
1. 湖北中医药大学中医临床学院,湖北,武汉,430065
2. 广西中医药大学基础医学院,广西,南宁,530001
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张亚萍, 唐振宇, 李永亮. 论叶天士对张仲景通络法的继承与发挥[J]. 上海中医药杂志, 2017,51(9):37-39.
ZHANG Ya-ping, TANG Zhen-yu, LI Yong-liang. Ye Tianshi’s inheritance and development for Zhang Zhongjing’s therapy of dredging collaterals[J]. Shanghai Journal of Traditional Chinese Medicine, 2017,51(9):37-39.
通过对叶天士《临证指南医案》《未刻本叶氏医案》等著作的分析可知,叶氏对张仲景《伤寒杂病论》通络法有着极其深入的研究。张仲景以活血化瘀通络为主,注重虫类药物的应用,创立旋覆花汤、鳖甲煎丸、大黄虫丸等,初步奠定了通络法的理论和临床基础。叶天士从临床实际出发,运用《伤寒杂病论》的理法方药指导络病的辨证施治,将通络法发展为辛润通络、辛温通络、辛香通络、虫蚁通络和补虚通络等法,为仲景通络法的继承和发扬做出贡献。
By analyzing Ye Tianshi’s writings such as Guide to Clinical Practice with Medical Records and Ye’s Medical Cases of Unblock-printed Edition,it found that he did the profound study on Zhang Zhongjing’s therapy of dredging collaterals in Treatise on Cold Pathogenic and Miscellaneous Diseases. Zhang Zhongjing emphasized the therapy of promoting blood circulation for removing blood stasis and obstruction in collaterals,paid attention to the application of insect drugs,and created Xuanfuhua Decoction,Biejia decocted Pill and Dahuang Zhechong Pill,which preliminarily established the theoretical and clinical basis of therapy of dredging collaterals. From clinical practice,based on the principle-method-recipe-medicines in Treatise on Cold Pathogenic and Miscellaneous Diseases to guide the syndrome differentiation and treatment of collateral diseases,Ye Tianshi developed the therapy of dredging collaterals and formed the methods such as dredging collaterals with pungent natured and moistening drugs,dredging collaterals with pungent and warm natured drugs,dredging collaterals with pungent natured drugs and aromatics,dredging collaterals with insect drugs,tonifying deficiency for dredging collaterals and so on,which made great contributions to the inheritance and development of Zhang Zhongjing’s therapy of dredging collaterals.
叶天士通络法继承发挥
Ye Tianshitherapy of dredging collateralsinheritancedevelopment
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