从脾论治思想探讨与临床应用.PDF

·394 · 国际中医中药杂志2017年5月第39卷第5期 Int J Trad Chin Med, May 2017, Vol. 39, No.5 ·专题论坛 · “从脾论治”思想探讨及临床应用 姚朋华 李丰军 李进峰 孙阿娟 【摘要】 “从脾论治”是当前临床中应用非常广泛的理论，其临床疗效显著。本文旨在通过理论 内涵、生理病理基础、临床应用等相关内容的分析，阐释“从脾论治”理论。 【关键词】 从脾论治；脾胃学说；中医临床 Discussion on the theory and clinical practices on “Treatment from Spleen” * Yao Penghua , Li Fengjun, Li Jinfeng, Sun Ajuan. *Department of Traditional Chinese Medicine, West Branch of Weihai Municipal Hospital, Weihai 264200, China Corresponding author: Li fengjun, Department of Traditional Chinese Medicine, Weihai Municipal Hospital, Weihai 264200, China; Email: 【Abstract 】 Theory of treatment from spleen is being widely applied in in the process of Chinese medical therapies and had already shown its clinical efficacy. The purpose of this paper was to explain this theory in the fields of the theoretical contents, physiology, pathology and clinical practices. 【Key words 】 Syndrome differentiation, Spleen disease; Spleen-Stomachtheory; Traditional Chinese medicine, clinical 在中医临床、文献中，常将“从脾论治”作 “上焦受中焦之气，中焦未和，不能消谷，故上 为重要的治疗原则。脾虚证在杂病中的发生率约 焦竭者，必善噫；下焦承中焦之气，中气未和， [ ] 87.9%，且可出现于多系统疾病中1 。笔者在长期 谷气不行，故下焦竭者，必遗尿失便。”李东垣的 临床实践中运用“从脾论治”思想治疗各种杂病、 《脾胃论》，强调“人以胃气为本”，提出“百病 [ ] 慢性病等疗效显著，笔者对脾胃运化失常与五官 2 15 ，系统地提出了脾胃学说， 皆由脾胃衰而生也” 疾病关系的文献进行了深入研究。本文从“从脾 成为“补土派”的创始人。《类经》云“脾主运化，