叶天士湿秽致病说及治法用方浅谈

On Ye Tianshi′s Theory of Pathogenic Dampness Disease and Its Treatment and Prescriptions

叶天士认为湿秽之邪自口鼻而入,先入膜原,继而弥漫三焦,又可夹杂暑邪、疫毒、热邪共同致病,导致营卫不主循环,升降清浊失司。治疗湿秽所致疾病,叶天士以芳香辟秽、分消走泄为大法,在宣上、畅中、渗下的基础上随证治之。湿秽犯及中焦者,芳香辟秽,辛苦泄降;湿秽上犯肺中者,辛苦宣降,淡泄气分;湿秽逆传心包者,凉血解毒,开窍辟秽;湿秽疫毒上犯清窍者,辛凉微苦,解毒驱秽;湿秽弥漫三焦者,分消上下之势。同时,叶天士创甘露消毒丹,三焦同治,芳香辟秽,清热解毒,辛苦泄降,淡泄气分,为湿温时疫之主方。

Ye Tianshi thought that pathogenic dampness invades the human body from the mouth and nose,enters Moyuan first,and then diffuses in Sanjiao.It can also be mixed with summer-heat pathogen,epidemic pathogen and heat pathogen,which causes Yingfen and Weifen not governing the functiong circulation,and loses the function of ascending and descending.In the treatment of diseases caused by pathogenic dampness disease,Ye Tianshi took dispelling pathogen by fragrant medicine and separating dispersion and discharging as the principles.He treated the disease according to syndrome differentiation on the basis of Xuanshang,Changzhong and Shenxia.For the patients with pathogenic dampness in Zhongjiao,the treatment of dispelling pathogen by fragrant medicine,purgation and descending pathogen by pungent and bitter medicine can be used;for the patients with pathogenic dampness in lungs,the treatment of Xuanjiang by pungent and bitter medicine,purgating Qifen pathogen medicine can be used;for the patients with pathogenic dampness in Xinbao,the method of cooling blood and detoxification,resuscitation and diaphoresis can be used;for the patients with pathogenic dampness in orifices,pungent cool and bitter medicine can be used to detoxification and expel pathogen;for the patients with pathogenic dampness in Sanjiao,the method of separating and discharging the pathogen in Shangjiao and Xiajiao.At the same time,Ye Tianshi created Ganlu Xiaodu Dan to treat Sanjiao,dispel pathogen by fragrant medicine,clear away heat and detoxification,purgate and descend pathogen by pungent and bitter medicine,purgate Qifen pathogen,which are the main prescriptions of epidemic of damp and warm weather.