《临证指南医案》眩晕证治探析
Journal of Traditional Chinese Medicinal Literature（2021）
Abstract
叶天士不仅是温病大家,其在眩晕等内伤杂病上亦颇有造诣.《临证指南医案》记载的78则眩晕相关病案,集中反映了其对眩晕的分类、病因病机、证候认识及临证辨治用药特点的认识.叶天士认为眩晕以"阳化内风"为中心环节,分为虚实两端,实证分为风阳上扰、阳升血热、痰浊上扰和血络瘀滞,虚证包括血虚生风、脾胃阳虚、肾精不足和肾气衰惫;治疗上创立"辛甘化风法""温肾凉肝法""辛香流气法",对后世治疗眩晕具有重要的指导价值.
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