从《脾胃论》脾胃升降及阴火论治消渴

Treatment for Consumptive Thirst from Spleen-stomach Ascending and Descending and Yin Fire in Treatise on the Spleen and Stomach

从李东垣《脾胃论》探讨消渴成病传变之机,应从脾胃升降失常及阴火上僭出发。消渴为膏粱之疾,脾胃不足而溢热内生所致,手足阳明燥热为标,脾胃中焦升降失机及阴火上越为本,二者共筑致病之因。本文以《脾胃论》为基础,认为治疗消渴病应以治脾胃为本,条畅中焦枢机的同时兼顾补益脾胃中的元气及以甘寒泻阴火。

Based on Treatise on the Spleen and Stomach by Li dongyuan,the authors explored the pathogenesis and law of transmission and transformation of consumptive thirst by firstly considering the disorder of spleen-stomach ascending and descending and up-transgression of yin fire. Consumptive thirst, a disease associated with fat meat and fine grains, is induced by internal heat due to deficiency of spleen and stomach;dryness-heat in yangming meridians of hand and foot is considered secondary in branch,and the disorder of ascending and descending of the middle energizer in spleen and stomach and up-transgression of yin fire are considered principal in root,jointly contributing to the occurrence of this disease. In this article,according to Treatise on the Spleen and Stomach,it is believed that the treatment for the spleen and stomach should be laid emphasis on in addition to regulating the pivot of the middle energizer, reinforcing primordial qi in the spleen and stomach and purging yin fire by sweet-cold in the meanwhile when treating consumptive thirst.