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升阳益胃汤理论探讨与验案

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升阳益胃汤是李东垣根据"肺之脾胃虚"的理论创制的常用药方,首见于《内外伤辨惑论》.该方由黄芪、人参、白术、茯苓、炙甘草、陈皮、半夏、柴胡、羌活、独活、防风、泽泻、黄连、白芍等14味药组成,主要适用于脾胃气虚,阳气不升,浊阴不降,湿热内停等证候,均属于脾胃虚损之类.本文旨在探析该方所体现的李东垣的学术思想,追溯其方后世的历史沿革,并举例说明刘长发教授如何运用该方治疗泄泻病的临床经验.
Shengyang Yiwei Tang is a common prescription created by Li Dongyuan based on the theory of"lung deficiency of the spleen and stomach",which first appeared in the book"Discrimination of Internal and External Injuries".The prescription consists of 14 herbs,such as astragalus,ginseng,atractylodes,poria,licorice,tangerine peel,pinellia,bupleurum,incised notopterygium rhizome and root,Doubleteeth Pubescent Angelica Root,Divaricate Saposhniovia Root,alisma,coptis and peony.It is mainly used for syndromes such as spleen and stomach qi deficiency,yang qi not ascending,turbid yin not descending,damp-heat stagnation,etc.,all of which belong to the category of spleen and stomach deficiency.This article aims to analyze the academic thoughts of Li Dongyuan reflected by this prescription,trace its historical evolution in later generations,and give an example of how Professor Liu Changfa used this prescription to treat diarrhea in clinical practice.

Li DongyuanShengyang Yiwei Tangtheoretical discussionhistorical evolutiondiarrhea cases

张再宁、刘长发

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黑龙江省中医药科学院南岗分院 黑龙江哈尔滨 150000

李东垣 升阳益胃汤 理论探讨 历史沿革 泄泻案

黑龙江省中医药管理局中医药经典普及化研究专项

ZYW2022-124

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(4)
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