王堉的《醉花窗医案》在痰病的诊疗上独具特色,从痰之为病的理论、病机、诊断和治疗均进行了论述。他提出了诸病多痰的理论,认为痰之生本于脾胃,痰之变在于气机,或上干于肺,或上壅于胃口,或上犯于心包,或流注于四肢。诊断上以滑脉及脉位来辅助辨证,治疗上则分虚实,或燥湿、或化痰、或豁痰、或涤痰,顺其势而攻之,然最终皆以健脾之法收功善后。
Case of Zuihua Chuang written by WANG Yu is unique to the diagnosis and treatment of phlegm disease,which discussed the phlegm disease from the theory,pathogenesis,diagnosis and therapy.He proposed the theory that various diseases originated from phlegm.He also put forward that the phlegm is produced from the spleen and stomach,and its lesion including lung,stomach,pericardium and limbs are closely related to activities of qi.Diagnosis of the phlegm disease depends on slippery pulse and pulse position to aid in the differentiation of symptoms and signs.The treatment methods are divided into dei ciency and excess,or eliminating dampness,or reducing phlegm,or clearing phlegm,eventually invigorating the spleen to close the aftermath.