基于症状鉴别诊断学探析叶天士治疗胁痛的经验

Analysis on the Experience of Ye Tianshi in the Treatment of Hypochondriac Pain Based on the Differential Diagnosis of Symptoms

运用中医症状鉴别诊断方法对《临证指南医案·胁痛》的病案进行总结,发现叶氏对胁痛的本症描述有胁胀夜甚、响动则降、左胁闪闪、胁下坚满、食入则安、重按得热少缓、进食痛加、晡暮病剧;常见伴症有咳血、呕吐清涎、周身寒凛、暮夜五心热、嗌干、易饥呕涎、心嘈如饥。通过分析其各自的症状特点、病因、病位、病机和相应的选方用药,以总结叶氏治疗胁痛的经验。