《内科摘要》"亏损病"临证思想探微OA
Exploration on Syndrome-treatment Thought of"Deficit Disease"in"Neike Zhaiyao"
薛己《内科摘要》对内科亏损病进行了较详细的论述,以脏腑辨证为纲,受承于李东垣"脾胃之说"及钱乙"肾中水火说",强调脾、胃、肾和命门在亏损性疾病中的重要地位,认为酒食房劳、情志不节、饮食劳役是引起脏腑亏损的主要原因;重视培补肾阳与肾阴,注重以汤送丸、善以一日阴阳盛衰变化理论采用择时选方,朝夕分补.同时,薛己在亏损病治法上偏重滋补和温补,善于行气温补,使补而不滞,且温中兼清,补泻兼施.其临证特点,对亏损病的诊疗思路具有临床指导价值.
XUE Ji's"Neike Zhaiyao"provides a detailed discussion of deficiency diseases in internal medicine.Based on the differentiation of syndromes according to the viscera and bowels,it inherits from LI Dongyuan's theory of the spleen and stomach and QIAN Yi's theory of water and fire in the kidneys.It emphasizes the important role of the spleen,stomach,kidneys,and the gate of life(mingmen)in deficiency diseases,believing that excessive drinking,sexual activity,emotional imbalance,and overwork are the main causes of visceral deficiency.It emphasizes nourish-ing kidney Yang and kidney Yin,focusing on administering decoctions with pills,and skillfully using the theory of daily yin-yang balance to select prescriptions at appropriate times,supplementing morning and evening.Furthermore,XUE Ji's treatment of deficiency diseases emphasizes nourishing and warming tonification,skillfully using warming and tonifying methods to prevent stagnation,and combining warming and clearing techniques with tonification and purga-tion.His clinical characteristics have clinical guiding value for the diagnosis and treatment of deficiency diseases.
钱杨;时潇
安徽省六安市舒城县中医院 安徽舒城 231300安徽中医药大学 安徽 合肥 230012
医药卫生
薛己内科摘要亏损病特色临证思想
XUE Ji"Neike Zhaiyao"Deficiency diseasesCharacteristicsClinical thought
《中医药临床杂志》 2026 (6)
1131-1134,4
安徽省教育厅高校自然科学研究项目(2024AH051014)安徽中医药大学人才支持计划项目(2024rcyb016)
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