摘要
目的:探索李东垣“阳升阴降”说与朱丹溪“阴升阳降”说之间的联系与区别,以期为后世的临床实践和理论探究提供一定的指导意义。方法:通过对二者著述中描述阴阳升降部分的分析,分别对阳升阴降论和阴升阳降论的理论源流、侧重脏腑、病理产物、临床证治四个方面进行横向比较,探索两家理论之异同。结果:东垣之理多源自《内经》,侧重于脾胃,若升降失常,可见阴火易生,治当甘温升阳,辅以泻火;而丹溪之理颇受易、理思想影响,侧重于心肾,倡妄动之相火应降、不足之阴精宜升,主张滋阴降火。结论:李东垣和朱丹溪都认可了脾胃在阴阳升降中的重要作用,但却侧重不同,对临床的发挥亦有所差异,两说互为补充,共同丰富了脏腑阴阳气血升降理论。
Objective To explore the connection and difference between Li Dongyuan stheory of“Yang rising and Yin descending”and Zhu Danxi's theory of“Yin rising andYang descending”,in order to provide certain guiding significance for clinical practiceand theoretical exploration in later generations.Methods by analyzing the description of ups and downs of Yin and Yang in his works,the two theories were compared from the aspects of theoretical origin,viscera,pathological products and clinical treatment,and the similarities and differences between them were discussed.Results The origin of Oriental Yuan theory is Neijing,which is mainly based on spleen and stomach.If the rise and fall is abnormal,Yin fire is easy to arise,and the treatment should rise Yang and discharge fire.However,Danxi doctrine was greatly influenced by the thought of Yi Li and centered on the heart and kidney.Advocate disharmony phase fire should bereduced,Yin Jing insufficient should increase,and advocate Yin decrease internal heat.Conclusion Both Li Dongyuan and Zhu Danxi recognized the important role of spleen and stomach in the elevation of Yin and Yang,but they had different emphases and played different roles in clinical practice.These two theories complement each other and enrich the theory of the rise and decline of Yin and Yang,zang-fu qi and blood.
作者
许芸
王芙蓉
XU Yun;WANG Furong(Anhui University of Traditional Chinese Medicine,Hefei 230031,China)
出处
《中国民族民间医药》
2022年第6期10-13,共4页
Chinese Journal of Ethnomedicine and Ethnopharmacy
关键词
李东垣
阳升阴降
朱丹溪
阴升阳降
Li Dongyuan
the Rise of Yang and Fall of Yin
Zhu Danxi
the Rise of Yin and Fall of Yang
作者简介
许芸(1999-),女,本科在读,研究方向为中医学。Email:352533067@qq.com。
