李东垣伍用黄芪人参之经验探析
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摘要
李东垣,"金元四大家"之一,为"补土派"之代表,提出"内伤脾胃,百病由生"理论,临证治疗时重视顾护脾胃,长于补气健脾,用药时尤擅用黄芪人参,文章选取李杲最具代表性的《内外伤辨惑论》《脾胃论》《兰室秘藏》《医学发明》四部著作,对其中黄芪人参配伍应用的方剂进行归纳,发现黄芪人参共用的方剂共有79首,其中《内外伤辨惑论》载有7首,《脾胃论》16首,《兰室秘藏》46首,《医学发明》10首,除去1首方剂在多部书中出现的情况,共为65首,文章对上述方剂进行总结整理,以探析其在内外妇儿五官科等临床各科的价值及应用。
LI Dongyuan is one of the four famous doctors in Jin and Yuan Dynasty as the representative of the school of invigorating the spleen. He thinks highly of invigorating Qi and strengthening the spleen based on his theory of the interior impairment of the spleen and stomach would bring about the occurrence of various diseases. This paper sums up LI Dongyuan's 65 prescriptions of both using astragalus membranaceus and ginseng except for the occurrence of a prescription in different books among 79 prescriptions from his four representative books to seek the value and use in various clinical departments.
LI Dongyuan is one of the four famous doctors in Jin and Yuan Dynasty as the representative of the school of invigorating the spleen. He thinks highly of invigorating Qi and strengthening the spleen based on his theory of the interior impairment of the spleen and stomach would bring about the occurrence of various diseases. This paper sums up LI Dongyuan's 65 prescriptions of both using astragalus membranaceus and ginseng except for the occurrence of a prescription in different books among 79 prescriptions from his four representative books to seek the value and use in various clinical departments.
引文
[1]高学敏.中药学[M].北京:中国中医药出版社,2007.
[2]杨茜.李东垣《脾胃论》方药配伍规律研究[D].石家庄:河北医科大学,2015.
[3]郝峰.李东垣治疗内伤脾胃病组方用药特点研究[D].哈尔滨:黑龙江中医药大学,2017.
[4]李杲,撰.丁光迪,文魁,点校.东垣医集[M].北京:人民卫生出版社,2015.[5]裘沛然,丁光迪.中医各家学说[M].北京:人民卫生出版社,2002:14.
[6]类承法.《脾胃论》学术思想初探[J].光明中医,2008,23(10):1433-1434.
[7]周仲英.中医内科学[M].北京:中国中医药出版社,2007.
[8]汤冬亮,孙朋,王维,等.升阳益胃汤在肺系病中的应用[J].中医药通报,2017,16(5):64-66.
[9]施旭光,施家希,刘海涛,等.补中益气汤对脾虚泄泻大鼠SGLT1/NHE3通路的影响[J].中药新药与临床药理,2018,29(1):8-12.
[10]王媛,李崇超.李东垣辨证治疗便秘思想研究[J].江西中医药大学学报,2017,29(6):1-3.
[11]代永佳,王恒和.从《脾胃论》探析李东垣治疗内伤头痛经验[J].国医论坛,2017,32(6):33-35.
[12]邱朝阳,李衍滨.脾胃论中风之新思考[J].中国中医急症,2015,24(7):1190-1192.
[13]陈科,戴欣媛,赵宁,等.脾不统血证相关疾病与血液神经递质变化关系研究[J].辽宁中医杂志,2018,45(2):245-248.
[14]郝新宇,王彦刚,柴娟,等.王彦刚从脾胃论治汗证的经验浅析[J].中华中医药杂志,2017,32(12):5415-5417.
[15]张万年,文艺,郑昕,等.“甘温除大热”理论发微与临证体会[J].中国中医基础医学杂志,2017,23(10):1475-1476.
[16]伍继成,赵爽,伍威,等.十全大补汤对SV40 T抗原转基因小鼠晶状体自发肿瘤的抑制作用及其分子机制[J].吉林大学学报,2018,44(1):14-17.
[17]白克运.十全大补汤在结直肠癌治疗中的应用[J].山西中医杂志,2018,37(2):87-90.
[18]李沛,潘富伟.运用李振华教授脾胃学术思想干预强直性脊柱炎发生发展[J].风湿病与关节炎,2018,7(1):44-46.
[19]何克强,童明欧,张世俊.调中益气汤治疗亚健康临床疗效观察[J].四川中医,2014,32(2):114-116.
[20]王凯,崔远武,吕玲,等.张伯礼教授治疗痿证(重症肌无力)验案一则[J].天津中医药,2018,35(1):1-3.
[21]王洪图.内经讲义[D].北京:人民卫生出版社,2002:107.
[22]曹秋梅,许周浩,聂源,等.颈部淋巴结结核病治验1则[J].亚太传统医药,2017,13(1):112-113.
[23]何广益,田杨,杨诗晗,等.李东垣《兰室秘藏》妇科用药学术思想与用方用药探析[J].长春中医药大学学报,2017,33(6):861-864.
[24]曹述文.升阳举经汤治疗崩漏-附47例临床疗效观察[J].湖南中医杂志,1986(3):27-28.
[25]钱乙.小儿药证直诀[M].北京:人民卫生出版社,1955.
