叶天士关于脾胃分治的理论浅析
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浙江中医药大学基础医学院,浙江杭州310053

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R256.3

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Discussion on Treating the Spleen and Stomach as Divided of YE Tian-shi
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College of Basic Medical Science, Zhejiang Medical University, Hangzhou 310053, China

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    摘要:

    清代著名医家叶天士,经过长期临床实践,博采诸家学说,在东垣脾胃学说的基础上提出脾胃当分析而论,强调“脾喜刚燥,胃喜柔润”,创立养胃阴说,重视脾胃治疗当分阴阳而治,濡养脾阴,温运脾阳,清养胃阴,温通胃阳。本文通过对叶氏著作《临证指南医案》的研读,对其临证从脾胃特性出发治疗脾胃病进行分析和总结,以有效地指导临床辨证论治和遣方用药,提高中医临床疗效。

    Abstract:

    YE Tian-shi is a famous clinical home of traditional Chinese medicine in the Qing dynasty. After a long-term clinical practice, and the gathering of various home theories. Based on the theory of Dongyuan’s Spleen and Stomach Disease, he put forward that spleen and stomach should be separated to discuss and treat. He put stress on “the spleen favorites hardness and dryness, stomach softness and moisture”. He founded the theory of stomach yin. In treatment, he attached importance to nourish the stomach yin and spleen yin, and wen tong stomach yang and spleen yang. In this paper, through the studying of the representatives of the Yep’s book Case Report for Clinical Practice, analyzed and summarized its Clinical characteristics of treatment from the spleen and stomach disease. In order to effectively guide the clinical diagnosis and syndrome differentiation and omission party drags, improve the clinical curative effect of traditional Chinese medicine.

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