朱丹溪脾胃观源流与特征初探  

A Preliminary Study on the Origins and Characteristics of Zhu Danxi's Concept of Spleen-Stomach

作　　者：沈堂彪[1] 

机构地区：[1]浙江省立同德医院,杭州310012

出　　处：《浙江中医药大学学报》2016年第6期431-433,共3页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]探讨朱丹溪脾胃观形成源流及其理法方药规律与特点,拓展丹溪学术研究内容。[方法]以文献学的方法,对照分析朱丹溪脾胃观形成的师承脉络,从脾胃的生理病理、脾胃病的治法用药以及从脾胃论治三方面分析其脾胃观的主要特征。[结果]丹溪脾胃观的形成与其师承老师、名家有密切关系,其基本观点源自于刘完素,汲取李东垣脾胃论用药规律,批判性地保留张从正对脾胃学术主张,全面继承罗知悌的临床经验,从而形成自己的生理病理重视脾胃、治法用药顾护脾胃的特点,并创立健脾调气解六郁、健脾扶正祛外感、健脾养血除痈肿、健脾发汗消痎疟、清胃利肠倒仓法等从脾胃入手、灵活加减治疗外感、杂症的方法。[结论]丹溪脾胃观形成及其特点对于指导当今临床应用和中医师培养具有丰富的现实意义。[Objective] The article analyzed the origins of Zhu Danxi＇s concept of the spleen-stomach and the characteristics of the prescription, and explored the content of the academic research of Zhu Danxi. [Methods] Through literature method, the control analysis of the formation of succession context of Zhu Danxi＇s concept of the spleen-stomach, from three aspects, it analyzes the main characteristics of the view of the spleen and stomach on the physiology and pathology of spleen-stomach, spleen and stomach disease treatment, and treatment through the spleen-stomach.[Results] Zhu Danxi＇s concept of the spleen- stomach had the close relation with apprentice teacher and famous experts. The basic viewpoints origin from Liu Wansu, draws expelling spleen and stomach drug laws of Li Dongyuan, critically to retain the Zhang Congzheng＇s spleen-stomach academics, fully inherit the clinical experience of Luo Zhiti, and then form the concept of the spleen-stomach on physiological and the characteristics including the emphasis on physiological and pathological of the spleen- stomach and the prescription by protecting spleen-stomach. The treatment methods through the spleen-stomach to treat the exogenous and miscellaneous disease, including the tonifying spleen and regulating qi to dispel six stagnation, tonifying spleen and strengthening qi to remove exogenous, tonifying spleen and nourishing blood to resolute carbuncle and abscess, tonifying spleen and sweat to eliminate malaria cough, applicable law of clearing stomach and intestinaL[Conclusion] The formalion and characteristics of Zhu Danxi＇s concept of the spleen-stomach is of great practical significance for guiding the clinical application and the cuhivation of traditional Chinese medicine.

关 键 词：朱丹溪 脾胃观 源流 特征 中医师承 中医各家学说 中医文献学 

分 类 号：R256[医药卫生—中医内科学]