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基于膏方医案探析秦伯未从脾胃论治肺病思想

黄廷轩 吕思缘 张悦 李雁 刘通 于会勇 王成祥

山东中医药大学学报2024,Vol.48Issue(4):416-421,6.
山东中医药大学学报2024,Vol.48Issue(4):416-421,6.DOI:10.16294/j.cnki.1007-659x.2024.04.005

基于膏方医案探析秦伯未从脾胃论治肺病思想

QIN Bowei's Thoughts on Treating Lung Diseases from Spleen and Stomach Based on Medical Cases of Herbal Extracts

黄廷轩 1吕思缘 1张悦 2李雁 3刘通 3于会勇 1王成祥1

作者信息

  • 1. 北京中医药大学第三附属医院,北京 100029
  • 2. 北京中西医结合医院,北京 100039
  • 3. 北京中医药大学东直门医院,北京 100700
  • 折叠

摘要

Abstract

QIN Bowei adhered to the principle of"a strong spleen ensures the organs are safe from harm"from the Spiritual Pioot·Origin of Viscera.He emphasized the physiological and pathological interrelation between the lungs and the spleen-stomach,skillfully treating lung-related diseases by focusing on regulating the spleen-stomach.He had unique expertise in the application of herbal ointments,opposing the indiscriminate reinforcement approach and instead advocating for the dual purpose of herbal ointments,which included expelling pathogenic factors.He believed that it was easier to reinforce after eliminating pathogenic factors.In clinical practice,he integrated the use of herbal ointments with the concept of treating lung diseases from the perspective of the spleen and stomach.In his herbal ointment medical cases,he tailored treatments for various lung diseases based on different pathogenic mechanisms,employing methods such as nourishing stomach yin,warming spleen yang,reinforcing central qi,promoting digestion and elimination,assisting in governing the blood,and descending stomach qi.He simultaneously incorporated purging into tonifying,combining tonification and purging rather than solely relying on tonification to benefit the spleen and stomach in treating lung diseases.For common lung-related ailments such as pulmonary tuberculosis,phlegm dampness,susceptibility to colds,post-cold recovery,hemoptysis,and cough,he infused the concept of treating lung diseases from the perspective of the spleen and stomach into his herbal ointment formulations.He comprehensively intervened in the entire process of disease prevention,progression,and recovery,achieving favorable therapeutic outcomes.

关键词

秦伯未/膏方/医案/肺系疾病/脾胃学说

Key words

QIN Bowei/herbal ointments/medical cases/lung diseases/theory of the spleen and stomach

分类

医药卫生

引用本文复制引用

黄廷轩,吕思缘,张悦,李雁,刘通,于会勇,王成祥..基于膏方医案探析秦伯未从脾胃论治肺病思想[J].山东中医药大学学报,2024,48(4):416-421,6.

基金项目

国家重点研发计划项目(编号:2018YFC1704100、2018YFC1704101) (编号:2018YFC1704100、2018YFC1704101)

北京中医药薪火传承"3+3"工程项目(编号:2020-SZ-A-47) (编号:2020-SZ-A-47)

北京中医药文化资源调查项目(编号:WHZX-2020-94) (编号:WHZX-2020-94)

山东中医药大学学报

OACSTPCD

1007-659X

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