李东垣论治泄泻理论探讨
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摘要
李东垣的升脾阳法对于泄泻的治疗具有重要价值。泄泻的基本病机是脾虚湿盛,脾虚为病机之核心,或兼肺虚,或兼湿盛,或兼寒积,脾虚则清阳不升,正所谓"清气在下,则生飧泄"。治疗以补脾健脾为本,根据不同的病机或补益脾肺,或燥湿健脾,或攻逐寒积,或健脾升阳。
LI Dongyuan's method of ascending spleen yang is of great value for the treatment of diarrhea. The basic pathogenesis of diarrhea is spleen deficiency and dampness,spleen deficiency is the core of the pathogenesis,or both lung deficiency,or both wet wins,or concurrently cold accumulation,spleen deficiency,the lucid yang does not rise,the so-called "When the clear qi comes down,there will be squalls". Treatment to complement the spleen and spleen-based,according to different pathogenesis or tonic spleen and lungs,or dryness and spleen,or to attack the cold accumulation,or strengthening the spleen and lifting the yang.
LI Dongyuan's method of ascending spleen yang is of great value for the treatment of diarrhea. The basic pathogenesis of diarrhea is spleen deficiency and dampness,spleen deficiency is the core of the pathogenesis,or both lung deficiency,or both wet wins,or concurrently cold accumulation,spleen deficiency,the lucid yang does not rise,the so-called "When the clear qi comes down,there will be squalls". Treatment to complement the spleen and spleen-based,according to different pathogenesis or tonic spleen and lungs,or dryness and spleen,or to attack the cold accumulation,or strengthening the spleen and lifting the yang.
引文
[1]李东垣.脾胃论[M].北京:中国医药科技出版社,2018:55,6,16,39,34-36,76,45.
[2]王进虎.李东垣论肺之脾胃病学术思想探讨[J].陕西中医,1994,15(7):309-310.
[3]马师雷,田甜,李鸿涛,等.从“肺与大肠相表里”探讨调肺在泄泻治疗中的作用[J].中医杂志,2013,54(8):653-655.
[4]黄文东,胡建华,程焕章,等.对李东垣学说的探讨[J].新中医,1976,8(5):26-30.
[5]刘慧敏,燕东,刘绍能.祛风药在脾胃病中的应用[J].中医药信息,2011,28(5):1-2.
[6]贺颖.基于金元时期代表性医籍的脾脏象基本理论整理研究[D].沈阳:辽宁中医药大学,2014.
[7]骆云丰,陈锦团.《脾胃论》泄泻辨治探究[J].陕西中医,2011,32(9):1246,1251.
[8]曹家豪,南彦武,张卫华.《脾胃论》中“补中益气汤”应用思路探析[J].辽宁中医药大学学报,2014,16(12):161-163.
[9]许琳,王凤云,唐旭东,等.风药在肠易激综合征治疗中的应用[J].中医杂志,2016,57(23):1999-2003.
[10]尹冬.李东垣运用风药治疗脾胃病琐谈[J].辽宁中医学院学报,2000,2(2):96.
[11]韦骏飞,马华,薛秦,等.慢性泄泻证因论治探讨[J].山西中医,2017,33(1):1-3.
[12]吴耀南,涂福音.李东垣对“脾主运化”理论的贡献[J].甘肃中医,2000,13(1):4-5.
[13]张子健,万四妹.清暑益气汤细考[J].陕西中医药大学学报,2018,41(3):108-109,116.
[14]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.
[15]李东垣,李一鸣.内外伤辨惑论[M].北京:人民卫生出版社,2007:29.
[16]吴庆和,叶焕文.《脾胃论》中从肝论治脾胃思想探究[J].辽宁中医药大学学报,2011,13(11):156-157.
[17]汤阳,李文凭,刘喜明.浅析李东垣“红花少许”之用[J].中医药信息,2018,35(3):45-46.
[2]王进虎.李东垣论肺之脾胃病学术思想探讨[J].陕西中医,1994,15(7):309-310.
[3]马师雷,田甜,李鸿涛,等.从“肺与大肠相表里”探讨调肺在泄泻治疗中的作用[J].中医杂志,2013,54(8):653-655.
[4]黄文东,胡建华,程焕章,等.对李东垣学说的探讨[J].新中医,1976,8(5):26-30.
[5]刘慧敏,燕东,刘绍能.祛风药在脾胃病中的应用[J].中医药信息,2011,28(5):1-2.
[6]贺颖.基于金元时期代表性医籍的脾脏象基本理论整理研究[D].沈阳:辽宁中医药大学,2014.
[7]骆云丰,陈锦团.《脾胃论》泄泻辨治探究[J].陕西中医,2011,32(9):1246,1251.
[8]曹家豪,南彦武,张卫华.《脾胃论》中“补中益气汤”应用思路探析[J].辽宁中医药大学学报,2014,16(12):161-163.
[9]许琳,王凤云,唐旭东,等.风药在肠易激综合征治疗中的应用[J].中医杂志,2016,57(23):1999-2003.
[10]尹冬.李东垣运用风药治疗脾胃病琐谈[J].辽宁中医学院学报,2000,2(2):96.
[11]韦骏飞,马华,薛秦,等.慢性泄泻证因论治探讨[J].山西中医,2017,33(1):1-3.
[12]吴耀南,涂福音.李东垣对“脾主运化”理论的贡献[J].甘肃中医,2000,13(1):4-5.
[13]张子健,万四妹.清暑益气汤细考[J].陕西中医药大学学报,2018,41(3):108-109,116.
[14]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.
[15]李东垣,李一鸣.内外伤辨惑论[M].北京:人民卫生出版社,2007:29.
[16]吴庆和,叶焕文.《脾胃论》中从肝论治脾胃思想探究[J].辽宁中医药大学学报,2011,13(11):156-157.
[17]汤阳,李文凭,刘喜明.浅析李东垣“红花少许”之用[J].中医药信息,2018,35(3):45-46.