叶天士《临证指南医案》咳嗽医案分析

Study on Cases of Cough from Dr.YE Tian-shi's Lin Zheng Zhi Nan Yi An

从叶天士《临证指南医案》书中摘选4例咳嗽医寨,对叶氏的诊疗过程和用药特点进行分析,得出叶氏辨证论治的治病思路和诊治特点有:一是既擅用古方,又擅创新方;二是精研温病,为温病学派的奠基人,叶氏卫气营血理论至今仍是临床辨治外感温热病最常用的方法;三是倡养胃阴,叶天士重视调护脾胃,补充了李东垣《脾胃论》中详脾而略胃的不足,提出倡养胃阴这一创新性的学术观点。

Four cases of cough, from Lin Zheng zlu Nan Yi An by Dr.YE Tian-shi, were analyzed on Dr YE＇s procedures and medication in the treatment. On diagnosis and therapies of his differential treatments, his ideas and characteristics were as follows： Firstly, both ancient prescriptions and innovative ones were applied; Secondly, Dr.YE was the founder on the school of febrile disease, focusing on seasonal febrile disease. Till now, his theories on defensive Qi and nutrient Blood have been the commonest method to treat febrile diseases in the view of clinical syndrome differentiation. Thirdly, Dr YE put much emphasis on spleen and stomach by nourishing stomach Yin. This opinion became the innovated point, which supplementing Dr LI Dong-yuan＇s uncompleted ideas on stomach in LI＇s Pi Wei Lun.