李东垣治湿九法(一)

Nine methods of Lee Dong Yuan’s in treating damp syndromes (One)

关键词:  李东垣  湿  治法  发汗  利小便  升阳  燥湿  运脾

Key words:  Lee Dong-yuan  Damp  therapeutic methods  sweating method  draining dampness  raising yang Qi  drying dampness  pro-moting flow of spleen Qi

摘要:

李东垣在《内经》、《伤寒杂病论》的基础上,建立了脾胃内伤所致湿病的理法方药,使后世医家在治疗湿病上有更大的发挥。收集《内外伤辨惑论》、《脾胃论》、《兰室秘藏》及《东垣试效方》4书共91首与湿病相关的方剂。概括了李东垣先生在湿病的具体治疗上可分为祛风胜湿法、散寒除湿法、渗利除湿法、上下分消法、理气除湿法、升阳除湿法、补中除湿法、辛开苦降法及清热燥湿法等9法。

Abstract:

On the basis of the descriptions of ’Neijing’ (Internal Classic of Medicine) and’Shanghan Zabing Lun’ (Treatise on Exogenous Febrile diseases and Miscellaneous Diseases) Lee Dong-yuan established the theories,therapeutic methods,prescriptions and drugs for damp syndromes caused by the internal injuries of the spleen and stomach. It suggested that the researchers in the later periods could therefore develop more methods and prescriptions in treating damp diseases. In this study,91 prescriptions for treating damp syndromes were collected from ’Neiwaishang Bianhuolun’ (Differentiation on Endogenous and Exogenous Disease),’Piweilun’ (Treatise on the Spleen and Stomach),’Lanshi Micang’and’Dongyuan Shixiao Fang’. After analyzing these prescriptions,we concluded that there were 9 therapeutic methods of Lee Dong-yuan generally used for treating damp syndromes. The methods included expelling wind and resolving dampness,dissipating coldness and resolving dampness,draining dampness,combination of sweating method and draining dampness,regulating Qi and resolving dampness,raising yang Qi and resolving dampness,replenishing the Qi of the spleen and resolving dampness,using pungent drugs for dispersing and bitter drugs for purging,and clearing heat and drying dampness.