论“滞”伤脾胃
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摘要
宗古亘今,脾胃之病当把握其生理之性和病理之变,发病的关键在一"滞"字,可概而言之,基于《内经》《难经》之理论,《伤寒》《金匮》之实践,以及东垣"内伤脾胃,百病由生",叶桂滋阴之法,从"滞"入手,辨证治之,从运、消、化三法制宜,合治于"滞"伤脾胃所致诸症。
From ancient times to the present, the disease of spleen and stomach should grasp its physiological nature and pathological changes. The key to the disease is stagnation. In a word, based on the theory of Neijing and Difficult Classic, The Practice ofTyphoid Fever and Jinkui Yaolue, and Dongyuan's "internal injury of the spleen and stomach, all diseases arise from birth". YE Gui's method of nourishing Yin starts with stagnation. According to syndrome differentiation, it is advisable to treat all kinds of diseases caused by stagnation of spleen and stomach by the three methods of transportation, elimination and transformation.
From ancient times to the present, the disease of spleen and stomach should grasp its physiological nature and pathological changes. The key to the disease is stagnation. In a word, based on the theory of Neijing and Difficult Classic, The Practice ofTyphoid Fever and Jinkui Yaolue, and Dongyuan's "internal injury of the spleen and stomach, all diseases arise from birth". YE Gui's method of nourishing Yin starts with stagnation. According to syndrome differentiation, it is advisable to treat all kinds of diseases caused by stagnation of spleen and stomach by the three methods of transportation, elimination and transformation.
引文
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[2] 素问田代华整理.黄帝内经素问[M].北京:人民卫生出版社,2015:206,147,60,20,178-182,78,24,85,173,170,88,68,45-46,5,208,133.
[3] 战国·秦越人撰.烟建华点评.难经[M].北京:中国医药科技出版社,2018:53,42,31,34,12-14.
[4] 田代华,刘更生整理.灵枢经[M].北京:人民卫生出版社,2016:76,77,73,6,77-78.
[5] 宋瑞平,舒劲,马国珍.基于“脾以运为健”探讨功能性消化不良的中医药研究思路[J].中华中医药学刊,2016,34(9):2261-2263.
[6] 崔一鸣,周斌.慢性萎缩性胃炎寒湿入络病机探讨[J].中华中医药杂志,2012,27(5):1327-1329.
[7] 陈梓越,李奕诗,蓝海.李东垣“阴火”理论探析[J].中华中医药杂志,2017,32(6):2389-2391.
[8] 张云松,曹志群,张珊珊,等.从毒瘀虚论治慢性萎缩性胃炎癌前病变[J].中华中医药学刊,2016,34(10):2390-2392.
[9] 董洪飞.高金亮教授“因滞致虚,因虚夹邪”理论探讨及应用[J].吉林中医药,2018,38(7):764-767.
[10] 范永升.金匮要略[M].北京:中国中医药出版社,2016:19,204.
[11] 王庆国.伤寒论选读[M].北京:中国中医药出版社,2016:111,160.
[12] 王乐平.疏运汤治疗小儿泄泻256例[J].辽宁中医杂志,1992,19(12):29-30.
[13] 清·何梦瑶著.李刚校注.医碥[M].北京:中国医药科技出版社,2014:2.
[14] 吴大洲,田永衍,李兰珍,等.《黄帝内经》“和法”研究概况[J].中国中医基础医学杂志,2018,24(7):879-880,893.
[15] 韩维斌.“和法”在脾胃病中的临床应用[J].现代中医药,2017,37(2):62-64.
[16] 张年顺等.李东垣医学全书[M].北京:中国中医药出版社,2015:33,19.
[17] 清·王子接著.绛雪园古方选注[M].北京:中国医药科技出版社,2012:54.
[18] 清·钱潢著.谢忠礼,陈素美校注.伤寒朔源集[M].北京:中国中医药出版社,2016:151.
[19] 齐万洲,毛竹君,陈圣华,等.试论消法在糖尿病及其并发症治疗中的应用[J].中医杂志,2014,55(10):896-897.
[20] 杨云霜,张蓉,陈秀丽.补、消、润三法治疗慢性萎缩性胃炎[J].新中医,2016,48(4):5-7.
[21] 李志庸.张景岳医学全书[M].北京:中国中医药出版社,2015:41-42.
[22] 袁保,杨静,翟金海,等.袁士良“清化法”溯源与应用[J].中国中医基础医学杂志,2017,23(4):458-459.