Analysis of the Application of the Morning and Evening Differential Treatment from Case Records as a Guide to Clinical Practice （《临证指南医案》）
10.13288/j.11-2166/r.2026.11.017
- VernacularTitle:《临证指南医案》中早晚分治法的应用探析
- Author:
MingSheng ZHONG
1
;
ZhiZhou MENG
1
;
Zheng HAN
1
;
Guo LIU
1
Author Information
1. School of Chinese Medicine， Beijing University of Chinese Medicine，Beijing，100029
- Publication Type:Journal Article
- Keywords:
Case Records as a Guide to Clinical Practice （《临证指南医案》）;
YE Tianshi;
morning and evening diffe-rential treatment
- From:
Journal of Traditional Chinese Medicine
2026;67(11):1235-1239
- CountryChina
- Language:Chinese
-
Abstract:
Based on the typical cases from Case Records as a Guide to Clinical Practice （《临证指南医案》） where YE Tianshi applied the "morning and evening differential treatment"， the main types are summarized as follows. When there is middle-lower interlocking injury， and yin deficiency with wind stirring， the method of restraining and consolidating in the morning can be used to restrict jueyang （厥阳）. For deficiency of the extraordinary vessels and heart-spleen ying （营） impairment， the method of consolidating should be used to raise yang in the morning， while the method of moistening and nourishing ying-yin in the evening is used. For lower jiao （焦） depletion with phlegm turbidity obstructing the orifices， it is recommended to tonify lower jiao in the morning and fortify spleen and dissolve phlegm in the evening. If there is kidney-yin depletion with dampness obstructing the qi， it is suggested to supplement kidney and improve qi reception in the morning， while purify upper jiao in the evening. For deficiency and impairment of the collateral vessels， the method of moistening and nourishing ying-yin in the evening can be used. For heart-spleen qi knot， it is recommended to dissolve phlegm and dispel stasis in the evening. In clinical practice， the same medicinal formula can be used with different methods which change according to the syndrome. Taking Sishen Pills （四神丸） and Yuhu Elixir （玉壶丹） as examples， employing different methods in accordance with the primary and secondary pathomechanisms can help transform complex， multiple pathomechanisms into organized treatment steps， providing ideas for managing complicated syndromes with modern Chinese medicine in clinical practice.
