CAJ | 학술논문

[[目的]分析《脾胃论》治疗饮食过伤的相关理论，探讨其对临床治疗饮食过伤引致内伤疾病的指导意义。[方法]通过对饮酒过伤、饮食过伤头晕、食伤失眠等3则医案诊治过程的分析，解析《脾胃论》治疗饮食过伤的论证思路、组方用药原则及注意事项等。[结果]明确《脾胃论》治疗饮食过伤的相关理论，其具体治则为发汗、利小便、助消化，其中包括了《伤寒论》的临证发挥，如五苓散在饮食伤脾中的应用，葛花解酲汤、枳术丸、和中丸在饮酒过伤中的应用：五苓散、葛花解酲汤发汗利小便上下分消以导湿，枳术丸、和中丸等健脾开胃以消滞。所选诊治3则医案，临床疗效满意。其中饮酒过伤案首诊中配合中成药以达到和胃止呕、上下分消化酒气之目的，复诊中用葛花解酲汤在上下分消酒湿时，注意中病即止之重要性；头晕案中五苓散合半夏枳实丸化湿消食同用而效现；失眠案中以“小口频服”之服药方法与“安养心神调治脾胃”之法的配合运用而显效。[结论]临床运用《脾胃论》中饮食过伤的相关理论，治疗因饮食伤所致内伤疾病，辨证准确，疗效满意，值得临床推广运用。
[[목적]분석《비위론》치료음식과상적상관이론，탐토기대림상치료음식과상인치내상질병적지도의의。[방법]통과대음주과상、음식과상두훈、식상실면등3칙의안진치과정적분석，해석《비위론》치료음식과상적론증사로、조방용약원칙급주의사항등。[결과]명학《비위론》치료음식과상적상관이론，기구체치칙위발한、리소편、조소화，기중포괄료《상한론》적림증발휘，여오령산재음식상비중적응용，갈화해정탕、지술환、화중환재음주과상중적응용：오령산、갈화해정탕발한리소편상하분소이도습，지술환、화중환등건비개위이소체。소선진치3칙의안，림상료효만의。기중음주과상안수진중배합중성약이체도화위지구、상하분소화주기지목적，복진중용갈화해정탕재상하분소주습시，주의중병즉지지중요성；두훈안중오령산합반하지실환화습소식동용이효현；실면안중이“소구빈복”지복약방법여“안양심신조치비위”지법적배합운용이현효。[결론]림상운용《비위론》중음식과상적상관이론，치료인음식상소치내상질병，변증준학，료효만의，치득림상추엄운용。
Objective]Analysis of related theory that“the theory of spleen and stomach”treats“diet injury”, to explore principle-method-recipe-medicines’guiding significance for treatment of internal injuries caused by“diet injury”to explore the related theory’s guiding significance for treatment of internal injuries caused by“diet injury”(This is the related theory to“the theory of spleen and stomach”treating“diet injury”).[Method]Through the process of diagnosis and treatment of three cases analysis(They are“drinking wound”case, dizziness case and insomnia case), expound the argumentation thinking to“the theory of spleen and stomach”treating“diet injury”, principle of prescription medication, and matters needing attention, etc. Through the analysis of diagnosis and treatment process, expound the argumentation thinking to“the theory of spleen and stomach”treating“diet injury”, principle of prescription medication, and matters needing attention. Including the prescription of treatise on febrile disease———Wuling powder’s application in the“diet injury”,Gehuajiejiu soup, Zhishu pill, Hezhong pill’s application in the“drinking wound”.[Result] Understand related theory that the“the theory of spleen and stomach”treats “diet injury”, specific therapeutic principle for sweating, the urine and digestion. Including the prescription of treatise on febrile disease—Wuling powder’s application in the“diet injury”,Gehuajiejiu soup, Zhishu pill, Hezhongpill’s application in the“drinking wound”, Wuling powder, Gehuajiejiu soup are dehumidification by sweating and the urine, Zhishu pill, Hezhong pill ,etc are helping digestion.“The theory of spleen and stomach”treating“diet injury”,prescription and symptoms are consistent. Clinical efficacy of three consilias is satisfaction. Among them, drinking wound, shares proprietary Chinese medicine medicinal properties to achieve and anti-nausea, points up and down digestive purpose of alcohol. Gehuajiejiu soup points up and down digestive purpose of alcohol warning patients at the same time; The dizziness, Wuling powder and Banxiazhishu pill wet Xiaoshi with use and effect;Insomnia, emphasis will be placed on the medication method of small amount many times, and“Nursing mind modulation spleen and stomach”, cooperating with use, treatment effect is obvious. [Conclusion]Using the related theory of“the theory of spleen and stomach”is worth clinical exploration to treatment of clinical disease caused by the“diet injury”, because it is dialectical correctly, curative effect is better.