浅论_金匮要略_脾旺不受邪_的学术思想_赵鼎.pdfVIP

当代医药论丛杂志 • 1787 • ·论著 · 浅论《金匮要略》“脾旺不受邪”的学术思想 1 2 赵鼎 ，吕翠霞 1 2 （山东中医药大学2015级博士研究生，济南 250355； 山东中医药大学，济南 250355） 摘要：张仲景首先在《金匮要略》中提出了“脾旺不受邪”的观点，丰富了脾胃学说的内容。“脾旺不受 邪”的学术思想以《易经》为哲学基础，形成于《黄帝内经》。脾为气血生化之源、主升清、主肌肉、滋元气、 充卫气，脾旺则肝气条达、心血充盈、肺气充沛、肾精充盛，五脏皆不易受邪。《金匮要略》中多处从脾脏本脏 及脾脏与他脏的整体观角度论治内伤杂病，为“脾旺不受邪”的学术思想运用到临床提供了理论依据。“脾旺不 受邪”的学术思想如今已经成为现代中医防病、治病及养生的重要原则，定将继续在临床治疗中起指导作用。 关键词：脾旺不受邪；金匮要略；理论研究 Discussion on academic thought of ‘Non-invaded when spleen is vigorous’ in Jingui Yaolue 1 2 ZHAO Ding , LYU Cui-xia ( 1Grade 2015 Doctorate Candidate of Shandong University of Traditional Chinese Medicine, Jinan 250355, China; 2 Shandong University of Traditional Chinese Medicine, Jinan 250355, China ) Abstract: ZHANG Zhong-jing firstly put forward the view of ‘Non-invaded when spleen is vigorous’ in Jingui Yaolue, which enriched content of the spleen and stomach theory. The academic thought of ‘Non-invaded when spleen is vigorous’ takes The Book of Changes as its philosophical foundation and is formed in The Inner Canon of Huangdi. Spleen is the source of generation of qi and blood, governs ascending clear, dominates muscles and nourishes vitality and defensive qi. Healthy spleen can nourish liver qi, heart blood, lung qi and kidney essence so that the five zang-organs are