杨华教授治疗脾胃病的学术思想和经验简介
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摘要
本文介绍了杨华教授治疗脾胃病的学术思想和经验,提出"脾胃为气机升降之枢,治病当顺应升降之性""脾胃分治,调气理血并用""上下交病治其中"和"辨证与辨病相结合"等学术思想,总结了"抓主证,明辨病机""辨体质,因人制宜"和"明治则,选方药,师法经方"等临床经验。
This paper introduces the academic thought and experience of professor Yang Hua in treating the spleen and stomach disease.It proposes that "the spleen and stomach are the pivot of the qi functional movements in body and curing disease shall comply with the nature of qi's ascending and descending","the spleen and stomach shall be cured separately and the qi and blood shall be regulated simultaneously","the representation of symptom on the upper and lower body shall be cured from the middle body" and "the discrimination and differentiation of disease shall be combined".The clinical experiences such as "the principal syndrome shall be grasped and the pathogenesis shall be dis criminated","the physical health shall be discriminated,different measures shall be adopted to different persons" and "the treatment rules shall be clear,as well as the prescription shall be selected,and the therapy shall be based on the classical theory" have been summarized.
This paper introduces the academic thought and experience of professor Yang Hua in treating the spleen and stomach disease.It proposes that "the spleen and stomach are the pivot of the qi functional movements in body and curing disease shall comply with the nature of qi's ascending and descending","the spleen and stomach shall be cured separately and the qi and blood shall be regulated simultaneously","the representation of symptom on the upper and lower body shall be cured from the middle body" and "the discrimination and differentiation of disease shall be combined".The clinical experiences such as "the principal syndrome shall be grasped and the pathogenesis shall be dis criminated","the physical health shall be discriminated,different measures shall be adopted to different persons" and "the treatment rules shall be clear,as well as the prescription shall be selected,and the therapy shall be based on the classical theory" have been summarized.
引文
[1]曹雅楠,杨锡燕.浅探《脾胃论》气机升降理论及其源流[J].内蒙古中医药,2017,36(3):160-161.
[2]郑庆浩,侯舒成.试论李东垣脾胃学说特点[J].湖南中医杂志,2017,33(10):134-135.
[3]谭蔡麟,杨永宏,王先兵,等.叶天士“胃阴学说”的临证价值[J].上海中医药杂志,2017,51(8):37-39.
[4]张志威,管佳畅,沈正先,等.脾胃分治思想的源流与临床应用[J].环球中医药,2014,7(8):622-624.
[5]张旭,张声生.张声生教授治疗脾胃病中的对立统一思想探析[J].时珍国医国药,2017,28(7):1738-1740.
[6]尚冰,丛培玮,王铎,等.对“脾为气血生化之源”生理病理认识初探[J].辽宁中医药大学学报,2013,15(6):96-97.
[7]周贤,许乐思,邢颖,等.叶天士上下交病治其中辨治思想探析[J].中国中医基础医学杂志,2016,22(7):893-894.
[8]苏凤哲,张华东,路志正.上下交损治其中——路志正教授学术思想探讨[J].世界中西医结合杂志,2009,4(10):685-687.
[9]张业,王阶,陈恒文.基于“辨病论治”的现代方药组方应用初探[J].中医杂志,2016,57(4):356-358.
[10]刘佳缘,王宇,陈艳焦,等.“辨证论治”词语源流考[J].上海中医药杂志,2016,50(6):28-34.
[11]许军峰,史智敏.辨病与辨证新模式探析[J].辽宁中医杂志,2016,43(3):514-515.
[12]樊代明.整合医学的内涵及外延[J].医学与哲学(A),2017,38(1):7-13.
[13]赵进喜,贾海忠,冯学功,等.用经方,循经旨,需详审病机内涵;辨方证,抓主证,当重视剂量配比[J].环球中医药,2015,8(3):344-347.
[14]李淑菊,张佩青,王今朝.张琪临证抓主证的经验分析[J].辽宁中医杂志,2007,34(9):1199-1200.
[15]中华中医药学会.中医体质分类与判定(ZYYXH/T157-2009)[J].世界中西医结合杂志,2009,4(4):303-304.
[16]刘应科,孙光荣.中医临证四大核心理念之制宜观[J].湖南中医药大学学报,2016,36(9):1-4.
[17]江丹,林明欣,李红,等.立足《内经》与《伤寒论》,再探扶正祛邪治则[J].世界中医药,2013,8(3):267-268.
[18]赵江滨,唐迪佑,刘力红.略论“阴阳自和”[J].中华中医药杂志,2016,31(6):2078-2080.
[19]杨华.师法经方衷中参西辑录[M].上海:上海科技技术出版社,2017:6-7.
[20]赵志恒,穆超超,贾宏伦.《伤寒杂病论》中药同方异方功效探微[J].世界中西医结合杂志,2017,12(4):456-460.
[2]郑庆浩,侯舒成.试论李东垣脾胃学说特点[J].湖南中医杂志,2017,33(10):134-135.
[3]谭蔡麟,杨永宏,王先兵,等.叶天士“胃阴学说”的临证价值[J].上海中医药杂志,2017,51(8):37-39.
[4]张志威,管佳畅,沈正先,等.脾胃分治思想的源流与临床应用[J].环球中医药,2014,7(8):622-624.
[5]张旭,张声生.张声生教授治疗脾胃病中的对立统一思想探析[J].时珍国医国药,2017,28(7):1738-1740.
[6]尚冰,丛培玮,王铎,等.对“脾为气血生化之源”生理病理认识初探[J].辽宁中医药大学学报,2013,15(6):96-97.
[7]周贤,许乐思,邢颖,等.叶天士上下交病治其中辨治思想探析[J].中国中医基础医学杂志,2016,22(7):893-894.
[8]苏凤哲,张华东,路志正.上下交损治其中——路志正教授学术思想探讨[J].世界中西医结合杂志,2009,4(10):685-687.
[9]张业,王阶,陈恒文.基于“辨病论治”的现代方药组方应用初探[J].中医杂志,2016,57(4):356-358.
[10]刘佳缘,王宇,陈艳焦,等.“辨证论治”词语源流考[J].上海中医药杂志,2016,50(6):28-34.
[11]许军峰,史智敏.辨病与辨证新模式探析[J].辽宁中医杂志,2016,43(3):514-515.
[12]樊代明.整合医学的内涵及外延[J].医学与哲学(A),2017,38(1):7-13.
[13]赵进喜,贾海忠,冯学功,等.用经方,循经旨,需详审病机内涵;辨方证,抓主证,当重视剂量配比[J].环球中医药,2015,8(3):344-347.
[14]李淑菊,张佩青,王今朝.张琪临证抓主证的经验分析[J].辽宁中医杂志,2007,34(9):1199-1200.
[15]中华中医药学会.中医体质分类与判定(ZYYXH/T157-2009)[J].世界中西医结合杂志,2009,4(4):303-304.
[16]刘应科,孙光荣.中医临证四大核心理念之制宜观[J].湖南中医药大学学报,2016,36(9):1-4.
[17]江丹,林明欣,李红,等.立足《内经》与《伤寒论》,再探扶正祛邪治则[J].世界中医药,2013,8(3):267-268.
[18]赵江滨,唐迪佑,刘力红.略论“阴阳自和”[J].中华中医药杂志,2016,31(6):2078-2080.
[19]杨华.师法经方衷中参西辑录[M].上海:上海科技技术出版社,2017:6-7.
[20]赵志恒,穆超超,贾宏伦.《伤寒杂病论》中药同方异方功效探微[J].世界中西医结合杂志,2017,12(4):456-460.