明代医家薛己辨证论治口疮经验探析

Analysis of the Ming Dynasty doctor Xueji′s Experience in Treating Aphthous Ulcers Based on Pattern Differentiation

明代医家薛己认为口疮发病是“上焦实热,中焦虚寒,下焦阴火,各经传变所致”,立论虽重视温补脾肾,仍不离辨证施治之则。或先清后补,或先和后补,或先补气血后补肾,分病程,遣药组方,注重情志内因和善后调养,充分体现中医治疗的灵活多变。通过对薛己经验探析,结合临床应用体会,以期对同道有所启发。

Xue Yi,a doctor in the Ming Dynasty,believed that the pathogenesis of oral ulcers was attributed to excessive heat in the upper energizer,deficiency and cold in the middle energizer,yin and fire in the lower energizer,and transmission and changes in meridians.Although the treatment highlighted warming and tonifying spleen and kidney,it wasstill in accordance with the principle of treatment based on syndrome differentiation.Regardless of clearing before tonifying,harmonizing before tonifying,or supplementingqi and blood before tonifying the kidney,this disease was treated in courses with prescriptions,which focused oninternal emotional factors and rehabilitation,fully reflecting the flexibility of traditional Chinese medicinetreatment.The present study analyzed the experience of Xue Yi based on clinical practice,which is expected to inspire peers.