李东垣学术思想及《脾胃论》用药规律浅析  

Analysis of LI Dongyuan's Academic Thoughts and Medication Laws in“Treatise on the Spleen and Stomach”

作　　者：楚永庆 李桃桃 陈霞 林亦鑫 陈英群 CHU Yongqing;LI Taotao;CHEN Xia(Yangpu Hospital,Tongji University,Shanghai(200090),China;Tongji University School of Medicine;Institute of Traditional Chinese Medicine,Tongji University)

机构地区：[1]同济大学附属杨浦医院,上海200090 [2]同济大学医学院 [3]同济大学中医研究所

出　　处：《浙江中医药大学学报》2021年第7期792-796,共5页Journal of Zhejiang Chinese Medical University

基　　金：上海市卫健委临床研究专项(201940369)。

摘　　要：[目的]探索李东垣《脾胃论》学术思想及其用药规律,以期指导临床。[方法]运用文献法对《脾胃论》进行研究,总结归纳其学术思想,并采用数据挖掘的方法对其所记载的方剂进行系统整理,通过Excel进行中药分类统计,最后分析总结其使用规律。[结果]《脾胃论》主要学术思想为脾胃为元气之本,“火与元气不两立”;脾胃为气机升降之枢纽;内伤脾胃,百病由生;顾护胃气。全篇共记载方剂63首,中药101味。单味中药使用频次,最多的为炙甘草,人参、陈皮次之;从功能分类来看,补气药使用频次最多,其次为解表药与理气药;从药物配伍来看,共有32首方剂中补气药与理气药同用,其中陈皮与炙甘草联用次数高达21次,陈皮与人参20次,陈皮与黄芪15次。[结论]《脾胃论》是李东垣脾胃学术思想之集大成者,其用药组方以补气、升阳、理气为主,重视调达气机。以补气药缓补脾胃之气为多,同用风药以达到升发脾阳、胜湿、开郁之效,并佐以理气药,使其补而不滞,其学术思想及遣方用药特点值得研究与借鉴。[Objective]To explore the academic thoughts and medication laws of LI Dongyuan in“Treatise on the Spleen and Stomach”in order to guide the clinic.[Methods]Using the literature method to study the“Treatise on the Spleen and Stomach”,it summarized its academic ideas,systematically sorted out the prescriptions recorded in it by data mining method,classified and counted the Chinese herbs through Excel,and finally analyzed and summarized its medication laws.[Results]The main academic thoughts of“Treatise on the Spleen and Stomach”include that the spleen and stomach are the foundation of vitality,“fire and vitality are not compatible”;the spleen and stomach are the pivot of rising and falling of Qi;interior injury of the spleen and stomach causes all diseases and protection of the stomach Qi.A total of 63 prescriptions were recorded in“Treatise on the Spleen and Stomach”,and a total of 101 Chinese herbs were used.The most frequently used Chinese herb is Radix Glycyrrhizae Praeparatae,followed by Panax ginseng and Citri Reticulatae Pericarpium.From the perspective of functional classification,herbs of Qi tonifying were used the most frequently,followed by herbs of relieving exterior syndrome and Qi regulating;from the perspective of drug compatibility,there were a total of 32 prescriptions of Qi enhancing and Qi eliminating.Among them,Citri Reticulatae Pericarpium and Radix Glycyrrhizae Praeparatae were used up to 21 times,Citri Reticulatae Pericarpium and Panax ginseng were used 20 times,and Citri Reticulatae Pericarpium and Astragali Radix 15 times.[Conclusion]“Treatise on the Spleen and Stomach”was the masterpiece of LI Dongyuan's academic thoughts on the spleen and stomach.The prescription of“Treatise on the spleen and stomach”was mainly based on tonifying Qi,raising Yang and regulating Qi,and paid attention to the regulating of Qi movements.The herbs of Qi enhancing were used to invigorate the spleen and stomach,and it also usesd wind herbs to achieve spleen Yang,dehumidify,and open depr

关 键 词：李东垣 学术思想 脾胃论 用药规律 陈皮 炙甘草 顾护胃气 文献研究 

分 类 号：R221[医药卫生—中医基础理论]