ZHONG MingSheng, MENG ZhiZhou, HAN Zheng, et al. 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》)[J]. Journal of Traditional Chinese Medicine, 2026, 67(11): 1235-1239. DOI: 10.13288/j.11-2166/r.2026.11.017.
ZHONG MingSheng, MENG ZhiZhou, HAN Zheng, et al. 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》)[J]. Journal of Traditional Chinese Medicine, 2026, 67(11): 1235-1239. DOI: 10.13288/j.11-2166/r.2026.11.017.DOI:
(《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 cl
inical 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.