李东垣重胃思想探析

Analysis of Li Dongyuan’s thoughts of emphasis on stomach

李氏继承《内经》相关理论,对于脾胃关系强调“胃为主,脾为从”,即李氏于脾胃二者之间对胃的重视程度相对更高,不同于传统的“脾为主,胃为从”的认知。本文梳理李东垣脾胃论主要代表著作中阐述的脾、胃功能及关系,并以此为前提和依据分析李氏“人以胃气为本”的提出依据及“胃气”一词的根本含义,以及治疗时强调“固护胃气”的用药和防护缘由,以期为梳理脾、胃功能和关系,以及完善中医的藏象理论提供参考。

Li Dongyuan inherited the relevant theories of the Nei Jing and emphasized the relationship between spleen and stomach:“the stomach is dominant and the spleen is subordinate”,which is different from the traditional cognition of‘the spleen is dominant and the stomach is subordinate’.In other words,Li attached more importance to the stomach than to the spleen.By analyzing the functions and relations of spleen and stomach in Li Dongyuan's main representative works on spleen and stomach,this paper analyzes the basis of Li's thought:‘human being is based on stomach-qi’and the fundamental meaning of the word‘stomach-qi’,as well as the reasons for the medication and protection of“strengthening and protecting stomach-qi",in order to understand the function and relationship of spleen and stomach,and to improve the Zangxiang theory of Chinese medicine.