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张锡纯论治脾阴虚证探析
高宇霞1, 王泓午2, 李德杏1
1.天津中医药大学中医学院, 天津 301617;2.天津中医药大学公共卫生与健康科学学院, 天津 301617
摘要:
张锡纯在继承前人重视阴液的经验基础上,结合脾胃学说,在临床实践中注重滋补脾阴。张锡纯认为脾为三阴之长,脾阴充足,才能灌溉诸脏腑;若脾阴虚损,会致其他脏腑阴液亏虚,百病由生。在临证用药时提倡甘淡滋养脾阴、甘温平补脾阳、甘苦滋补脾阴,并灵活运用活血化瘀之法。药物煎煮时提倡次煎、多煎。并善用食疗调摄脾阴、兼顾胃气。
关键词:  张锡纯  《医学衷中参西录》  脾阴虚证
DOI:10.11656/j.issn.1673-9043.2026.06.02
分类号:R249
基金项目:国家社会科学基金重大项目(18ZDA175)。
Exploration of Zhang Xichun’s treatment of spleen Yin deficiency syndrome
GAO Yuxia1, WANG Hongwu2, LI Dexing1
1.School of Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;2.School of Public Health, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
Abstract:
On the basis of inheriting the previous experience of valuing yin fluid,ZHANG Xichun combined with the theory of spleen and stomach,and emphasized nourishing spleen yin in clinical practice. ZHANG Xichun believed that the spleen is the longest of the three yin,and sufficient spleen yin is necessary to irrigate various organs. If spleen yin deficiency is damaged,it can lead to deficiency of yin fluid in other organs,causing various diseases to arise. In clinical medication,it is advocated to nourish the spleen yin with sweet and light,nourish the spleen yang with sweet and warm,and nourish the spleen yin with sweet and bitter. The method of promoting blood circulation and removing blood stasis should be flexibly applied. When decocting drugs,it is recommended secondary decoction and decoction in large quantities with medicinal juice. And make good use of dietary therapy to regulate spleen yin and balance stomach qi.
Key words:  ZHANG Xichun  Records of Traditional Chinese and Western Medicine in Combination  spleen yin deficiency syndrome
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