Comparison of spleen and stomach views between Li Dongyuan and Huang Yuanyu

Lin WANG; Wenting WANG; Sutong WANG; Xiao LI

doi:10.3969/j.issn.1006-2157.2022.03.005

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Comparison of spleen and stomach views between Li Dongyuan and Huang Yuanyu

Theoretical Studies | 更新时间：2022-04-01

- Comparison of spleen and stomach views between Li Dongyuan and Huang Yuanyu
- Journal of Beijing University of Traditional Chinese Medicine Vol. 45, Issue 3, Pages: 244-248(2022)
- 作者机构：
  
  1.山东中医药大学　济南　250014
  2.山东中医药大学附属医院
- 作者简介：
  
  Prof. Li Xiao, Ph.D., Chief Physician., Doctoral Supervisor. Affiliated Hospital of Shandong University of Traditional Chinese Medicine. Jinan 250014, China. E-mail: lixiao617@163.com
- 基金信息：
  
  National Key R&D Program of China(2018YFC1704103);National Natural Science Foundation of China(8207152258)
- DOI：10.3969/j.issn.1006-2157.2022.03.005
  CLC： R223.1
- Received：20 October 2021，
  
  Published：30 March 2022
- 稿件说明：
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Lin WANG, Wenting WANG, Sutong WANG, et al. Comparison of spleen and stomach views between Li Dongyuan and Huang Yuanyu[J]. Journal of Beijing University of Traditional Chinese Medicine, 2022, 45(3): 244-248.
DOI：

Lin WANG, Wenting WANG, Sutong WANG, et al. Comparison of spleen and stomach views between Li Dongyuan and Huang Yuanyu[J]. Journal of Beijing University of Traditional Chinese Medicine, 2022, 45(3): 244-248. DOI： 10.3969/j.issn.1006-2157.2022.03.005.

摘要

脾胃学说因其具有较大的理论价值及临床应用价值，在中医理论中占有重要地位。从生理、病理、治疗模型及用药特色对比分析了李东垣与黄元御脾胃理论之异同。生理上，两位医家均肯定了先天之气与脾胃的密切关系，脾胃是气机升降之枢，李东垣认为脾胃共同发挥枢纽作用，黄元御则认为脾土主升，胃土主降。在脾胃之间的关系中李东垣更重视胃气，而黄元御更重视脾土。病理上，李东垣认为内伤病多因气火失调，升降失常引起，黄元御则常从阳虚土湿，中气不运立论。治疗上，李东垣与黄元御分别使用的是脏腑生克五行和阴阳中土五行的思维模型。遣方用药方面，二者都以顾护脾胃为先，李东垣用药广而药量轻，君臣佐使配伍井然，黄元御用药精简，作用专一。

Abstract

The theory of spleen and stomach occupies an important position in traditional Chinese medicinetheory because of its great theoretical value and clinical application value. In this paper

the similarities and differences between Li Dongyuan’s spleen and stomach theory and Huang Yuanyu’s spleen and stomach theory were analyzed from the perspectives of physiology

pathology

treatment models

and medication characteristics. Physiologically

both doctors affirmed the close relationship between the innate qi and the spleen and stomach

which are the main organs affectingqi’s rise and fall . Li Dongyuan believed that the spleen and stomach played a pivotal role together

while Huang Yuanyu believed that the spleen and soil dominated the rise and the stomach and soil dominated the fall. In the relationship between spleen and stomach

Li Dongyuan paid more attention to stomach qi

while Huang Yuanyu paid more attention to spleen soil. In pathology

Li Dongyuan believed that internal and external injuries were mostly caused by the maladjustment of air and fire and the abnormal rise and fall. Huang Yuanyu often argued that the soil was wet because of yang deficiency and the middle qi was not carried. In treatment

Li Dongyuan and Huang Yuanyu used the theoretical model of zangfu shengke’s five elements and the five elements of earth in yin-yang

respectively. In terms of dispatching prescriptions

both prioritized the spleen and stomach. Li Dongyuan used a wide range of medicines and a low dosage of drugs

and the emperor and minister ensured their compatibility . Huang Yuanyu uses small does

but his effects are concentrated.

关键词

Keywords

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