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辽宁地区近代名医治疗脾胃系疾病经验总结OA

Analysis of the Experiences of Modern Renowned Physicians in Liaoning Region in Treating Spleen and Stomach Diseases

中文摘要英文摘要

辽宁地区(辽派)中医脾胃学说根植于东北独特气候、多元文化及饮食习惯,在长期临床实践中形成具有鲜明地域特色的学术体系.系统探析其理论源流与近代名医临证经验,首先,从地域致病特点入手,分析辽宁寒地气候、高脂厚味饮食及多元移民文化对脾胃病"寒热虚实夹杂"这一复杂病机的影响.其次,梳理辽派脾胃学说的理论渊源:其奠基于《内经》《伤寒论》,并深受李东垣《脾胃论》及清代《医宗金鉴》影响.核心部分纵向考镜自清代至近代多位代表性医家——如庆恕、景贤、张锡纯、胡万魁、刘润苍、李玉奇、李寿山等的脾胃学术思想与临证特色.诸医家虽各具千秋,如庆恕重气机升降与"土湿致病"、张锡纯"衷中参西"善调升降、李玉奇创"萎缩性胃炎以痈论治"等,但整体呈现出6大共性学术特色:重视经典而勇于创新,衷中参西而开放包容,谨守气机升降为要,四诊合参尤重舌脉,用药灵活且创制新方,养生调护首重脾胃.通过文献研究与经验总结,揭示辽派中医脾胃学说融合地域性、传承性与创新性于一体的发展脉络,其丰富经验与独特理论对现代脾胃病诊疗具有重要借鉴价值.

The spleen and stomach theory of traditional Chinese medicine in the Liaoning region(the"Liao School")is rooted in the unique climate,diverse culture,and dietary habits of Northeast China.It has developed into a distinctive academic system with regional characteristics through long-term clinical practice.This paper aims to systematically explore its theoretical origins and the clinical experiences of modern renowned physicians.Firstly,starting from the regional pathogenic characteristics,it analyzes the influence of Liaoning's cold climate,high-fat and rich diet,and diverse immigrant culture on the complex pathogenesis of spleen and stomach diseases,characterized by"intermingled cold,heat,deficiency,and excess".Secondly,it traces the theoretical origins of the Liao School's spleen and stomach theory,which is grounded in the Inner Canon and Treatise on Cold Damage,and deeply influenced by Li Dongyuan's Treatise on the Spleen and Stomach and the Qing Dynasty's The Golden Mirror of Medicine.The core section examines the academic thoughts and clinical characteristics of multiple representative physicians from the Qing Dynasty to modern times—such as Qing Shu,Jing Xian,Zhang Xichun,Hu Wankui,Liu Runcang,Li Yuqi,and Li Shoushan.While each physician has their own strengths—for example,Qing Shu emphasized the ascent and descent of qi dynamics and"dampness of the earth as a cause of disease",Zhang Xichun integrated Chinese and Western medicine and excelled in regulating ascent and descent,and Li Yuqi pioneered"treating atrophic gastritis as an abscess"—they collectively exhibit six common academic characteristics:valuing classical texts while daring to innovate,integrating Chinese and Western medicine with openness and inclusiveness,adhering to the importance of qi dynamics ascent and descent,emphasizing comprehensive diagnosis with particular attention to the tongue and pulse,creating new formulations,and prioritizing spleen and stomach care in health preservation.Through literature research,this paper reveals the developmental trajectory of the Liao School's spleen and stomach theory,which integrates regional,and innovative characteristics.Its rich experience and unique theoretical insights hold significant reference value for the modern diagnosis and treatment of spleen and stomach diseases.

李海波;孙赛阳;张国铖;刘鑫

辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学,辽宁 沈阳 110847

医药卫生

辽派中医脾胃学说学术源流名医经验地域医学临证特色

Liao School of traditional Chinese medicinespleen and stomach theoryacademic originsexperiences of renowned physiciansregional medicineclinical characteristics

《中西医结合慢性病杂志》 2026 (4)

1-5,5

辽宁省社会科学规划基金重点项目(L23AKS003)

10.26950/j.issn.2097-5031.2026.04.001

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