从升阳散火汤浅析李东垣的治疗思想

Analysis of LI Dongyuan's therapeutic thought from Shengyang Sanhuo decoction

李东垣为脾胃学说的创始人,金元四大家之一,其开创的脾胃内伤学说,强调脾胃在人体疾病发展过程中的地位。对后世产生了深远的影响。独树一帜的治疗方法和学术思想至今临床疗效卓著。升阳散火汤为其代表方剂之一,主治中焦火郁症,其症根本病机为脾胃气虚,因虚致郁,郁而发热。升阳散火汤的使用体现了对于脾胃的顾护。方中对于风升药和引经药的配合使用极为巧妙,治疗方法尤其体现了李氏补脾胃,升清阳,泻阴火的治疗思想。历经后世医家的补充发展而臻致完备,临床应用灵活广泛,包括诸多高发病症,疑难病症,如慢性疲劳综合征、白血病等,临床均取得很好的疗效。

LI Dongyuan as the founder of the theory of spleen and stomach, one of the four people of Jin and Yuan, set up a theory of spleen and stomach. He emphasizes the position of the spleen and stomach in the development of human disease, has a profound influence on future generations. The unique therapeutic methods and academic ideas are now clinically effective. Shengyang Sanhuo decoction is one of the representative prescription, the major functions of Shengyang Sanhuo, its basic pathogenesis of qi deficiency of spleen and stomach, deficiency due to depression, depression due to fever. The use of his own medicine especially reflected the care of the spleen and stomach. The combination of wind-liter and primer is very ingenious, and the treatment method especially embodies the thought of LI＇s nourishing the spleen and stomach, raising the yang and reducing the yin fire. After the supplementary development of later physicians, the clinical application is flexible and extensive. The current clinical application is flexible and extensive.Including many high-risk condition, difficult diseases.such as chronic fatigue syndrome, leukemia, etc. Clinical has achieved very good curative effect.