从"清浊相干"探讨李东垣伤饮伤食分治思想及现代应用OA
Li Dongyuan's theory of differentiated treatment for drink and food impairment based on"mutual disturbance between clear yang and turbid yin"and its modern application
通过文献梳理与理论互证,从《黄帝内经》"清浊相干"角度深化对李东垣伤饮伤食分治理论的理解.该理论将伤饮归结为"清阳失司",清阳不升、水液不化,治以"升清分消";将伤食归结为"浊阴壅滞",浊阴不降、食积中阻,治以"降浊导滞".二者统一于"调理中焦气机,恢复清升浊降",对现代诸多功能性与代谢性疾病的诊疗具有重要指导价值.
Through literature review and theoretical cross-validation,this paper deepens the understanding of Li Dongyuan's theory of differentiated treatment for drink and food impairment in light of the Huangdi Neijing's concept of"mutual disturbance between clear yang and turbid yin".Li's theory attributes drink impairment to"dysfunction of clear yang"characterized by failure of clear yang to ascend and failure of fluid transformation,which should be treated with the method of"elevating clear yang and resolving stagnation".In contrast,food impairment is ascribed to"stagnation of turbid yin"manifested as failure of turbid yin to descend and food accumulation obstructing the middle energizer,and the corresponding therapeutic method is"descending turbid yin and guiding stagnation out".Both treatment methods are unified under the core goal of"regulating qi movement of the middle energizer and restoring the ascending of clear yang and descending of turbid yin".This theory holds significant value in guiding the diagnosis and treatment of various functional and metabolic diseases in modern clinical practice.
张雅涵;严世芸;陈丽云
上海中医药大学科技人文研究院(上海 201203)上海中医药大学科技人文研究院(上海 201203)上海中医药大学科技人文研究院(上海 201203)
中医理论李东垣伤饮伤食功能性消化不良代谢性疾病文献研究
traditional Chinese medicine theoryLi Dongyuandrink impairmentfood impairmentfunctional dyspepsiametabolic diseasesliterature research
《上海中医药杂志》 2026 (5)
48-51,67,5
国家社会科学基金重大项目(21&ZD056)
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