李东垣胃病证治特色

Characteristics of Li Dongyuan′s Treatment of Stomach Diseases

《脾胃论》是李东垣创立脾胃学说的代表著作。李东垣提出"内伤脾胃,百病由生"理论,倡导升阳除湿,滋阴降火的治则,形成了较为系统的脾胃内伤病辨证论治体系。他认为,胃为阳明燥土,主动而不息;胃为人之根本,滋养元气;胃为升清降浊之枢纽,尤主升清。若胃阴亏虚则元阳不足,升降失常则湿浊内生、阴火上升。李东垣治疗胃病有其独特的用药特点,首先擅用升阳药以助中气;其次擅用风药以除湿;最后擅用甘温补益药以助胃气。

Pi Wei Lun is the representative works of Li Dongyuan,who founded the Spleen and Stomach Theory.Li Dongyuan put forward the theory of"internal injury to the Spleen and Stomach leading to all diseases arise",and advocated the treatment of raising Yang and removing dampness,nourishing Yin and reducing fire,hence a more systematic system of syndrome differentiation and treatment of internal injuries of the Spleen and Stomach had been developed.He believed that the Stomach is Yangming dry soil,being active with non-stop motion and the Stomach is the foundation of humans,which can nourishe Yuan Qi.Besides,the stomach is the hub for promoting clearness and reducing turbidity,especially the formmer.If the stomach Yin is insufficiency,the Yuan Yang would be insufficient.The abnormal rise and fall of Qi would cause endogenous Dampness and Yin Fire will rise.Li Dongyuan has his own unique way in the treatment of gastric diseases.Firstly,he used Yang rising medicine to help Zhong Qi;secondly,he used Wind medicine to dehumidify;and finally he used sweet and warm tonic medicine to help with Stomach Qi.