武之望应用脾胃学说临证经验举隅OA
Examples of Wu Zhiwang's Experience in Applying the Doctrine of Spleen and Stomach in Clinical Practice
武之望是明代陕西的著名医家,其主要著作包括《济阴纲目》和《济阳纲目》.通过对这些著作中的临证医案进行深入研究,探讨了脾胃学说的应用与发展.武之望基于脾统血理论,提出对妇科血证的治疗见解,秉持补益脾气的治疗理念,创新地运用四物汤加减、当归芍药汤、大补黄芪汤等方药;其次,强调脾升清在治疗腹痛、白带等疾病中的重要性,用药注重壮脾胃升阳气.武氏对脾胃疾病的方药进行了扩充与丰富,精心搜集了众多有效单验方.其对脾胃学说的经验与思想,对目前临床诊治疾病仍有重要的启示与指导价值.
Wu Zhiwang was a famous physician in Shaanxi during the Ming Dynasty,and his main works include the Jiyin Compendium and the Jiyang Compendium.Through the in-depth study of the clinical medical cases in these works,the application and development of the spleen and stomach theory are discussed.Based on the theory of spleen and blood,Wu Zhiwang put forward the treatment insights of gynecological blood syndrome,adhered to the treatment concept of nourishing and nourishing spleen,and innovatively used prescriptions such as Siwu decoction,Angelica peony decoction,and Dabu astragalus decoction;Secondly,the importance of spleen shengqing in the treatment of abdominal pain,leucorrhea and other diseases is emphasized,and the medication focuses on strengthening the spleen and stomach and raising yang qi.Wu has expanded and enriched the prescriptions for spleen and stomach diseases,and carefully collected many effective single prescriptions.His experience and thoughts on the theory of spleen and stomach still have important enlightenment and guiding value for the current clinical diagnosis and treatment of diseases.
边家蕊;冷伟;陈明霞
陕西中医药大学,陕西 咸阳 712046陕西中医药大学,陕西 咸阳 712046陕西中医药大学,陕西 咸阳 712046
医药卫生
医案武之望脾胃学说济阴纲目济阳纲目
medical casesWu Zhiwangspleen and stomach theoryJiyin compendiumJiyang compendium
《陕西中医药大学学报》 2026 (3)
45-48,4
陕西古代医案汇编(2021GJ004)全国第五批中医临床优秀人才项目(国中医药人教函[2022]239号)
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