《脾胃论》在周围血管病中的应用

The Application of Theory of Spleen and Stomach in Peripheral Vascular Diseases

李东垣所著《脾胃论》阐发“脾胃为元气之本”,创“内伤脾胃,百病由生”、“阴火”学说等理论,对周围血管病的治疗有着重要的导向意义,顾护脾胃应贯穿周围血管病治疗过程的始终,本文从调和脾胃以化生气血、顾护脾胃以滋养元气、健旺中气以消阴火、整体观念遣方用药的角度阐述了《脾胃论》在周围血管病临床中的意义。通过探讨《脾胃论》中的思想与周围血管疾病病因病机的密切关系,促进周围血管病的传承与创新,为临床诊疗提供新的思路。

Li Dongyuan’s book Theory of Spleen and Stomach elaborates the theory of “spleen and stomach as the foundation of vitality”, and creates the theory of “internal injury to spleen and stomach, all dis-eases from birth” and “Yin fire”, which has important guiding significance for the treatment of pe-ripheral vascular diseases. This paper expounds the clinical significance of “On Spleen and Stomach” in peripheral vascular diseases from the perspectives of regulating spleen and stomach to deacti-vate qi and blood, caring spleen and stomach to nourish qi, invigorating middle qi to eliminate yin fire, and dispelling prescription with whole concept. By exploring the close relationship between the ideas in “Spleen and Stomach” and the etiology and pathogenesis of peripheral vascular diseas-es, we can promote the inheritance and innovation of peripheral vascular diseases and provide new ideas for clinical diagnosis and treatment.