首页|从"脏腑别通"理论再议脾约证

从"脏腑别通"理论再议脾约证

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"脾约"首见于《伤寒论·辨阳明病脉证并治》:"太阳阳明者,脾约是也."脾约证病机有胃强脾弱论、脾胃皆强论、脾阴虚论等,历来诸说不一."脏腑别通"理论见于《医学入门》,是对脏与腑关系更深层次的总结,该理论认为脾与小肠相别通.根据"脏腑别通"理论,结合脾约证的表现与小肠的具体功能,以此分析治疗脾约证的小承气汤与麻子仁丸可知,《伤寒论》脾约证中津液偏渗的现象是由小肠功能异常所致,小承气汤适用于脾阴尚充之脾约证,麻子仁丸适用于脾阴不足之脾约证.
Reconsideration of Piyue Syndrome from Theory of"Zang Fu Bie Tong"
"Piyue syndrom"was proposed for the first time in Shang Han Lun·Bian Yang Ming Bing Mai Zheng Bing Zhi,which says:"Taiyang disease induced Yangming disease is Piyue syndrome".The pathogenesis of Piyue syndrome includes strong Stomach and weak Spleen theory,strong Spleen and Stomach theory and Spleen yin deficiency theory,and so on,which have been discussed differently throughout the ages."Zang Fu Tong Yue",which was first proposed in Yi Xue Ru Men,is a high-level summary of the relationship be-tween the Zang and Fu.The theory suggests that the Spleen and the Small intestine are connected.According to the theory of"Zang Fu Bie Tong",combined with the performance of Piyue syndrome and the specific function of the Small intestine.By analyzing the treatment of Piyue syndrome,which is treated with Xiaochengqi Decoction and Maziren Pill,it can be seen as follows:The phenomenon of partial seepage of Fluid analyzed in Shang Han Lun is caused by abnormal functioning of the Small intestine;Xiaocheng Qi Decoction can be used for Piyue syndrome in which the Spleen yin is still abundant,while Maziren Pill is suitable for Piyue syndrome in which the Spleen Yin is insufficient.

Piyue syndrome"Zang Fu Bie Tong"Xiaochengqi DecoctionMaziren PillYang Ming DiseaseShang Han LunYi Xue Ru Men

赵艳、王彦刚、高婧珊、崔艳超

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北京中医药大学,北京 100029

北京中医药大学第三附属医院,北京 100029

脾约证 "脏腑别通" 小承气汤 麻子仁丸 阳明病 《伤寒论》 《医学入门》

2025

中医学报
河南中医药大学,中华中医药学会

中医学报

影响因子:1.264
ISSN:1674-8999
年,卷(期):2025.40(1)