叶天士诊治大全：叶天士医案研究

叶氏治疗疟疾的另一特点，是重视脾胃。阳明热盛，用白虎汤或竹叶石膏汤；脾胃湿热，用三仁汤或半夏泻心汤、三石汤；脾胃阳虚，用大半夏汤、露姜饮。对露姜饮尤多体会，他在《眉寿堂方案选存》说：“露姜饮止疟，是益中气以驱邪，虚人治法皆然”，在《临证指南医案》说：“温脾胃及露姜治中宫营虚”，“三疟，脾发，用露姜法，寒止热盛，加入乌梅五分，取其酸味以和阴，谓其疟久，阴亦伤耳”。此外，对太阴寒湿也相当重视，他在《临证指南》中说：“太阴脾疟，必有寒湿凝阻”，“湿邪中于太阴脾络，湿郁气滞，喜热饮暂通其郁”，“阴冱痰浊阻寒于中，致上下气机不相继续，症势险笃，舍通阳一法，无方可拟”，“太阴脾疟，当辛温以理中焦之阳”，他常用草果、桂枝、厚朴、半夏、常山、生姜、附子、茯苓之属。如果兼有内热者，常用知母配草果，但是胃阳虚馁则不宜用知母，他在《眉寿堂方案选存》中说：“考三阴而投温补扶正，正谓托邪，知母入咽即呃，阳明之阳几渐。”
　　叶氏治疗暑湿、湿热，除了苦辛泄降（如半夏泻心汤、三仁汤）之外，还擅用酸苦泄热法。他在《临证指南》中说：“诊脉两手俱数，舌色灰白边赤，汗泄不解，拟用酸苦泄其在里热邪，务以疟止”；在《眉寿堂方案选存》中说：“体虚夹邪，先清邪以安胃，议以酸苦泄热驱暑，暑汗无止涩之例……乃里症治法。”常用乌梅、黄连为主，可酌加黄芩、草果、知母、枳实、白芍等。其实此法是肝胃同治，清肝胃之热，养肝胃之阴，则里热得清、肝风得息。
　　叶氏治疟又一特点是，重视络病。他在《叶案存真》中说：“疟有十二经，然不离少阳厥阴，此论客邪之伤。若夹怫郁嗔怒致厥阳肝气横逆，其势必锐……夫治病先分气血，久发频发之恙，必伤及络，络乃聚血之所，久病血必瘀闭”；在《眉寿堂方案选存》中说：“议从厥阴搜逐，使肝遂疏泄，可望疟止；”在《临证指南》中也说：“其初在经在表，其久入络入血，由阳人阴，间日延为三疟……疟邪经月不解。

Free local SG delivery！

For international customer (outside of Singapore), please email to yourtcmportal@gmail.com or whatsapp to +65 96227836 to enquire shipping rate.

Our books are pre-order books and will take more than 2 weeks to deliver from the date of confirmation. While we make every attempt to fill all orders placed, some products may be delayed because of shipment arrangement or backorders. If this is the case, you will receive a notification via e-mail.

All standard shipping are dispatched / mailed out via standard registered mail. Once the orders have been handed over to a third party delivery company, we have no control over the delivery and will hence be unable to accept requests for a preferred delivery date and time.

There is strictly no return and refund for goods sold. All our products are checked to ensure their good condition before they are dispatched to customers.