论补中益气汤之肝脾同调  

Discussion on Harmonizing Liver and Spleen of Buzhong Yiqi Decoction

作　　者：王悦琦 张一鸣 孙闵[1] 李治[1] 万广宋 孙冰 WANG Yue-qi;ZHANG Yi-ming;SUN Min;LI Zhi;WAN Guang-song;SUN Bing(Jining Medical University,Shandong Ji'ning 272067,China;Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou 310007,China;Zhejiang University of Chinese Medicine,Hangzhou 310053,China)

机构地区：[1]济宁医学院,山东济宁272067 [2]杭州市中医院,杭州310007 [3]浙江中医药大学,杭州310053

出　　处：《中国中医基础医学杂志》2020年第11期1696-1698,共3页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：济宁医学院大学生科研项目(JYXS2017KJ033)-补中益气汤中“柴胡、升麻”对小鼠肌肉损伤的治疗作用研究;山东省社会科学规划研究项目(19DTQJ01)-元代医书中的香药文献整理与研究;山东省自然科学基金资助项目(ZR2016HM65)-肠道菌群在T2DM发病机制及与中医辨证分型相关性的研究;济宁医学院中西医结合治疗脾胃病创新团队项目(JY201918)。

摘　　要：补中益气汤是李东垣学术思想的集中体现。通过阐述肝脾关系,对方中药物的功效、性味以及“药类法象”进行分析,总结李东垣喜用辛甘温、善用风药的临床用药配伍特点,并结合临床应用进行思辨,提出补中益气汤为肝脾同调之剂,李东垣学术思想并非如传统认知的那样仅仅独重脾胃,而是注重对肝脾关系的调和,即重脾胃而兼顾肝胆;善用风药以及喜用辛甘温正是出于对肝脾关系的把握,而这种对肝脾关系的把握也是其学说之神髓。Buzhong Yiqi Decoction embodies LI Dong-yuan's academic thoughts.Through analyzing the relationship between liver and spleen,and analyzing the effect,four properties and five tastes and pharmacological method state of drugs in Buzhong Yiqi Decoction,summarizing the characteristics of LI Dongyuan's clinical medication compatibility,combining with the clinical application.It is concluded that Buzhong Yiqi Decoction is a mixture of regulating liver and spleen.And LI Dongyuan did not just only focus on the spleen and stomach as people known,but pay attention to mediate the relationship between liver and spleen.Making good use of wind medicine and pungent,sweet and warm drugs is the mastery of the relationship between liver and spleen,which is the essence of Dongyuan's theory.

关 键 词：补中益气汤 调和肝脾 李东垣 

分 类 号：R289.1[医药卫生—方剂学]