《脾胃论》活用《内经》法度的探析与体会-中医学专业论文.docxVIP

万方数据 万方数据 中文摘要 《脾胃论》活用《内经》法度的探析与体会 目的 通过对李东垣《脾胃论》活用《内经》法度的探析，从而体会先贤研习经旨 的方法、体悟经法的角度、活学为用的精神。同时，藉由本课题的研究，以期能够对《脾 胃论》的学术思想和临床应用有进一步的理解，对《内经》的形上学思维有进一步的学 习与掌握。 方法 本文主要根据《脾胃论》引用《内经》的经论及其发挥，首先从理论、立法、 制方、遣药、养护五方面阐述东垣引经据典所立之说，然后分析《脾胃论》活用《内经》 法度的特点，同时举隅临床实践学习中应用东垣学说取效的病案以示今用，最后从方法 论的角度探讨东垣活用经法创立己说的成功之处，并启示今学治从经典的要义。 结果 ①《脾胃论》引经据典立己说，其以内伤脾胃百病由生为理论核心、以补中 益气升阳泻火为立法原则、以补脾胃泻阴火升阳汤为制方代表、以补泻在味随需换气为 遣药法度、以无伐生气远欲省言为脾胃将理。②《脾胃论》紧紧围绕《内经》展开，详 重得宜主法灵活，主要体现在详于内伤、重于脾胃、主乎升降、法于四时、活于权变。 ③《脾胃论》在临床上有其生命力，我学倘能宗《内经》法、师东垣心，自然能辨证施 治效临床。④《脾胃论》对《内经》有继承、有发展、有创新，是活用经典的典范。 结论 《内经》被誉为“医家之宗”，确立了中医学的理论体系，是千百年来中医 蓬勃发展的根基。从《脾胃论》活用《内经》的法度来看，如果能够抓住经典作为源头， 知晓各家流变的方法与学说，加深对中医学体用的理解，相信在临床上会更有助益、除 病蠲疾。 主题词 《脾胃论》，《内经》，方法论，李东垣 II ABSTRACT Analysis and Apprehension on the Law How Spleen and Stomach Treatise(SST) Applies Neijing’s Principles Objective To comprehend the methods, the views and the spirits that the ancestor holds, further understand the doctrine and clinical application of SST and study the Metaphysical Thoughts of Neijing. Methods ①Expound Li Dongyuan’s doctrine according the analects SST quotes from Neijing and the system SST establishes according Neijing，from following five aspects— theory, treating principle, formula making, herb chosing and life-cultivation；②Analyze the characteristics of the way that SST applies Neijing’s principles；③Give examples of the medical records(TMR) which use Li Dongyuan’s doctrine successfully；④ Discuss Li Dongyuan’s success and enlighten the importance of studying on Classics in nowadays from the view of methodology. Results ①SST, which quotes Classics to establish its theory，takes internal impairment of spleen and stomach causing all kinds of diseases as theory core, takes strengthening the middle jiao - tonifying qi - rising yang - purging pathogenic fire as treating principle, takes Bu Pi Wei Xie Yin Huo Sheng Yang T. as a representative of formula making, takes reinforcing or reducing by taste and changing qi by necessary as a method of herb chos