基于络病理论探赜《太平惠民和剂局方》脾胃病辨治特点  

Exploring the characteristics of differentiation and treatment of spleen and stomach diseases in“prescriptions of peaceful benevolent dispensary”based on collateral disease theory

作　　者：胡东森 施嘉伟 解粲然 王紫怡 张向阳 张林 HU Dongsen;SHI Jiawei;XIE Canran;WANG Ziyi;ZHANG Xiangyang;ZHANG Lin(The First Clinical Medicine College,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学第一临床医学院,100029 [2]北京中医药大学中医学院,100029

出　　处：《环球中医药》2024年第12期2381-2385,共5页Global Traditional Chinese Medicine

基　　金：中国中医科学院科技创新工程项目(CI2021A03702);中国民族医药学会科研项目(2023ZY182-07);北京中医药大学中医学院任应秋“階墀”基金研究专项(2023-RYQJC-017);北京中医药大学中医学院“橘井青苗”师生共创平台第五期项目(JJQM-2023-128)。

摘　　要：从络病理论的视角,对《太平惠民和剂局方》卷三中记述脾胃病用方的相关原文进行整理分析,挖掘该时期医家在脾胃病治疗中的辨络、治络思想。依据络病理论发展源流及《局方》卷三中脾胃病相关论述,提出以刺痛、癥积、痿废、出血等症状为切入点,探析脾胃络病“郁、积、损”三个阶段的核心病机;治疗上以“通络”为核心原则,从辛香畅气通络、活血化瘀通络、化痰散结通络及益气养荣通络四个方面用药组方,以辅助常规的脾胃病治疗方法。本文基于络病理论探讨《局方》脾胃病的辨证及用药规律,有助于提高疾病临床诊治的准确性与有效性。From the perspective of collateral disease theory,this paper analyzes and summarizes the relevant texts describing the prescriptions for spleen and stomach diseases in Volume 3 of“Prescriptions of Peaceful Benevolent Dispensary”,aiming to mine the doctors’thoughts on differentiating and treating collateral diseases of spleen and stomach during this period.Based on the origin and development of collateral disease theory and the relevant discussions on spleen and stomach diseases in Volume 3 of“Prescriptions of Peaceful Benevolent Dispensary”,this paper used symptoms such as stabbing pain,mass accumulation,paralysis,and bleeding as entry points to explore the core pathogenesis of“stagnation,accumulation,and damage”in spleen and stomach collateral diseases.In treatment,with“unblocking the collateral”as the core principle,medications are prescribed from four aspects:promoting qi flow and unblocking collaterals with pungent and fragrant herbs,activating blood circulation and dissipating blood stasis to unblock collaterals,resolving phlegm and dispersing nodules to unblock collaterals,and nourishing qi and nourishing the body to unblock collaterals,to assist conventional treatment methods for spleen and stomach diseases.This paper summarized the syndrome differentiation and medication rules of spleen and stomach diseases in“Prescriptions of Peaceful Benevolent Dispensary”based on collateral disease theory,aiming to improve the accuracy and effectiveness of clinical diagnosis and treatment of spleen and stomach diseases.

关 键 词：络病理论 《太平惠民和剂局方》 脾胃病 辨络治络 三个阶段 通络 

分 类 号：R249[医药卫生—中医临床基础]