论李东垣脾胃学说的核心思想

摘要

Objective] To explore core thought of Li Dongyuan’s spleen and gastric theory, grasp the basic spirit of Dongyuan theory, and better guide the clinic. [Method]Basing on some relevant theories from NeiJing, the eminent physician in Jin and Yuan Dynasties established the academic thought centering on regulating the spleen and stomach in treatment of the deficiencies. [Result]The thought revealed the cooperative function between invigorating Yang and tonifying middle-energizer and Qi. It also proposed the concept of “ Yin-fire” and the method of relieving high fever with drugs of sweet flavor and warm nature, creating a series of prescriptions of invigorating Yang and tonifying middle-energizer, which broadening the clinical treatment of traditional Chinese medicine. [Conclusion]The academic thought centered on adjusting spleen and stomach by raising Yang and tonifying Qi, broadens the TCM clinical therapy, today still effectively guides clinical practice.%[目的]探讨李东垣脾胃学说的核心思想，把握东垣学说的基本精神，更好地指导临床。[方法]连贯分析李东垣的四部著作，探究其核心思想与组方用药的原理，还原“阴火”概念形成的思路，并以图表的方式，分析脾气虚陷的机理、证候和治疗。[结果]揭示风药与补气健脾药存在着协同效应，归纳“阴火”概念的四层内涵，阐明元气损伤与脾胃虚衰的内在关系，发现脾气虚陷常伴有内外邪侵袭之多种病症，须治以补中益气和升阳举陷，并作随证加减。[结论]针对诸虚不足，以升阳益气法调理脾胃为中心的学术思想，拓宽了中医临床治疗学，目前仍有效指导临床实践。