李东垣“胃气升发”论析疑

发布时间：2018-02-03 04:05

本文关键词： 胃气升发临证析疑李东垣　出处：《中国中医基础医学杂志》2017年07期 　论文类型：期刊论文

【摘要】：今观夫后世学者多简单援用"胃气通降""脾升胃降"等理论对李东垣脾胃学说进行演绎推导,恐有先入为主之见和主观臆测之嫌,而对于诸多理论亦难以诠释精当,故我们遍考其李东垣著述提出"胃气升发"说。基于李东垣的观点我们溯源经典,指出"胃气升发"一说肇始于《黄帝内经》(以下简称《内经》)。生理方面,胃气平而上行以游溢精气、化生气血、充实经隧,为五脏六腑之本;病理上胃虚而不能转运升发则诸窍不利、五脏气皆乱矣。故从经络走行、阴阳升降、脏腑关系、处方用药、脾胃调护等5个方面对胃气升发论进行阐发,试对李东垣的"胃气升发"说机理及其临证运用予以总结,以期丰富其脾胃学说。
[Abstract]:The scholars of the present and later generations have simply used the theories of "stomach, gas, gas, spleen, and stomach" to deduce Li Dongyuan's theory of spleen and stomach, which may have preconceived views and subjective guesses. But for many theories also difficult to explain the fine, therefore we examine its Li Dongyuan to put forward the "stomach gas rises hair" theory. Based on Li Dongyuan's viewpoint we trace the source classic. It is pointed out that the theory of "stomach Qi rises and hair" originated from the "Huangdi Internal Classic" (hereinafter referred to as the "Inner Classic"). Physiologically, the stomach Qi is leveled up to overflow the vital qi, to generate qi and blood, and to enrich the channel tunnel, which is the root of the five viscera and six Fu organs. Pathology of stomach deficiency and can not transport hair is unfavorable to all resuscitation, five viscera qi are chaotic. Therefore, from the meridian line, Yin and Yang ascending and descending, the relationship between viscera, prescription medication, spleen and stomach regulation of nursing, such as five aspects of the theory of stomach Qi and hair to elucidate. This paper summarizes Li Dongyuan's theory of "stomach qi rising hair" and its clinical application in order to enrich his theory of spleen and stomach.
【作者单位】：福建中医药大学;福建中医药大学附属人民医院;
【基金】：国家中医临床研究基地业务建设科研专项课题(JDZX2012017)-基于尿蛋白质组学技术探讨“真实世界”的辨证论治延缓慢性肾脏病进展的临床研究福建省中医药科研项目计划(wzsb201305)-中医辨证论治对慢性肾脏病4期患者蛋白质能量消耗影响的临床研究;福建省中医药科研项目计划(wzsb201312)-运用“五运六气”理论治疗慢性肾脏病的疗效观察与分析
【分类号】：R221
【正文快照】： 李东垣著述中多有“胃者行清气而上”“胃气平而上行也”“胃虚不能上行”“升发胃气”[1]等胃气升发之论。而在研究其脾胃学说的著述中,诸多学者却常避之不谈而多言“脾升胃降”[2-3],并将李东垣所制“升阳益胃汤、补中益气汤”等方归于力补脾阳一端[4-5],何故?是其不识医理

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