从《临证指南医案》探析叶天士体质论治特色

Characteristics and enlightenment of Ye Tianshi’s constitutional treatment from Case Records as a Guide to Clinical Practice

清代著名医家叶天士不仅于温病的诊治造诣精深,而且对于体质的认识与阐发契合临床实际。《临证指南医案》重视从体型色脉等察知体质,倡导疾病论治宜先论体质,明确体质辨析以阴阳为纲要,基于影响体质的因素多端,认为诊治考量体质关乎遣药组方,有不同食养宜忌,护持体质之义须详察,其论所涵盖的体质论治思想,颇具特色,对于当今临床实践仍具有启迪意义。

Ye Tianshi, a famous doctor in the Qing Dynasty, had not only profound attainments in the clinical diagnosis and treatment of warm diseases, but also distinctive understanding and insights into constitution. Case Records as a Guide to Clinical Practice advocated that constitution differentiation should be prior to disease treatment and disease differentiation should observe the yin-yang principle. Given that various factors may affect the constitution, the evaluation and treatment of the constitution is related to the formation of prescriptions and medication. In addition, dietary indication and contraindiations should also take consitution into considertaion. The ideas concerning consititution are unique and are still enlightening to the current clinical practice.