“肝脾同治”为《金匮要略》治疗杂病理论的核心  

The Core of the Theory of Treating Miscellaneous Diseases from Jinkui Yaolue

作　　者：陈广坤[1] 钱会南[2] 张金超[2] 吴昊天[2] 

机构地区：[1]中国中医科学院中医药信息研究所,北京100700 [2]北京中医药大学,北京100029

出　　处：《中医学报》2015年第2期196-198,共3页Acta Chinese Medicine

基　　金：国家自然科学基金项目(30772685)

摘　　要：《金匮要略》一书以治疗内伤杂病为重点,其治疗重视整体,以脏腑经络为辨证的核心,而脏腑辨证以肝脾两脏为主,气血的病变是产生杂病的病理基础。"知肝传脾"既是知病防変的预防思想,也是预防肝脾导致的气血不足引发杂病的关键。治疗杂病要重视正气,即重视脾胃后天之本。"肝脾同治"理论既是在气血方面的补充,又是鼓邪外出的治法。所以在临床上常补正气与祛邪气相兼而治。Jinkui Yaolue,with emphasis on the treatment of internal injuries miscellaneous disease,its treatment attaches great impor- tance to the whole,viscera and channels as the core of syndrome differentiation,treatment of miscellaneous diseases attaches great im- portance to the differentiation of Zhongjing,and differentiation of liver and spleen two dirty as the core,the pathological changes of qi and blood are the pathological basis of miscellaneous disease.“Know”liver and spleen is anti-known disease prevention thought,also is to prevent miscellaneous diseases caused by blood of liver and spleen deficiency. Treat miscellaneous diseases should attach great im- portance to the spleen and stomach.“Liver and spleen treatment”theory is not only the supplement in the aspect of qi and blood,and drum evil out of treatment. So fill vital qi and eliminate pathogens are often used in clinic.

关 键 词：肝脾同治 内伤杂病 “知肝传脾” 金匮要略 张仲景 

分 类 号：R222.3[医药卫生—中医基础理论]