CAJ | 학술논문

《脾胃论》是李东垣学术思想的集中体现，其对后世医家及临床应用有着广泛而深远的影响。本文依据其在《脾胃论》中具体遣方用药，运用中医整体观念，结合辨证论治的思维特征，从擅用风药，升降结合、散中有收，顺应四时调整用药，重视食养、药食同用的等四个方面分别阐述东垣的遣药特点，得出东垣治疗疾病擅从脾胃出发，重视脾胃对气机作用，以及其立法严谨，天人合一的思想等结论，以助于进一步研究东垣关于“内伤脾胃，百病由生”、“人以胃气为本”的学术思想，为现今治疗脾胃病提供一定理论依据。
《비위론》시리동원학술사상적집중체현，기대후세의가급림상응용유착엄범이심원적영향。본문의거기재《비위론》중구체견방용약，운용중의정체관념，결합변증론치적사유특정，종천용풍약，승강결합、산중유수，순응사시조정용약，중시식양、약식동용적등사개방면분별천술동원적견약특점，득출동원치료질병천종비위출발，중시비위대기궤작용，이급기입법엄근，천인합일적사상등결론，이조우진일보연구동원관우“내상비위，백병유생”、“인이위기위본”적학술사상，위현금치료비위병제공일정이론의거。
Spleen and Stomach is the central embodiment of Li Dongyuan's academic thought, which has an extensive and profound influence on the later physicians and clinical application. In this paper,based on the specific Herbal Prescription of Li Dong yuan’s Treatise on Spleen and Stomach,the use of the concept of wholism in TCM,as wel as the Thinking Characteristics of Syndrome Differentiation Dependent Therapy ,discussing the drug administer-ing characteristics of Spleen and Stomach in four aspects:the use of wind drugs,combined ascend and descend,adjusting the medication according to the climatic change of the four seasons,emphasizing dietetic therapy ,medicine and food have the same effect.Obtaining the fol owing conclusions :The Dong Yuan treatment of disease is good at starting from the spleen and stomach. Attach importance to the function of the spleen and stomach of qi activity,its legislation is rigorous, and the thought of harmony between man and nature,ect.The research is helpful to further study of Dong yuan ’s academic thought ,to provide a theoretical basis for treating spleen and stomach disease nowadays.