试论脾胃虚弱之阴阳分治  

Discussion on Yin-Yang Differentiation Treatment of Spleen and Stomach Deficiency

作　　者：张福利[1] 苏金峰[1] 李富震[1] ZHANG Fuli;SU Jinfeng;LI Fuzhen(Heilongjiang University of Traditional Chinese Medicine,Harbin Heilongjiang China 150040)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《中医学报》2022年第6期1131-1134,共4页Acta Chinese Medicine

基　　金：国家中医药管理局中医学术流派传承工作室建设项目(058000);黑龙江中医药大学科研基金项目(201816);黑龙江省中医药科研项目(ZHY2020-80);黑龙江中医药大学教育教学研究基金项目(XJJY2018026);黑龙江中医药大学优秀青年骨干教师支持计划项目(1504119-0036)。

摘　　要：历代医家论治脾胃虚弱,往往详于脾阳虚、胃阴虚,而略于脾阴虚、胃阳虚。脾胃运纳协同,升降相因,治疗总以“随其所得”,顺应脾胃生理特性为旨归。“脾宜升则健”,治疗脾阳虚证重在温补与温运;脾阴虚证则应酌用甘寒、甘平、甘淡之药益阴滋脾,兼顾脾气(阳)。“胃宜通降则和”,治疗胃阳虚证以降逆和胃、通补胃阳为主;胃阴虚证当治以甘凉滋阴法。When ancient physicians treat Spleen and Stomach deficiency,they always noted in Spleen Yang deficiency and Stomach Yin deficiency,but slightly mentioned Spleen Yin deficiency and Stomach Yang deficiency.The spleen and stomach are in harmony with each other,and the rise and fall of their Qi are related to each other.Therefore,the treatment is always"according to the specific case"and conforming to the physiological characteristics of the Spleen and Stomach."The Spleen Qi rising leading to healthy",and the treatment of Spleen-yang deficiency should focus on warming it and help it in transportation;for Spleen-Yin deficiency,herbs with cold and sweet,or sweet,or a little sweet in nature and flavor should be used to nourish Yin and Spleen,while taking into account the Spleen Yang at the same time."Stomach Qi should drop to achieve harmony",in the treatment of Stomach-Yang deficiency syndrome,the main method is to lower the abnormal Stomach Qi and tonify Stomach-Yang;for Stomach Yin deficiency,tonifying Yin method should be applied with cool and sweet drugs.

关 键 词：脾胃虚 脾阳虚证 脾阴虚证 胃阳虚证 胃阴虚证 阴阳分治 

分 类 号：R256.3[医药卫生—中医内科学]