叶天士辨治温病气味理论运用探蕴

发布时间：2018-01-04 02:12

本文关键词：叶天士辨治温病气味理论运用探蕴　出处：《中华中医药杂志》2017年07期 　论文类型：期刊论文

【摘要】：叶天士为温病学派奠基人,其论病疗疾注重气味理论,将气味理论贯穿于温病论治的理法方药与叶氏医案之中。通过研读叶氏论治温病中关于气味学说的阐述,发现其所推崇的气味理论渊源有自,承继《黄帝内经》《神农本草经》《伤寒杂病论》,并博采刘河间、张凤逵等诸家所长。再三辨析伤寒温病不同,并以气味理论阐释两者治则治法迥异。温病治疗多用寒凉,但需审察体质、慎防凝涩冰伏,并时可佐用温热药物;论述药味以甘、辛、苦、淡为主,甘味补虚助正、苦降坚阴燥湿、辛味宣通开泄、淡味渗泄治上;并详细论述甘寒(凉)、苦寒、辛寒(凉)等四气五味配伍规律,以及辛甘凉(寒)、甘酸寒、甘咸寒、苦辛凉(寒)、酸苦、咸苦等五味相合配伍规律。
[Abstract]:Ye Tianshi is the founder of febrile disease school. His theory of disease treatment focuses on smell theory, which runs through the prescription and medicine of febrile disease and Ye's medical case. By studying the exposition of smell theory in Ye's theory of treating febrile disease. It is found that the odour theory has its own origin, inheriting the "Huangdi Internal Classic", "Shennong and Herbal Classic", "the theory of typhoid fever and miscellaneous diseases", and collecting Liu Hejian, Zhang Fengkui and other family directors. The differences of typhoid febrile disease are analyzed again and again. The treatment of febrile diseases is mostly cold, but it needs to examine the physique, prevent the condensation and astringent ice, and can be supplemented with warm and hot drugs when treating febrile diseases. This paper discusses the medicinal flavor to sweet, Xin, bitter, light mainly, sweet flavor to supplement deficiency, bitter strong Yin dry and wet, Xin Wei Xuan open and release, light taste leakage on the treatment; The compatibility law of four gases and five flavors, such as cold, bitter cold, Xin cold (cool), and the combination of five kinds of flavor, such as cold, sour, saltwater, bitter, bitter and bitter, are discussed in detail.
【作者单位】：山东中医药大学;山东中医药大学中医学院;
【基金】：山东省高校中医药抗病毒协同创新中心项目(No.XTCX2014A-01) 国家自然科学基金项目(No.81173183)~~
【分类号】：R249;R254.2
【正文快照】： 叶天士为一代医学宗师,“大江南北,言医辄以桂为宗”(《清史稿·艺术》),因其对温病理论的开拓创新及其丰富颇验的临床实践,成为温病学派之巨擘。气味指为四气五味,是对于药物寒热温凉四气及酸苦甘辛咸五味的统称。叶天士“论药必首推气味”,运用气味治病之法贯穿整个医案之中

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