刘完素治湿别论

Other theories of LIU Wansu’s treatment of dampness

关键词:  湿  脾胃  刘完素

Key words:  dampness  spleen and stomach  LIU Wansu

摘要:

湿之为病，总以体内水液代谢异常为根本，故与脾胃的生理、病理均具有十分紧密的联系，对此历代医家均颇为重视，并常以脾胃为基础论治湿病。金元医家刘完素亦颇有心得，但不同于一般医家常采用温脾燥湿等法，刘完素则遵其寒凉思想，主张中土脾胃尤需湿润，不可妄用温燥，迫土干无以润物，并指出湿盛常自热生，应解阳热怫郁为要，方药宜选凉润之品。然而刘完素治湿绝非不予温热，更多的是警醒寒凉之用，务要使润燥相宜土得其平。

Abstract:

The pathogen of dampness is based on abnormal water metabolism in the body. Therefore,it is closely related to the physiology and pathology of the spleen and stomach. Doctors of all dynasties have attached great importance to it and often treated it on the basis of the spleen and stomach. LIUWansu,a doctor of Jin and Yuan Dynasty,had a lot of clinical experience. But unlike other methods such as warming the spleen and drying dampness,LIU followed his cold thought. He advocated that the spleen and stomach of the middle earth should be especially moist,not to use warmth and dryness in vain. He also pointed out that dampness often arises from heat,and that it is necessary to relieve yang heat and depression,and cold and moist products should be chosen as prescriptions. However,LIU's treatment of dampness is by no means to give warmth and heat,but more to alert the cold,so as to make the moistening and drying appropriate and smooth.