李东垣阴火病机及其用药规律研究-方剂学专业论文.docxVIP

— — PAGE 1— 摘 要 李东垣阴火病机及其用药规律研究 研究生：孙洁 导师：张星平 教授 摘 要 目的：通过深入探究东垣原著，以期明了东垣阴火病机种类及其范围；同时运 用方剂计量学方法对东垣与当代学者治疗阴火证治方药进行分析研究，以期探明东 垣阴火证治疗用药规律及其与当代学者阴火证治疗用药之间的关系，并藉此展现后 世学者对东垣阴火证治的发展和贡献。方法：运用传统文献研究与现代文献计量学 研究相结合的方法，采用方剂计量学体系，统计分析李东垣、当代学者治疗阴火证 的方药；并通过卡方检验比较当代学者们与李东垣在治疗阴火证的用药上是否有统 计学差异。结果：（1）东垣阴火病机九种：元气不足，气火失调；脾胃受损，升降 失常；肾失滋养，阴火由生；肝经受病，阴火上壅；内蕴湿热，蕴而成火；脾气郁 结，郁而化火；阴血不足，阴火炽盛；阳气不足，致生阴火；脾胃内伤，外邪乘虚 而入。（2）东垣阴火证用药特点：在用药功能上以补气和升散（解表）为主；在用 药性味上喜用辛、甘、苦、温、寒；在用药归经上以入脾、胃、肺为要；在用药组 方上以补中益气汤为核心。（3）当代学者与李东垣在用药的功效、四气五味、归经 等方面有一定的统计学差异。结论：（1）明确东垣阴火病机有九种。（2）东垣阴火 证治疗规律是以补气升阳、甘温除热为主，以泻阴火为辅。（3）当代学者继承东垣“阴 火”证治而有所发展，用药范围略有扩大。 关键词： 李东垣；阴火病机；用药组方规律 新疆医科大学医学硕士学位论文 Yin Fire Pathogenesis mechanism And Prescription regularity study on Li Dongyuan Postgraduate: Sun Jie Supervisor: Prof. Zhang Xingping Abstract Objective: Through intensive study Dongyuan original, in order to understand the type and scope of yin fire Pathogenesis; At the same time, the use of the literature metrological Ways of Li Dongyuan and contemporary scholars treating Yin Fire Treatment prescriptions carry out an analytical study, in order to understand the laws of Dongyuan yin-fire and contemporary scholars yin-fire pattern relationship between, and to demonstrate the development of Later scholars of Dongyuan yin-fire and contribution. Methods: Traditional and modern literature bibliometrics study a combination of methods, choice of prescription metrology systems, statistical analysis of Li Dongyuan, contemporary scholars treating Yin Fire permit prescription; and through chi-square test compared with the Li Dongyuan contemporary scholars in the treatment of vaginal medication on fire permit Whether or not there is statistical difference. Results:（1） Dongyuan disease of the Yin Fire Pathogenesis Nine: insufficiency of primordial QI, qi-fire disorders; the spleen-stomach by injury, ascending, descending, not normal; kidney loss of enriching, yin-fire production; disease of liver channel, yin-fire uprush; inside there is damp-