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胃强脾弱之刍议

Discussion on stomach excess and spleen deficiency

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【作者】 刘頔纪立金

【Author】 LIU Di;JI Li-jin;School of Traditional Chinese Medicine, Fujian University of Traditional Chinese Medicine;

【通讯作者】 纪立金;

【机构】 福建中医药大学中医学院

【摘要】 历代医家对胃强脾弱理论解释不一,主要从两种角度解析,一为肠热脾约说,二为胃热脾虚说,文章以"阳道实,阴道虚"的胃实脾虚生理病理特点喻"胃强脾弱",认为胃强脾弱病理表现为胃热脾虚而非肠热脾约。基于胃热脾虚,指出胃强脾弱常见病理表现形式有厥阴病论、阴火论及小儿食积发热论3种,以此丰富完善胃强脾弱理论,更好地辨证指导临床。

【Abstract】 There are two different explanations for this theory of ’stomach excess and spleen deficiency’. The first one is heat in intestine and splenoasthenic constipation, the second one is stomach-heat and spleen deficiency. In this paper, ’excessive yang channels, and deficient yin channels’ is compared to ’stomach excess and spleen deficiency’. The pathological manifestations of ’stomach excess and spleen deficiency’ is stomach-heat and spleen deficiency, not heat in intestine and splenoasthenic constipation. Based on stomach-heat and spleen deficiency, it is pointed out that there are three common pathological manifestations, the first is the theory of Jueyin disease, the second is the theory of yin fire, and the third is the theory of pediatric dyspepsia fever, which can enrich and perfect the theory of ’stomach excess and spleen deficiency’ and guide clinical differentiation.

【基金】 国家自然科学基金面上项目(No.81373528)~~
  • 【文献出处】 中华中医药杂志 ,China Journal of Traditional Chinese Medicine and Pharmacy , 编辑部邮箱 ,2021年05期
  • 【分类号】R256.3
  • 【被引频次】1
  • 【下载频次】399
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