《临证指南医案》汗证辨治探析

Analysis of Abnormal Sweating Based on Syndrome Differentiation and Treatment inLin Zheng Zhi Nan Yi An

《临证指南医案》中关于汗证的医案论述,卷三有汗门专篇,余各卷各门中多有散见,所涉病因病机广泛,通过整理叶氏典型医案,结合汗证的阴阳虚实辨证,着重从营卫、气血、阴阳、脏腑、外感、产后等角度分类辨析叶氏汗证相关医案。总结出叶氏在汗证治疗中善用经方,辨析阴阳,强调血汗同源,重视心肾、脾胃,以及温热暑湿致汗和产后汗出等方面的辨治思路。

In Lin Zheng Zhi Nan Yi An(Case Records as a Guide to Clinical Practice),there are discussions on the clinical cases of abnormal sweating.The Volume III has a special section of sweat syndrome,which is also discussed in each volume and articles of other sections with extensive etiology and pathogenesis involved.After sorting the classic YE's clinical cases,the author analyses the YE's clinical cases related to abnormal sweating by sorts especially from the perspective of nutrient and defense,qi and blood,yin and yang,zang-fu organs,external contraction and postpartum based on the yin-yang and deficiency-excess syndrome differentiation of abnormal sweating.The author concludes YE's thoughts on syndrome differentiation and treatment,which are as follows.YE is good at treating abnormal sweating with formulas based on yin-yang syndrome differentiation,and he stresses that the blood and sweat share the same source.He also emphasizes the heart and kidney,and the spleen and stomach,and attaches great importance to sweat caused by warm heat and summerheat as well as postpartum sweat.