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李东垣补泻在味随时换气制方理论探析

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《脾胃论》是李东垣的核心著作之一,也是中医脾胃学说的基石,李东垣在书中正式提出了补泻在味随时换气的制方理论.该理论讲究在处方中随着四季变化来调整用药的温凉寒热,处方时注重把握药物的酸苦甘辛咸五味配伍,这既是对《黄帝内经》理论的继承,又具有重要的临床指导意义.而现今中医临床中一些医师处方时多注重药物的归经功效,却忽略了气味理论在中医临床制方中的重要作用.文章对李东垣的补泻在味随时换气理论进行详细解析,以期能够裨益临床.
Analysis of LI Dongyuan's formulation theory of tonifying and purging in taste and changing air at any time
Treatise on Spleen and Stomach is one of LI Dongyuan's core works and also the cornerstone of the theory of the spleen and stomach in traditional Chinese medicine.In this book,LI Dongyuan formally proposed the prescription theory of tonifying and purging in taste and changing air at any time.This theory emphasizes adjusting the warm,cool,cold and heat of drugs according to the changes of the seasons in the prescription.When prescribing,it pays attention to grasping the compatibility of the five flavors of drugs,which are sour,bitter,sweet,spicy and salty.This is not only the inheritance of the theory of Inner Canon of Yellow Emperor,it also has important clinical significance.However,some doctors in the clinical practice of traditional Chinese medicine pay more attention to the meridian returning effect of drugs when prescribing,but ignore the important role of odor theory in the clinical formulation of traditional Chinese medicine.This paper analyzes LI Dongyuan's theory of tonifying and purging in taste and breathing at any time in detail,in order to benefit the clinic.

Tonifying and purgingFlavourTime and spaceLI DongyuanFormulation

曲永龙、任亮、张玉苹

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北京中医药大学,北京 102488

补泻 气味 时空 李东垣 制方

北京中医药大学社会科学项目后资项目北京中医药大学横向课题

2023-JYB-HZZ-007BUCM-2022-JS-FW-001

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(4)
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