从体质角度探析叶天士虚劳辨治思路

Exploration of YE Tianshi's diagnosis and treatment of consumptive disease from the perspective of traditional Chinese medicine constitution theory

关键词:  《临证指南医案》  叶天士  虚劳  体质

Key words:  Clinical Guide Medical Records  YE Tianshi  consumptive disease  constitution

摘要:

虚劳是由多种原因引起的，以脏腑虚损、气血亏虚为主要病机的多种慢性疾病的总称。叶天士重视体质在虚劳形成、病证演变、调护原则、方药运用等方面的作用。虚性体质是导致虚劳发生的根本因素，偏颇体质类型决定了虚劳的不同病证转归。叶天士创建性地将虚劳调护区别于一般疾病诊治，并结合虚劳患者的体质特点使用血肉有情、柔剂阳药进行调补治疗。文章从体质角度切入，探析叶天士辨治虚劳病的临证思路，佐证了中医辨体论治的重要意义和临床价值，以期为虚劳病的临床诊治提供参考。

Abstract:

Consumption is a general term for a variety of chronic diseases caused by multiple factors,mainly characterized by weakened internal organs and qi-blood deficiency. YE Tianshi emphasized the role of traditional Chinese medicine constitution in the formation of consumption,the evolution of disease and syndrome,the principles of regulation and treatment,and the application of prescriptions. A deficiency constitution is the fundamental factor leading to the occurrence of consumption,and the type of biased constitution determines the outcome of different pathogenesis of consumption. YE Tianshi creatively distinguished the regulation and treatment of consumption from that of general diseases,and combined the characteristics of the consumptive patients' constitution with flesh-and-blood tonics, emollient yang herbs for tonic treatment. This paper focuses on the perspective of constitution,explores and analyzes the clinical thinking of YE's diagnosis and treatment of consumption,and provides evidence of the significance and clinical value of traditional Chinese medicine's differentiation of constitution for the diagnosis and treatment of consumption,in order to provide a reference for its clinical diagnosis and treatment.