探析李中梓治疗脾肾的思路与方法  

On Li Zhongzi’s ideas and methods in the treatment of spleen and kidney diseases

作　　者：谭胜男 高蕾 王军[1] TAN Shengnan;GAO Lei;WANG Jun(Basic Medical College of Changchun University of Chinese Medicine,Changchun 130117,China)

机构地区：[1]长春中医药大学基础医学院,长春130117

出　　处：《长春中医药大学学报》2022年第4期367-369,共3页Journal of Changchun University of Chinese Medicine

摘　　要：李中梓为明末清初的著名医学家,一生博众医家之精髓,精研岐黄之术,遵《内经》之旨要,临床辨证有自己独到的见解,提出了“肾为先天之本,脾为后天之本”的理论。通过对李中梓所撰写的《医宗必读》中四则医案的分析,对李中梓治疗脾肾的思路及临床经验进行归纳总结。李师治病注重追求本因,主抓病机,脉证结合,其中一则对于便秘的治疗不拘泥于常规大肠主津的辨证思路,而是从肾津不足,津液不复的病机出发,其独特的辨证思维对后世医家的临证治疗具有针对性的指导意义。Li Zhongzi,a famous physician in the late Ming Dynasty and early Qing Dynasty,learns widely from other’s strong points throughout his lifetime,studies diligently Chinese herbal medical science and abides by the essence of Huangdi Neijing.He forms his own unique views on clinical syndrome differentiation,and puts forward the theory of“kidney being the congenital essence and spleen being the acquired essence”.This paper aims to summarize his ideas and clinical experience in the treatment of spleen and kidney diseases through analyzing the four medical cases in Required Readings for Medical Professionals written by Li Zhongzi.It is found that he focuses on figuring out root causes and pathogeneses,integrating pulse manifestations and syndromes.In one of the four cases,he treats constipation according to the pathogenesis of insufficiency of kidney fluid and its inability to function normally instead of adhering rigidly to the conventional syndrome differentiation idea that large intestine dominates clear fluid.It is proved that his unique syndrome differentiation thinking has a specific guiding significance for the clinical treatment of future doctors.

关 键 词：脾肾同调 医案分析 李中梓 

分 类 号：R249.2[医药卫生—中医临床基础]