唐容川与张锡纯辨治脾阴虚证比较分析OACSTPCD

Consulted related works and research literature to summarize the similarities and differences between TANG Rongchuan and ZHANG Xichun in the treatment of spleen yin deficiency.In terms of pathogenesis,TANG Rongchuan emphasized the interaction effect of spleen yin deficiency,failure of the spleen to control blood,and dysfunction of the spleen in transportation,and ZHANG Xichun focused on examining the mechanism of wood over-restricting earth.For therapeutic methods,both of them attached great importance to the fluid.TANG,who created the"appetizing and invigorating spleen yin"was concerned about the loss of blood and put forward the methods of nourishing yin,lowering fire,and generating fluid to promote blood circulation and nourish the blood.ZHNAG Xichun,who advocated the therapy of"juice nourishing fluid"and"assisting metal to harmonize liver and spleen"usually tonified both spleen yin and qi.In the medicinal theory,they both followed the principle of tonifying the spleen with herbs with the flavor of sweet and bland.TANG Rongchuan emphasized sweet,while ZHANG Xichun stressed bland.In medicinal flavor synthesis,they advocated"Jiaji transforming earth"in which TANG Rongchuan carried forward the idea of"sweetening yin with sour and sweet medicine"while ZHANG Xichun stuck to a"sweet-bitter combination".In terms of specific usage of herbs,TANG Rongchuan,who stressed classical prescriptions,took Renshen and Tianhuafen as vital medicine and was skilled in using flesh and blood products.ZHANG Xichun prioritized Shanyao and Gancao,and ZHANG Xichun was good at using diet therapy.Thoughts on the therapy of spleen yin deficiency by TANG Rongchuan and ZHANG Xichun complement each other,which was significant for clinical practice guidance.