李应存运用敦煌医方治疗肾虚证的理论总结与思辨特点分析-theoretical summary and speculative characteristics analysis of li yingcuns application of dunhuang medical prescriptions in treating kidney deficiency syndrome.docxVIP

摘要研究目的本课题旨在对李应存运用敦煌医方治疗肾虚证的理论及思辨特点进行总结、研究，为肾虚证的治疗开拓新的临证思路，以提高肾虚证的临床疗效。研究方法本课题通过对敦煌医学文献中的肾虚证相关内容归纳、总结，辅以李应存教授临床典型病例，对李应存运用敦煌医方治疗肾虚证的理论总结与思辨特点研究。研究结果李应存教授非常注重整体观念，提出四维一体观：肾水、心火、肝木、肺金四种气的升沉浮降，围而生中气，中气是种平衡状态。其强调肾为先天之本，脾为后天之本，中气为人身之生命，而肾中之气为中气之生命。强调中医学乃维护人身根本及调理人身平衡的学问。就病机而言，李应存教授认为百病的本质多为不通或不荣，不通者多，不荣者少，不荣者也多因不通引起。故调理气机势在必行。在临床上，不论中老年人、久病者还是气机不敛不收者皆可从肾论治，适当的补肾不为过。李应存教授认为人是个完整的小宇宙，五脏之气本为一体，补肾不能独养肾，肾虚者需补其肾、健其脾、摄其气、疏其肝、祛其邪，方能肾气充足、肝木柔和、内心谦卑，方能神完气充，长寿健康。其补肾用药强调谨守病机，遵循四维一体理论选方投药，使药各司其位、各奏其效。关键词：敦煌医学；李应存；肾虚证；理论总结；思辨特点；四维一体观ABSTRACTResearchpurposesThetopicaimstosummarizeandstudyLiYingcun＇stheoryofexperienceandclinicalspeculativefeaturesaboutclinicalapplicationofDunhuangmedicalinthetreatmentofkidneydeficiency,developinganewideaofclinicaltherapyandimprovingtheclinicalcurativeeffectofkidneydeficiency.ResearchmethodsRelyingonthistopicliteraturesummarize,thestudycollectkidneyrelatedcontentinclinicalapplicationofDunhuang,addingProfessorLiYingcunsclinicaltypicalcases.Thestudy`spurposeistosummarizeLiYingcunstheoryofexperienceandtheclinicalapplicationofDunhuanginthetreatmentwidelyusedinvarioussystemsofkidneydeficiency.ResearchresultsProfessorLiYingcunattachesgreatimportancetotheoverallconcept.Heputforwardanewidea：theriseandfalloffourgas,includingKidneywater,Heartfire,Liverwood,Thelung,aremiddleqi.,Themiddlegasisakindofbalance.Hethinksthatthekidneyistheinnatesource,thespleenisthesourceoftheQiisacquired,andtheQiinthekidneyisthemostimportant.Hethinksthatthekidneyistheinnatesource,thespleenisthesourceoftheQiisacquired,andtheQiinthekidneyisthemostimportant.Onthepathogenesis,ProfessorLiYingcunthinksthattheessenceofalldiseasesaretheobstructionofQiandbloodornotnutrition.ThenumberofpeoplewhoesQiandbloodisobstructionismorethantheotherone.KeeppingthenormalmovementofQimustbeenforced.Themiddle-aged,theelderly,bedridden,woundnotcollectorscanbeonthetreatmentfromkidney.Appropriatetonifyingkidneyisnotabigfault.Thehumanbodyisasmalluniverse.TheQioffivezangorgansisoneofthepeople.Sotonifyingkidneynotonlynou