《伤寒论》与顾护脾胃

Treatise on Cold Pathogenic Diseases(伤寒论) with Harmonizing Stomach and Spleen

仲景在《伤寒论》辨证论治时尤强调顾护脾胃,归脾经药物共使用678次,为五脏中频次最高,归胃经药物使用494次,为六腑中频次最高;112首方剂,应用炙甘草者71方,应用大枣者40方,生姜、大枣同用37方,生姜、大枣、甘草同用31方,生姜、大枣、甘草、人参共用7方;用"胃和则愈""微和胃气"来明言治疗的目的;明确"胃和"与否不仅与脾胃本身功能有关,而且与服用汤药及煎煮方法相关联;主张中病即止,周祥入微,奠定了脾胃学说的基础,从药物配伍、煎煮,饮食调护及禁忌等多方面强调了顾护胃气在诊疗中的重要性,体现了"有胃气则生,无胃气则死"的根本大法,为后世留下了宝贵财富,值得深入研究。

In the treatise on cold pathogenic diseases,ZHANG Zhongjing stresses to harmonizing stomach and spleen when talking about differentiation of patterns and treatment. The rates of using herbal medicines belonged to spleen meridian to treat diseases when comparing with other five zang-organs＇ meridians are the highest; they have 678 times.Compared with other six-fu organs＇ meridians, the usage rates of stomach meridians＇ herbal medicines also are the highest. In 122 recipes, 71 recipes have licorice; 40 recipes have jujube; 37 recipes have ginger and jujube; 31 recipes have all over the ginger, jujube and licorice; 7 recipes have ginseng, jujube and licorice. To give destination by the viewpoint of ＂stomach turns to be well-being and illness will be cured＂ . To investigate whether stomach has formal function or not not only related to its function but also the methods of medication and decoction. To advocate treating diseases advance step by step and leave will alone,therefore lay the function of spleen-stomach theory. To emphasize the importance of protecting spleen and stomach in treatment from drug compatibility,deeocting methods,diet nursing and contraindication, and to reflect the basic theory of ＂stomach Qi will be and hope will be and vise versa＂ .To left behind the best wealth for descendants and it＇s worthy to study deeply.