中国中医科学院广安门医院,北京市西城区北线阁5号,100053
huabaojin@sohu.com
收稿:2023-05-28,
修回:2023-10-20,
纸质出版:2024-04-17
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任晓玲,鲍艳举,刘瑞等.易水学派代表医家对“五脏苦欲补泻”理论的传承与发展[J].中医杂志,2024,65(08):862-865.
REN Xiaoling,BAO Yanju,LIU Rui,et al.The Inheritance and Development of the Theory of "Supplementation/Drainage for Bitter-Desire of the Five Viscera" by Representative Physicians of Yishui School[J].Journal of Traditional Chinese Medicine,2024,65(08):862-865.
任晓玲,鲍艳举,刘瑞等.易水学派代表医家对“五脏苦欲补泻”理论的传承与发展[J].中医杂志,2024,65(08):862-865. DOI: 10.13288/j.11-2166/r.2024.08.015.
REN Xiaoling,BAO Yanju,LIU Rui,et al.The Inheritance and Development of the Theory of "Supplementation/Drainage for Bitter-Desire of the Five Viscera" by Representative Physicians of Yishui School[J].Journal of Traditional Chinese Medicine,2024,65(08):862-865. DOI: 10.13288/j.11-2166/r.2024.08.015.
“五脏苦欲补泻”理论源自《素问》,是补泻用药理论的重要基础。探讨五脏苦欲补泻理论的内涵,并搜集易水学派代表医家张元素、李杲、王好古、罗天益、李中梓等著作中对“五脏苦欲补泻”理论的相关论述,梳理其对五脏苦欲补泻理论的传承发展脉络,探究易水学派对该理论的传承与发展。发现易水学派各医家均在传承五脏苦欲补泻理论的基础上,结合自身医疗实践对该理论进行了发挥,推动了该理论在临床的应用与发展,如张元素的脏腑寒热虚实论及脏腑用药论、李杲的脏气法时升降浮沉补泻法等重要学术思想均根植于《素问》“五脏苦欲补泻”理论。厘清易水学派医家对五脏苦欲补泻理论的传承发展脉络,可深刻理解该理论的内涵及其蕴含的用药法则,一方面可指导中医临床用药,另一方面对易水学派学术思想及五脏苦欲补泻理论的研究亦具有参考价值。
The theory of "supplementation/drainage for bitter-desire of the five viscera" originated from
Elementary Questions
(《素问》), which is an important origin of the theory of supplementation and drainage prescription. By exploring the connotation of the theory of "supplementation/drainage for bitter-desire of the five viscera", and adopting the archaeological method of literature research, we collected the relevant writings on the theory of "supplementation/drainage for bitter-desire of the five viscera" by the representative physicians of Yishui school, such as ZHANG Yuansu, LI Gao, WANG Haogu, LUO Tianyi, LI Zhongzi, etc., combed through the inheritance and development of this theory, and explored the contribution of Yishui school on this. It was found that all the physicians of Yishui school, on the basis of inheriting the theory of "supplementation/drainage for bitter-desire of the five viscera", combined with their own clinical practice to develop this theory, and promoted the application and development of this theory in clinic, such as ZHANG Yuansu's theories of cold-heat deficiency-excess in viscera and bowels, and the theory of viscera and bowels prescription, and LI Gao's theory of ascending and descending, floating and sinking, supplementing and draining in visceral
qi
, and other academic thoughts rooted in the theory of "supplementation/drainage for bitter-desire of the five viscera" of
Elementary Questions
. By clarifying the inheritance and development of this theory by physicians of Yishui school, we can deeply understand the connotation and the embedded rules of prescription of this theory, which can not only guide the clinical medication in traditional Chinese medicine, but also provide reference value to the research on the academic thoughts of the Yishui school and the theory of fsupplementation/drainage for bitter-desire of the five viscera.
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