基于《兰室秘藏·痔漏门》探析李东垣治痔学术思想

Based on the Lanshi Micang-Anal Fistula Analysis of the Academic Thought of LI Dongyuan's Treatment of Hemorrhoids

[目的]探究李东垣《兰室秘藏》中痔漏病症的相关诊疗理法,以期更全面地认识痔漏,从而拓宽思路,提高临床疗效。[方法]从《兰室秘藏·痔漏门》中痔漏论及痔漏八方着手分析,结合《东垣试效方》中痔漏论和具体方药分析痔漏方药的配伍特点,对李东垣诊疗痔漏病证思路作出研讨。[结果]李东垣从湿、热、风、燥四气而合论治痔漏,多用当归、秦艽和血润燥之药对,以疏风止痛、辛润和血法阐述证治规律,重视痔漏的饮食调养。[结论]李东垣《兰室秘藏》内容丰富,其对痔漏的辨治颇有心得体会,至今其论治思想对临床肛肠科疾病的诊疗仍有重要指导意义。

[Objective] To explore the treatment of ＂Lanshi Micang＂ disease with tumors related diagnosis and treatment method, in order to have a more comprehensive understanding of anal fistula, so as to broaden the mind, improve the clinical efficacy. [Method] From ＂Lanshi Micang-Anal Fistula＂ of eight prescriptions for treatment of hemorrhoids and analysis, on the basis of combining the characteristics of compatibility with tumors in ＂Dongyuan effect test＂ and the specific prescription, made analysis of anal fistula, diagnosis and treatment of anal fistula for the study of LI Dongyuan thought. [Results] LI Dongyuan from dampness, heat, wind, dryness four on the treatment of anal fistula, with angelica, Gentiana and blood dryness of medicine, to Shufeng pain,Xinrun and blood on regulation of syndrome treatment, paid attention to diet to restore the anal fistula. [Conclusion] LI Dongyuan ＂Lanshi Micang＂ is rich in content, the treatment of anal fistula has experience, as of today, the diagnosis and treatment on anorectal diseases of clinical thought still has important guiding significance.