孙一奎从“脾胃虚则九窍不通”论治妇人病刍议

Sun Yikui Treated Woman Disease from“Spleen Deficiency Is Obsessed with Nine Impassability”

分析孙一奎《赤水玄珠》妇人五卷从脾胃论治妇人病的病案及方药,总结归纳其特色诊疗理论。认为孙氏脾胃分治和脾胃合治思路清晰,分别从情志和痰饮论治脾,从胃阴胃阳论治胃。养阴、升阳二法抓住了从胃论治妇人病的本质,调动自身气机代替药物促阴血的化生,以滋养全身。脾胃同治的运用以及从脾胃状态探究用药禁宜更是值得深研之处。

Analyze the medical records and prescriptions of Sun Yikui’s Pearl in Red Water woman’s five volumes on treating emmeniopathy from the Spleen and Stomach,and summarize its characteristic diagnosis and treatment theory.It is considered that Sun’s separate treatment of Spleen and Stomach and combined treatment of Spleen and Stomach are clear,which treats the Spleen from emotions and phlegm,treats the Stomach from Stomach Yin and Stomach Yang.The two methods of nourishing Yin and raising Yang capture the essence of menstrual disease from Stomach theory,oneself Qi power instead of drugs to promote metaplasia of Yin and Blood to nourish the whole body.It is worth exploring the application of the same treatment of Spleen and Stomach as well as the exploration of drug prohibition from the state of Spleen and Stomach.