徐春甫论治脾胃病学术思想浅析

Analysis of XU Chunfu's Academic Thought in Treating Spleen and Stomach Diseases

明代医家徐春甫私淑于李东垣,其所著《古今医统大全·脾胃门》,详述了脾胃病的病机、脉候、治法及方药。提出脾胃不足、百病由生,认为饮食不节,劳役所伤,以致脾胃虚弱,乃血所生病,把脾胃不足的本质与血证相联系,亦关乎阳气不足、阴气有余的病机。在临证时,主张脉证相合,治法上推崇升降浮沉之法而随证用药。

Doctor XU Chunfu in Ming dynasty absorbed LI Dongyuan＇s academic thought that he didn＇t di- rectly take lessons from LI. His book Ancient and Modern Medicine Encyclopedia＇Spleen and Stomach de- tailed describes the pathogenesis,pulse,therapeutic methods and prescriptions for spleen and stomach dis- eases. He proposed that the weakness of spleen and stomach leaded to various disease,and believed that the improper diet and work were the reasons for weakness of spleen and stomach, and all of these were the ill- ness of the blood. He thought the essence of the spleen and stomach weakness was associated with blood syndrome,it was also the pathogenesis of deficiency of yangqi and excess of yinqi. In clinical practice,he advocated the consistency of pulse and syndrome differentiation. In medicine usage,he recommended to use medicine according to their four natures （ascending, descending,floating, and sinking） and the syndrome dif- ferentiatinn.