【摘要】 发轫于江苏苏州的吴门医派，在痹证诊治方面底蕴深厚。本文系统梳理了清代叶天士、张璐、曹仁伯、喻嘉言、戴思恭等吴门代表性医家的相关论述与医案，旨在提炼其学术精髓。吴门医家论治痹证，在病因方面强调“正虚为本”，尤重阳气、脾胃、气血之内损，以及“痰瘀互结”在顽痹形成中的关键作用；在辨证方面构建了卫气营血及分经、五体五脏传变等多维框架；在治疗方面确立了“补虚”与“通痹”两大核心法则，内外合治，剂型多样。其学术思想对中医风湿病治疗影响深远。更多还原

【Abstract】 Originating from Suzhou, Jiangsu Province, the Wu Men Medical School has a profound foundation in the diagnosis and treatment of arthralgia. This article systematically reviews the relevant discussions and medical cases of the representative Wu Men physicians such as Ye Tianshi, Zhang Lu, Cao Renbo, Yu Jiayan, and Dai Sigong in the Qing Dynasty, aiming to extract their academic essence. The Wu Men physicians’ treatment of arthralgia emphasizes "deficiency of the body as the root cause" in terms of etiology, with particular emphasis on internal damage of yang qi, spleen and stomach, blood and qi, as well as the crucial role of "intermingled phlegm and blood stasis" in the formation of stubborn arthralgia. In terms of syndrome differentiation, they have constructed multi-dimensional frameworks such as the wei qi,ying blood, and meridian differentiation, as well as the transmission of five body parts and five internal organs. In terms of treatment, they established two core principles of "tonifying deficiency" and "relieving arthralgia", with internal and external treatment combined, and a variety of dosage forms. Their academic thoughts have had a profound influence on the traditional Chinese medicine treatment for rheumatism.更多还原