李东垣治疗内伤脾胃病组方用药特点研究

发布时间：2018-03-21 18:49

本文选题：李东垣　切入点：内伤脾胃病　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：本文旨在通过对李东垣的学术思想的研究以及其治疗内伤脾胃病方剂进行整理分析,为临床治疗脾胃疾病提供参考。通过查阅李东垣著作《内外伤辨惑论》《脾胃论》,探讨了李东垣的主要学术思想,论述了李东垣对内伤脾胃病的认识及治疗,并对其治疗内伤脾胃病的34首方剂进行了分析,将此34首方按主治病因分为五类,即劳役所伤,酒伤,药伤,饮食伤及情志所伤。其中治劳役所伤方4首,治酒伤方2首,治药伤方3首,治饮食伤方22首,治情志伤方3首。得出以下结论:1、李东垣治疗内伤脾胃病以补益脾胃为主,多法参用,每服量轻,多用丸散。2、李东垣治疗劳倦所伤以大量黄芪为君,配伍炙草、人参等。气机升降失常者,或配升柴,或伍陈皮。3、治疗饮酒所伤者以上下分消之法。常用葛花、猪苓、茯苓、雄黄、巴豆等。4、治疗药伤者,强调因其寒热以治之。常用益智仁、白豆蔻、生姜、生地、黄连等。常用药对有益智仁与白豆蔻,生地与黄连。5、治饮食伤脾胃时多用枳实、白术、神曲、柴胡、升麻等;寒饮食所伤多用豆蔻配伍半夏,热饮食所伤者多以黄芩配伍黄连。6、治疗情志伤及脾胃时,多用麦芽,柴胡,陈皮,半夏等,理气顺气与助脾运化并用。
[Abstract]:The purpose of this paper is to analyze Li Dongyuan's academic thoughts and the prescription for treating internal injury of spleen and stomach disease. To provide reference for clinical treatment of spleen and stomach diseases. By referring to Li Dongyuan's works on Internal Trauma, the Theory of spleen and stomach, this paper probes into Li Dongyuan's main academic thoughts, and discusses Li Dongyuan's understanding and treatment of internal injury, spleen and stomach diseases. The 34 prescriptions for treating internal injury of spleen and stomach were analyzed. The 34 prescriptions were divided into five categories according to the main cause of treatment, that is, labor injury, alcohol injury, drug injury, diet injury and emotional injury. The following conclusions can be drawn: 1. Li Dongyuan's treatment of internal injury of spleen and stomach is mainly to replenish the spleen and stomach. More pills powder. 2, Li Dongyuan treatment tired injury with a large number of astragalus as a monarch, mixed with grilled grass, ginseng and so on. Those with abnormal Qi rise or fall, or add wood, or Wu Chen Pi. 3, the treatment of the injured drinking above the method of elimination. Commonly used Pueraria, Polyporus, Poria cocos, Realgar, Croton, etc., treatment of wounded patients, emphasizing that because of its cold and heat to treat it. Commonly used Yi Zhiren, white nutmeg, ginger, green land, Coptis, etc. Common medicine to have benefit Zhiren and white nutmeg, raw land and Huanglian. 5, when treating diet injury spleen and stomach, more use immaturus, macrocephala, etc. Shenqu, Bupleurum, Shengma et al; cold diet injury with nutmeg combined with Pinellia ternata, hot diet injury with Scutellaria and Coptis. 6, when treating emotional injury to spleen and stomach, more use malt, Bupleurum, Chen Pei, Pinellia ternata and so on.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249;R256.3

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