摘要
李东垣为补土派创始人,前贤对其"升阳散火论""阴火论"等多有阐发,而对饮食内伤则疏于叙述。而东垣时代多战乱,人们或食不果腹,或过食饱餐,所犯疾病多与脾胃有关,与当今人们由饮食偏嗜、起居失宜所引发疾病有相似之处。东垣在《脾胃论》《兰室密藏》中多次指出内伤饮食因素是造成脾胃疾病的重要原因,本文以内伤饮食理论为切入点,结合时代背景分析东垣时期与现代饮食的致病特点与相似性;归结病因病机与治法为饮食失节,脾胃受损,宜补中益气;脾虚胃实,阴火炽盛,宜甘温除热;脾胃积滞,宜理气消导;并以糖尿病和妇科疾病为例,深入探讨东垣脾胃内伤饮食辨治思想对现代疾病的指导。
Li Dongyuan was the founder of ＂Strengthening Spleen and Stomach＂theory,people focused on the ＂ Yin Fire theory＂ and ＂ Sheng-yang-san-huo theory＂ and which had been discussed many.However,nowadays people suffer from spleen and stomach diseases which are always caused by improper diet habits,interestingly,all above were coincidently similar to those of Li Dongyuan ＇s living age--Jin and Yuan dynasties,therefore,the points he raised in his books ＂Treatise on the spleen and stomach ＂,＂LAN room secret＂that ＂spleen and stomach injuries would lead to various diseases by impacting the whole system of the human body＂need more exploring to impact and guide the current clinic practicing.In this study,the authors try to interpret Li Dongyuan＇s thoughts of internal injury caused by diet and aim to guide the treatment of current diseases,by analyzing the similarity of diet structure and living circumstance by distinguishing the age of Li Dongyuan＇s living and present era.Therefore,tonifying middle-jiao and qi treating were used to rescue improper diet and spleen and stomach injured; treating food retention and malnutritional stagnation by smoothing qi and promoting digestion; tonifying spleen and stomach deficiency and clearing the flaming yin fire by his thought of ＂relieving fever with sweet and warm＂as we know.In addition,the authors set examples of diabetes and gynecological diseases to make sense of all above involved.
作者
胡亚靖
于河
顾然
李旖旎
刘铁钢
谷晓红
Hu Yajing;Yu He;Gu Ran;Li Yini;Liu Tiegang;Gu Xiaohong(Beijing University of Chinese Medicine, Beijing 100029)
出处
《现代中医临床》
2018年第2期38-41,共4页
Modern Chinese Clinical Medicine
基金
国家自然科学基金青年基金项目(No.81704121)
北京中医药大学青年教师项目(No.2017-JYB-JS-012)
北京中医药大学新奥传承研究项目(No.1000062720024)
北京中医药大学师承博士后项目(No.1000062620141)
关键词
李东垣
饮食内伤
脾胃疾病
现代疾病
Li Dongyuan
improper diet habits
spleen and stomach disease
modern disease
