李东垣药证(症)初探

Preliminary investigation on Li Dongyuan's medicine-syndrome( symptom)

通过梳理《脾胃论》《内外伤辨惑论》二书中的方药及其加减,探求东垣药证(症)。根据《脾胃论》《内外伤辨惑论》原文,以证(症)类药,逐一罗列,归纳分析。药症(证)主要涉及头(包括神志)、胸、肺、胃、胁、腹、二便、痹、痿、汗出等方面的症状(证候)。结合四时寒热、虚实寒热转换,用药逐层递进是东垣二书方后加减对症(证)治疗的最大特色。

By sorting out the medicines, prescriptions and their modification in Treatise on Spleen and Stomach （Piwei Lun）and Differentiation on Endogenous and Exogenous Diseases （Neiwai Shang Bianhuo）, this paper investigates Li Dongyuan＇ s medicine-syndrome （symptom）. According to the original text, the medicines are classified based on syndrome （symptom） , listed one by one and then summed up and analyzed. The medicine-symptom （syndrome）mainly involve the head （ including mental spirit）, Chest, lung, stomach, lateral thorax, abdomen, urine and stool, arthralgia, flaccidity disease, sweating and other symptoms （ syndromes ）. The most distinctive features of symptomatic treatment with prescriptions and their modification in his two books are the combination of climate in four seasons, the transformation of deficiency, excess, cold and heat and the progressive medication.