叶天士《临证指南医案》辨治胸痹特色

Analysis of the Characteristic of YE Tianshi's “Clinic Guidline of Medical Records” in Treating Thoracic Obstruction According to Different Symptoms

胸痹是以胸膺满闷不舒、疼痛,甚则左胸疼痛如绞,彻背引臂为主症的一种疾病。叶天士系新安流派的代表性医家,而《临证指南医案》一书反映了叶天士主要学术特色。通过《临证指南医案》中论述胸痹的医案进行分析,明确了叶天士治疗胸痹基本思路,以通为要旨。阴寒凝结证遵从仲景法,辛温通阳;痰浊闭阻证擅用苦辛通降法,疏理气机;瘀阻脉络证创"久病入络"说,长于活血通络法,且善用虫药搜络剔邪。

Chest impediment is chest full of boredom, and even left chest pain , such as twist, thoroughly back armbased main symptoms of a disease.YE Tianshi is representative of the Xin＇ an school of physicians, and ＂Clinic Guidline of Medical Records＂ , a book reflects the main academic characteristics of YE Tianshi. Through the ＂Clinic Guidline of Medical Records＂ in the discussion of chest impediment of the medical case analysis, clearly YE Tianshi＇ s basic treatment ideas of thoracic obstruction, which the gist is unblock.Cold inducing stagnation Syndrome comply with Zhongjing method, activating yang with warmth and acridity, Phlegm obstruction permit unauthorized Syndrome use of dispersing stagnation and purging heat with bitter and pungent medicinal method, to dispersing Qi dynamic, Blood sta- sis obstructing the collaterals Syndrome innovate ＂chronic illness into the collateral vessel＂ said, being good at activat- ing blood and collaterals method, and make good use of worm to search for evil.