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论李东垣"至而不至,是为不及"思想OA北大核心CSTPCD

Discussion on LI Dongyuan's"deficiency of spleen and stomach qi"theory

中文摘要英文摘要

李东垣作为补土派创始人,重视中焦脾胃在人体气机升降运动中的作用.李氏根据多年临床经验,提出调治脾胃为治疗肝、心、肺、肾诸脏疾病的关键.其中,"至而不至,是为不及,所胜妄行,所生受病,所不胜乘之也"是这一思想的集中体现.该条文源自《素问·六节藏象论篇》,具有丰富内涵.本文依托五运六气理论和阴火论,对此条文的内涵进行阐释.根据李东垣的发挥,"至而不至,是为不及""所胜妄行""所生受病""所不胜乘之"依次对应着心之脾胃病、肾之脾胃病、肺之脾胃病、肝之脾胃病的发病病机.同时,论述了在脾胃虚损的情况下,其余诸脏病邪传变的规律和治疗方法,为以脾胃虚损为核心的多脏腑病变的论治提供了新思路.

LI Dongyuan,the founder of the tonification school,attaches great importance to the role of the spleen and stomach in the ascending and descending movement of qi in the human body.Based on years of clinical experience,LI Dongyuan proposed that regulating the spleen and stomach is fundamental to treating liver,heart,lung,and kidney diseases.This theory is a concentrated expression of his clinical approach.This provision is derived from the chapter 9 and has rich connotations.This article draws on the theory of five movements and six qi,as well as the theory of yin fire,to explain the deeper connotations of this provision.According to Dongyuan's theories,"Should be to but not to,this is insufficient","Unimpeded by my restrained delusions","Born by me is insufficient because of me",and"Restrain my arrogance unimpeded",correspond to the pathogenesis of the spleen and stomach disease of the heart,kidney,lung,and liver.Simultaneously,this article also discusses the rules and treatment method of the other four zang-organ diseases in the case of spleen and stomach deficiency,providing novel insights for treating multi-zang organ diseases with spleen and stomach deficiency as the core.

李想;谷建军

北京中医药大学中医学院 北京 100029

中医学

李东垣脾胃不足脾胃病阴火

LI Dongyuandeficiency of spleen and stomach qispleen and stomach diseaseyin fire

《北京中医药大学学报》 2024 (012)

1675-1680 / 6

National Social Science Foundation's Special Project for the Study of"the Rare and Unique Skill"(No.22VJXG041) 国家社科基金冷门绝学研究专项(No.22VJXG041);北京市社会科学基金项目(No.20ZXB002)

10.3969/j.issn.1006-2157.2024.12.007

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