论叶天士“法宜益胃”与“战汗”的关系

Study on the Relationship between Ye Tianshi's Theory of "Benefit the Stomach" and "Release the Evil by Sweating"

清代温热大师叶天士在《温热论》中提到"若其邪始终在气分流连者,可冀其战汗透邪,法宜益胃"。笔者从温病战汗机理入手探究,认为叶氏"益胃"之法应包含清热养阴以破僵局,甘寒生津以备汗源,宣畅气机以通汗门3个方面的考虑,并且这3个方面并不是孤立的,而是清热、生津、宣畅气机三法的结合,从而营造战汗条件,最终达到透邪外出的目的。

Ye Tianshi, a master of ＂Warm Theory＂ in Qing Dynasty, pointed out that, ＂If the evil has always been in the gas shunt, the solution is to release the evil by sweating so as to benefit the stomach＂. This paper claims that Ye＇s solution of benefiting stomach includes three aspects： Clearing heat and nourishing yin; promoting the secretion of saliva; sweating. These three aspects are not isolated but are complementary to each other. The combination of them can create favorable conditions for sweating and finally achieve the aim of releasing the evil.