originated in Huangdi Neijing.ZHANG Zhongjing transformed the Han method from theory to practice through the substantive application of rational prescription medicine and comprehensively discussed the scope of application of Han method,the principles of use,and post-drug care.He revealed that the essence of the Han method was not only sweating,but in spreading the skin openly,driving away pathogenic qi,and there was no difference between cold and heat on the surface or inside.In the later life,YE Tianshi,who was the founder of the epidemic febrile disease school,had a deep understanding of ZHANG Zhongjing’s spiritual method.He created the Tou method from the perspective of Wei-qi-Ying-blood to ward off pathogenic qi,promoted the development of Han method theory from ZHANG Zhongjing,and also closely linked febrile disease and cold damage,no longer separated.Taking this paper as the starting point,this paper discusses the inheritance and development of YE Tianshi’s theory of ZHANG Zhongjing’s Han method in the mechanism principle,the degree of regulation and the application of febrile disease and cold damage.

关 键 词：伤寒 温病 张仲景 叶天士 汗法 透法 

分 类 号：R249[医药卫生—中医临床基础]