[目的]探讨清代名医徐灵胎“元气论”的学术思想。[方法]采用传统文献学的研究方法，通过认真研读徐灵胎的医学著作，并结合中医各家学说，总结、概括徐氏“元气论”学术思想。[结果]经研究提炼，徐灵胎“元气论”学术思想可概括为：徐氏认为元气为医家活人第一大义，医者当深究根本，顾护元气。在理论上徐氏认为元气先天定分，宰于气血之先。五脏真精乃元气分体。在临床上徐氏将元气思想实际应用于以元断病，邪元相并，慎用温燥三个方面。[结论]徐灵胎在继承前人理论的基础上提出“元气论”。徐氏的“元气论”不仅在中医精气理论中独树一帜，而且在临床辨证施治上极具特色。其学说对中医临床具有重要的参考价值。%[Objective] To investigate doctor Xu Qing Lingtai’s "vitality" academic thought. [Methods] Using traditional philological research methods, through a careful reading medical books of Xu Lingtai, combined with various Chinese medicine theory, summarize his "vitality" academic thought. [Re-sult] The study refines that Xu Lingtai"vitality"academic thought can be summarized as: Xu thought vitality is the first righteous cause for doctors to treat diseases; doctors shal get to the bottom and care vitality. In theory, he viewed that the innate vitality comes before the blood and Qi. The true viscera essence is the sub-strength of vitality. In clinical thinking, he actual y applied the theory in 3 aspects:diagnosing diseases with vitality, evil and vitality com-bined and using warm-dry drugs with caution. [Conclusion] Xu Lingtai inherited the former based on the theory and put forward"strength theory."His"vitality theory" is unique not only in the theory of traditional Chinese medicine essence, but also has great features in the clinical syndrome differentiation. Its doctrine has important reference value on clinical medicine.
展开▼
