本文選題：宋金元 + 脾藏象��； 參考：《遼寧中醫(yī)藥大學》2016年碩士論文

【摘要】：脾胃為后天之本,氣血生化之源,歷代醫(yī)家在診療過程中都注重固護脾胃,脾藏象理論與臨證應用是中醫(yī)學重要組成部分。脾藏象理論在宋以前基本形成,但未能廣泛應用于臨證。至宋金元時期,脾藏象理論在宋以前基礎上逐步完善,形成了因機證治的辨證論治體系,使其真正應用于臨證。本文運用文獻學方法,對宋以前(秦漢隋唐時期)及宋金元兩個時期的脾藏象有關內(nèi)容進行了全面總結(jié),從源頭上理清脾藏象理論與臨證應用的發(fā)展,揭示了這兩個時期脾藏象理論的特點,和辨證論治的基本規(guī)律。宋以前文獻對脾胃的基本屬性、脈象、基本病變論述較多,辨證基本形成體系,但在脾胃病治療上則較為薄弱。對于脾胃基本特性有較全面的論述,辨證方法多樣,有根據(jù)氣的有余與不足辨證(即虛實辨證),根據(jù)寒熱辯證,根據(jù)脾的形態(tài)位置辨證。脈象對于脾胃病證的診斷有重要作用,這一時期脾胃病的病與證之間并沒有明確的從屬關系,脾胃辨證與臨床用藥關系也并不密切。這一時期為脾藏象理論的形成時期。宋金元時期脾藏象理論基本繼承了宋以前文獻的有關內(nèi)容,尤其是脾胃的基本屬性以傳承為主。這一時期醫(yī)家更重視脾藏象理論在辨證論治方面的應用,更加廣泛深入地探討脾胃病的病因病機,出現(xiàn)了以病統(tǒng)證的辨證方法,辨證論治成為臨證的主要模式,開始形成因機證治的完整體系。有關藥物治療的內(nèi)容更加豐富,出現(xiàn)大量脾胃相關方劑。宋金元時期成為脾藏象理論充分應用于臨證的關鍵轉(zhuǎn)型期。
[Abstract]:Spleen and stomach are the basis of the day after tomorrow and the source of qi and blood biochemistry. In the course of diagnosis and treatment, physicians have paid attention to protecting the spleen and stomach, and the theory of spleen storage and the application of clinical syndrome are important components of traditional Chinese medicine. The theory of spleen Tibetan image was basically formed before Song Dynasty, but it was not widely used in clinical syndrome. During the Song, Jin and Yuan dynasties, the theory of spleen storage image was gradually perfected on the basis of the Song Dynasty, and the syndrome differentiation and treatment system was formed, which made it really applied to the clinical syndrome. In this paper, by using the method of philology, the author summarizes the contents of spleen storage before Song Dynasty (Qin, Han, Sui and Tang dynasties) and Song, Jin and Yuan dynasties, and clarifies the development of the theory of spleen storage image and the application of temporary syndrome from the source. The characteristics of the theory of spleen storage in these two periods and the basic law of syndrome differentiation and treatment are revealed. Before Song Dynasty, the basic attributes, pulse and pathological changes of spleen and stomach were discussed more, and the syndrome differentiation system was basically formed, but the treatment of spleen and stomach disease was weak. The basic characteristics of spleen and stomach are discussed comprehensively, the methods of syndrome differentiation are various, there are more and less syndrome differentiation according to Qi (that is, deficiency and deficiency), according to the cold and heat dialectical, according to the shape and position of spleen. Pulse pattern plays an important role in the diagnosis of spleen and stomach disease. In this period, there is no definite subordinate relationship between spleen and stomach disease and syndromes, and the relationship between spleen and stomach syndrome differentiation and clinical medicine is not close. This period is the forming period of the theory of spleen hiding image. In Song, Jin and Yuan dynasties, the theory of spleen Tibet basically inherited the relevant contents of the literature before Song Dynasty, especially the basic attributes of spleen and stomach. In this period, doctors paid more attention to the application of spleen hide image theory in the treatment of syndrome differentiation, and discussed the etiology and pathogenesis of spleen and stomach disease more extensively and deeply. The dialectical method of syndrome differentiation appeared, and syndrome differentiation and treatment became the main mode of clinical syndrome. Began to form a complete system of syndrome and treatment. The content of drug treatment is more abundant, there are a large number of spleen-stomach-related prescriptions. The Song, Jin and Yuan dynasties became the key transition period in which the theory of spleen Tibetan image was fully applied to clinical practice.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R223.1
，

本文編號：1916440