叶天士《临证指南医案》中风论治特色

The Characteristic of Treatment for Apoplexy in Ye Tianshi's Works“Case Records as Guidance of Clinical Practice”

论述叶天士《临证指南医案》中治疗中风的特色。叶天士认为中风病的病机主要为阳化内风,其演变与肝关系密切,但五脏的盛衰皆可致肝失所养,肝风内动而致中风。治疗上以滋肾养肝为治疗中风之大法,并立调理五脏为治疗肝风之纲要。叶氏对中风详尽的论述,充分体现了其治疗上的整体观和辨证观,为中医药治疗中风提供了宝贵的经验。

Dr.Ye Tianshi considered that the chief pathogenesis of apoplexy is yang transforming to interior wind, its development is closely related with liver;and malfunction of five zang organs may lead to malnutrition of liver and disturbing of liver-wind in the interior,thus apoplexy ensues.The chief therapeutical principle is nourishing of kidney and liver, and regulation of five zang organs.Dr.Ye described the treatment of apoplexy in detail and established the concept regarding the human body as a whole and syndrome differentiation on the treatment.Dr.Ye's works supplied a precious experience on the treatment of apoplexy.