[26]张杰,张希涣.益黄散加减治疗小儿厌食症疗效观察[J].实用中西医结合临床,2014,14(4):75-76.
[27]廖伯筠.廖浚泉论治小儿疳症的特色[J].实用中西医结合临床,1994,35(12):755.
[28]史涛,刘汶,樊惠兰,等.《兰室秘藏》探微[J].中医文献杂志,2010,(1):14-15.
[29]冯磊,沈瑞祥,蔡超产,等.吕海江运用升阳法治疗眼科病经验[J].中国中医药信息杂志,2017,24(11):121-123.
[30]吴明阳,张华妤,张国海.李发枝运用御寒汤治疗过敏性鼻炎经验[J].中华中医药杂志,2017,32(2):602-604.
[31]李海清,马晟利.牢牙地黄散联合正畸治疗牙周病的临床研究[C].中华口腔医学会会议论文集,2015.
[2]杨茜.李东垣《脾胃论》方药配伍规律研究[D].石家庄:河北医科大学,2015.
[3]郝峰.李东垣治疗内伤脾胃病组方用药特点研究[D].哈尔滨:黑龙江中医药大学,2017.
[4]李杲,撰.丁光迪,文魁,点校.东垣医集[M].北京:人民卫生出版社,2015.[5]裘沛然,丁光迪.中医各家学说[M].北京:人民卫生出版社,2002:14.
[6]类承法.《脾胃论》学术思想初探[J].光明中医,2008,23(10):1433-1434.
[7]周仲英.中医内科学[M].北京:中国中医药出版社,2007.
[8]汤冬亮,孙朋,王维,等.升阳益胃汤在肺系病中的应用[J].中医药通报,2017,16(5):64-66.
[9]施旭光,施家希,刘海涛,等.补中益气汤对脾虚泄泻大鼠SGLT1/NHE3通路的影响[J].中药新药与临床药理,2018,29(1):8-12.
[10]王媛,李崇超.李东垣辨证治疗便秘思想研究[J].江西中医药大学学报,2017,29(6):1-3.
[11]代永佳,王恒和.从《脾胃论》探析李东垣治疗内伤头痛经验[J].国医论坛,2017,32(6):33-35.
[12]邱朝阳,李衍滨.脾胃论中风之新思考[J].中国中医急症,2015,24(7):1190-1192.
[13]陈科,戴欣媛,赵宁,等.脾不统血证相关疾病与血液神经递质变化关系研究[J].辽宁中医杂志,2018,45(2):245-248.
[14]郝新宇,王彦刚,柴娟,等.王彦刚从脾胃论治汗证的经验浅析[J].中华中医药杂志,2017,32(12):5415-5417.
[15]张万年,文艺,郑昕,等.“甘温除大热”理论发微与临证体会[J].中国中医基础医学杂志,2017,23(10):1475-1476.
[16]伍继成,赵爽,伍威,等.十全大补汤对SV40 T抗原转基因小鼠晶状体自发肿瘤的抑制作用及其分子机制[J].吉林大学学报,2018,44(1):14-17.
[17]白克运.十全大补汤在结直肠癌治疗中的应用[J].山西中医杂志,2018,37(2):87-90.
[18]李沛,潘富伟.运用李振华教授脾胃学术思想干预强直性脊柱炎发生发展[J].风湿病与关节炎,2018,7(1):44-46.
[19]何克强,童明欧,张世俊.调中益气汤治疗亚健康临床疗效观察[J].四川中医,2014,32(2):114-116.
[20]王凯,崔远武,吕玲,等.张伯礼教授治疗痿证(重症肌无力)验案一则[J].天津中医药,2018,35(1):1-3.
[21]王洪图.内经讲义[D].北京:人民卫生出版社,2002:107.
[22]曹秋梅,许周浩,聂源,等.颈部淋巴结结核病治验1则[J].亚太传统医药,2017,13(1):112-113.
[23]何广益,田杨,杨诗晗,等.李东垣《兰室秘藏》妇科用药学术思想与用方用药探析[J].长春中医药大学学报,2017,33(6):861-864.
[24]曹述文.升阳举经汤治疗崩漏-附47例临床疗效观察[J].湖南中医杂志,1986(3):27-28.
[25]钱乙.小儿药证直诀[M].北京:人民卫生出版社,1955.
[26]张杰,张希涣.益黄散加减治疗小儿厌食症疗效观察[J].实用中西医结合临床,2014,14(4):75-76.
[27]廖伯筠.廖浚泉论治小儿疳症的特色[J].实用中西医结合临床,1994,35(12):755.
[28]史涛,刘汶,樊惠兰,等.《兰室秘藏》探微[J].中医文献杂志,2010,(1):14-15.
[29]冯磊,沈瑞祥,蔡超产,等.吕海江运用升阳法治疗眼科病经验[J].中国中医药信息杂志,2017,24(11):121-123.
[30]吴明阳,张华妤,张国海.李发枝运用御寒汤治疗过敏性鼻炎经验[J].中华中医药杂志,2017,32(2):602-604.
[31]李海清,马晟利.牢牙地黄散联合正畸治疗牙周病的临床研究[C].中华口腔医学会会议论文集,2015.