宋金元及以前文献脾藏象理论与临证应用研究

发布时间：2018-05-20 22:10

  本文选题：宋金元 + 脾藏象　； 参考：《辽宁中医药大学》2016年硕士论文

【摘要】：脾胃为后天之本,气血生化之源,历代医家在诊疗过程中都注重固护脾胃,脾藏象理论与临证应用是中医学重要组成部分。脾藏象理论在宋以前基本形成,但未能广泛应用于临证。至宋金元时期,脾藏象理论在宋以前基础上逐步完善,形成了因机证治的辨证论治体系,使其真正应用于临证。本文运用文献学方法,对宋以前(秦汉隋唐时期)及宋金元两个时期的脾藏象有关内容进行了全面总结,从源头上理清脾藏象理论与临证应用的发展,揭示了这两个时期脾藏象理论的特点,和辨证论治的基本规律。宋以前文献对脾胃的基本属性、脉象、基本病变论述较多,辨证基本形成体系,但在脾胃病治疗上则较为薄弱。对于脾胃基本特性有较全面的论述,辨证方法多样,有根据气的有余与不足辨证(即虚实辨证),根据寒热辩证,根据脾的形态位置辨证。脉象对于脾胃病证的诊断有重要作用,这一时期脾胃病的病与证之间并没有明确的从属关系,脾胃辨证与临床用药关系也并不密切。这一时期为脾藏象理论的形成时期。宋金元时期脾藏象理论基本继承了宋以前文献的有关内容,尤其是脾胃的基本属性以传承为主。这一时期医家更重视脾藏象理论在辨证论治方面的应用,更加广泛深入地探讨脾胃病的病因病机,出现了以病统证的辨证方法,辨证论治成为临证的主要模式,开始形成因机证治的完整体系。有关药物治疗的内容更加丰富,出现大量脾胃相关方剂。宋金元时期成为脾藏象理论充分应用于临证的关键转型期。
[Abstract]:Spleen and stomach are the basis of the day after tomorrow and the source of qi and blood biochemistry. In the course of diagnosis and treatment, physicians have paid attention to protecting the spleen and stomach, and the theory of spleen storage and the application of clinical syndrome are important components of traditional Chinese medicine. The theory of spleen Tibetan image was basically formed before Song Dynasty, but it was not widely used in clinical syndrome. During the Song, Jin and Yuan dynasties, the theory of spleen storage image was gradually perfected on the basis of the Song Dynasty, and the syndrome differentiation and treatment system was formed, which made it really applied to the clinical syndrome. In this paper, by using the method of philology, the author summarizes the contents of spleen storage before Song Dynasty (Qin, Han, Sui and Tang dynasties) and Song, Jin and Yuan dynasties, and clarifies the development of the theory of spleen storage image and the application of temporary syndrome from the source. The characteristics of the theory of spleen storage in these two periods and the basic law of syndrome differentiation and treatment are revealed. Before Song Dynasty, the basic attributes, pulse and pathological changes of spleen and stomach were discussed more, and the syndrome differentiation system was basically formed, but the treatment of spleen and stomach disease was weak. The basic characteristics of spleen and stomach are discussed comprehensively, the methods of syndrome differentiation are various, there are more and less syndrome differentiation according to Qi (that is, deficiency and deficiency), according to the cold and heat dialectical, according to the shape and position of spleen. Pulse pattern plays an important role in the diagnosis of spleen and stomach disease. In this period, there is no definite subordinate relationship between spleen and stomach disease and syndromes, and the relationship between spleen and stomach syndrome differentiation and clinical medicine is not close. This period is the forming period of the theory of spleen hiding image. In Song, Jin and Yuan dynasties, the theory of spleen Tibet basically inherited the relevant contents of the literature before Song Dynasty, especially the basic attributes of spleen and stomach. In this period, doctors paid more attention to the application of spleen hide image theory in the treatment of syndrome differentiation, and discussed the etiology and pathogenesis of spleen and stomach disease more extensively and deeply. The dialectical method of syndrome differentiation appeared, and syndrome differentiation and treatment became the main mode of clinical syndrome. Began to form a complete system of syndrome and treatment. The content of drug treatment is more abundant, there are a large number of spleen-stomach-related prescriptions. The Song, Jin and Yuan dynasties became the key transition period in which the theory of spleen Tibetan image was fully applied to clinical practice.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R223.1
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本文编号：1916440