从《脾胃论》探讨李杲对张仲景思想的继承与发挥  

Study On Li Gao′s Inheritance and Development of Zhang Zhongjing′s Thought Based on Treatise on the Spleen and Stomach

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作  者:姜婧[1] 刘刚 张钰欣 曹晓璇 余如霞 王湫澄 王越[1] 赵小月 张保春[1] JIANG Jing;LIU Gang;ZHANG Yuxin;CAO Xiaoxuan;YU Ruxia;WANG Qiucheng;WANG Yue;ZHAO Xiaoyue;ZHANG Baochun(Beijing University of Chinese Medicine,Beijing,China,100029;Beijing Dongcheng District Community Health Management Service Center,Beijing,China,100010)

机构地区:[1]北京中医药大学,北京100029 [2]北京市东城区社区卫生管理服务中心,北京100010

出  处:《河南中医》2024年第11期1679-1682,共4页Henan Traditional Chinese Medicine

基  金:北京中医药大学重点攻关项目(2020-JYB-ZDGG-076);北京中医药新奥奖励基金项目(2018-XAJLJJ-012)。

摘  要:本研究立足于易水学派代表医家李杲著作《脾胃论》,通过梳理其引用仲景之语与仲景之方发现:首先,仲景之《伤寒论》经北宋校正医书局校正刊行后,在宋、金两朝广泛流行,并对李杲等北方医家产生了深刻影响;其次,李杲承金元医学创新之风,运用易水学派脏腑用药与随时用药思想对仲景之方进行了全新的解读与发挥;再次,李杲运用仲景之方以临证为要进行了加减,师古不泥古。This study is based on the work Treatise on the Spleen and Stomach by Li Gao,a representative physician of the Yishui School.By examining his references to Zhang Zhongjing′s words and formulas,it has been found:First,after Treatise on Cold Damage Diseases was corrected and published by the Bureau of Correcting Medical Books in the Northern Song Dynasty,it became widely circulated during the Song and Jin dynasties,profoundly influencing northern physicians such as Li Gao,etc.Second,Li Gao,inheriting the innovative medicine spirit of Jin-Yuan dynasties,reinterpreted Zhang Zhongjing′s formulas through the lens of the Yishui School′s theory on the application of visceral and seasonal medicines,placing great emphasis on the timely use of medicine when applying Zhongjing′s formulas.Third,based on the discussion about various formulas by Zhang Zhongjing in Treatise on the Spleen and Stomach,it is evident that under the influence of the Yishui School′s theories,Li Gao developed new interpretations of Zhongjing′s formulas,making adjustments based on clinical evidences.

关 键 词:《脾胃论》 易水学派 李杲 《伤寒论》 张仲景 

分 类 号:R2-52[医药卫生—中医学]

 

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