CAJ | 학술논문

带下异常为妇科常见病，笔者以叶天士医案为主要研究内容，结合古今有关医论及临床体悟，从带下病的病因病机、治法用药、叶天士治带下病方药总结及临床验案四方面展开论述，使带下病的理法方药有较为清晰的展现。在奇经理论中带下病责之于任脉、带脉为病，关系脾、肾、肝三脏。湿热下注者多为实证，精液不守者多为虚证。湿者燥之，虚者补之，陷者举之，纵者收之，热者清之，郁者疏之为常规治则。而叶天士医案中有关奇经虚损所致带下居多，最能体现奇经治法特色，带下皆属阴液下泄，故当重视。
대하이상위부과상견병，필자이협천사의안위주요연구내용，결합고금유관의론급림상체오，종대하병적병인병궤、치법용약、협천사치대하병방약총결급림상험안사방면전개논술，사대하병적리법방약유교위청석적전현。재기경이론중대하병책지우임맥、대맥위병，관계비、신、간삼장。습열하주자다위실증，정액불수자다위허증。습자조지，허자보지，함자거지，종자수지，열자청지，욱자소지위상규치칙。이협천사의안중유관기경허손소치대하거다，최능체현기경치법특색，대하개속음액하설，고당중시。
leucorrhoea disease is one of the gynecological diseases .This paper mainly discusses the etiology , pathogenesis , treatment, prescription about this disease based on the medical records of YE Tian -shi, a famous TCM doctor of Jin dynasty .In his opinion, leu-corrhoea disease mainly due to the disfunction of REN and DAI channels , linked with spleen , kidney and liver disorder .Dampness-heat causes sthenic syndrome , consumption of essence causes deficiency syndrome .Drying,tonifying, lifting, astringing, heat-clean-ing, regulating qi are the most common therapeutic methods .YE Tian-shi also reminds us most leucorrhoea diseases are caused by the deficiency of eight extra channels .we should pay more attention to this .