《脾胃论》的学术渊源及其理论特色研究中医医史文献专业论文.docxVIP

《脾胃论》的学术渊源及其理论特色研究 《脾胃论》的学术渊源及其理论特色研究 PAGE PAGE 1 摘 要 目的：结合《内经》、《难经》、《脉经》等经典理论及李东垣《兰室秘藏》、《内外伤 辨惑论》等相关著作，对李东垣《脾胃论》的理论特色及其从脾胃论治杂病方面进行分 析研究，系统总结李东垣的学术思想，以期更好地应用于临床。 方法：查阅相关文献，总结整理《脾胃论》中所述之脾胃的生理特点和病理机制， 脾胃病的治法治则、用药特点及养生思想等方面的理论，继以《脾胃论》中所述之脾胃 理论为基础，由《脾胃论》上溯至《内经》、《难经》、《脉经》，依此探究《脾胃论》的 学术渊源，并以学术渊源为指导，系统而深入的探析《脾胃论》的学术理论特色。 结果：李东垣《脾胃论》的相关理论主要渊源于《内经》、《难经》等经典医著，亦 博采各家之长，总结张仲景、其师张元素等医家的医学经验，结合自身临床体会，奠定 和丰富了脾胃的相关理论。其理论特色主要体现在以下几个方面：（1）援引经典，阐发 理法，突出脾胃的重要性；（2）李东垣脾胃并重，尤重胃气；（3）治疗用药重视脾胃， 包括从脾胃论治五脏病、九窍病、自汗、痿证、厥证、饮证、酒毒等；（4）药食调护重 脾胃，包括饮食宜禁、饮食寒温、药间调护；（5）养生摄生重脾胃，包括顺应四时、饮 食有节、起居当慎、劳役中适、淡泊情志、省语养神、医药无伤等。 结论：（1）李东垣以经典为基，立论以阐发从脾胃论治诸疾如五脏病、九窍病、自 汗等的理、法、方、药；（2）辨证精确，主次明晰，顾及标本缓急；（3）用药法于四时 阴阳，合乎君臣佐使之道，加减从权亦与时令、病情状况相契；（4）药间调护，处处不 忘强调保护脾胃元气的重要性；（5）饮食起居之际，摄生之法首重脾胃。 关键词：脾胃论；学术渊源；理论特色 ABSTRACT Purpose: By the theory of Huang Di Nei Jing, Nan Jing, Mai Jing, etc. and the works of Li Dongyuan’s to study theoretical features of Theory of Spleen and Stomach and to summarize Li Dongyuan’s academic thoughts and to be better applied in theory and clinic. Methods: (1)To summarize the physiological and pathological characteristics of spleen-stomach, the treatment methods of spleen-stomach disease and the thoughts of health preservation of Theory of Spleen and Stomach by reviewing literature. At the same time, to study the academic origin and theoretical features of Theory of Spleen and Stomach though the theory of Huang Di Nei Jing, Nan Jing, Mai Jing, etc. Results: Li Dongyuan’s academic thoughts were based on the theory of Huang Di Nei Jing, Nan Jing, Shang Han Lun, etc. By learning from famous doctors and summarizing these doctors’ academic thoughts and combining clinical experiences, Li Dongyuan made the theory of spleen-stomach abundantly. There are following aspects of theoretical features:(1)By using classical theory to explain the diseases’ mechanism and treatment methods and the importance of spleen-stomach.(2) Li Dongyuan paid more attention on spleen-stomach especially stomach.(3) The featur