叶天士通补胃腑模式新诠  

New Interpretation of Supplement Stomach-fu Organ Model of YE Tianshi Tong

作　　者：蒋啸 郑旭锐[1] JIANG Xiao;ZHENG Xurui(Shaanxi University of Chinese Medicine,Xianyang 712046,China)

机构地区：[1]陕西中医药大学,咸阳712046

出　　处：《世界中医药》2020年第15期2336-2341,共6页World Chinese Medicine

基　　金：国家中医药管理局第四批中医基础优秀人才资助项目(国中医药人教发[2017]24号)。

摘　　要：目的:为了解决目前消化系统疾病所面临的传统化学药物难以解决的临床问题,撷取叶天士治疗胃腑“以通为和、以降为顺”的认识为基础为临床应用生物药物提出新的解决策略。方法:爬梳叶氏取法金元、新安名家,底柢仲景、化裁经方的学术源流沿革与其在消化系统疾病中的现实意义,使用“模式构建”与“降维升阶”的方法,梳理叶天士通治胃腑的立法思想。结果:构建了以胃气、胃阴、胃阳为基础的“胃腑犄角模式”。结论:治疗消化系统疾病可根据“胃腑犄角模式”,先将胃气、胃阴、胃阳作为据证立法的抓手进行考量,再结合叶氏使用茯苓、生姜、扁豆、沙参的经验,并最终做出符合病家个体特色的临床决策与治疗方案的诊疗模式。Objective:In order to solve the difficult clinical problems of traditional chemical drugs in digestive system diseases,using YE Tianshi thinking on treating stomach organs“Fu organs as the base,which were remvoing obstrcution as harmony and decline as smooth”,providing a new solution strategies for clinical application of biopharmaceuticals.Methods:By using Pashu Yeshi method,Jinyuan,Xinan famous masters,Didi Zhongjing,and Huacai Prescription,the paper discussed the evolution of academic sources and their practical significance in digestive system diseases,using the methods of“model construction”and“reducing dimension and ascending step”,and combed the legislative thought of YE Tianshi tong′s treatment of stomach and viscera.Results:Try to construct the model of“the angle of the stomach-fu organs”based on stomach qi,stomach yin and stomach yang.Conclusion:It is proposed that in the treatment of digestive system diseases,according to the“angle pattern of stomach-fu organs”,the stomach qi,stomach yin and stomach yang can be considered as the grip of the evidence legislation,and then can combined with the experience of using Poria,Rhizoma Zingiberis Recens,Semen Dolichoris Album and Radix Adenophorae by YE′s family,and finally the clinical decision and treatment mode which accord with the individual characteristics of the patient and the treatment plan was made.

关 键 词：通补胃腑 @叶天士 模式构建 源流疏证 学术探讨 脾胃分治 诠释学 文献研究 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]