《临证指南医案》的静养思想*
作者：邱仁洪1，石小乐1，袁 媛2
单位：1.井冈山大学附属医院，江西 吉安 343000； 2.吉安职业技术学院，江西 吉安 343000
引用：引用：邱仁洪，石小乐，袁媛.《临证指南医案》的静养思想[J].中医药导报,2025,31(7):224-227.
DOI：10.13862/j.cn43-1446/r.2025.08.038
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摘要：
《临证指南医案》中的静养思想是叶天士的重要学术精华。其静养思想可以从静养的含义、要点、作用和时机4个方面概括。静养的含义包括环境的静、身心的静和用药的静，其要点在于守静怡情、节劳少欲、顺应四时和久久为功。静养减少了正气的消耗，有助于机体自我调节与修复，具体表现为益阴和阳、宁神固精、平火息风和培元抗邪。此外，静养特别适用于气阴虚损、胃气不和、阳气过动及正邪交争之时。叶天士在《临证指南医案》中提倡的静养思想，对于疾病预防和病后调养具有重要参考价值，对现代生活方式也有一定启示。
关键词：《临证指南医案》；静养；叶天士
Abstract：
The concept of self-cultivation in
stillness in Guide to Clinical Case is an important academic essence of YE
Tianshi. This concept can be summarized from four aspects: its connotation, key
points, functions, and applicable timing. The connotation of self-cultivation
in stillness includes environmental quietness, physical and mental quietness,
and mildness in medication. Its key points lie in maintaining quietness to
nourish emotions, avoiding overexertion and reducing desires, conforming to the
four seasons, and persisting over time. Self-cultivation in stillness reduces
the consumption of healthy Qi and helps the body self-regulate and repair,
specifically manifested as benefiting Yin and harmonizing Yang, calming the
spirit and securing essence, pacifying fire and calming wind, and cultivating
primordial Qi to resist pathogens. In addition, self-cultivation in stillness
is particularly applicable in cases of Qi and Yin deficiency, disharmony of stomach
Qi, excessive agitation of Yang Qi, and struggle between healthy Qi and
pathogenic Qi. The idea of self-cultivation in stillness advocated by YE
Tianshi in Guide to Clinical Case has important reference value for disease
prevention and post-illness conditioning, and also provides certain
enlightenment for modern lifestyles.
Key words：Guide to Clinical Case; self-cultivation in stillness; YE Tianshi
发布时间：2026-01-07
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