李東垣之升陽類方研究;The research of Dong-Yuan Li’s   Sheng-Yang prescriptions

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Title:	李東垣之升陽類方研究;The research of Dong-Yuan Li’s Sheng-Yang prescriptions
Authors:	詹覲旨;Chin-Chih Chan
Contributors:	中國醫藥大學：中國醫學研究所碩士班
Keywords:	李東垣;升陽;益氣;風藥;柴胡;升麻;Dong-Yuan Li;Sheng-Yang;Supplementing qi;bupleurum;rattletop
Date:	2006-07-24
Issue Date:	2009-08-10 16:01:16 (UTC+8)
Abstract:	李東垣為金元四大家之ㄧ，其提出內傷醫學理論，補外感之未備。李東垣之內傷醫學以脾胃為ㄧ切元氣之根源，並據此做為治療疾病之原則。學者認為李東垣之用方特點有ㄧ為用藥種類繁多，二為方劑劑量輕，三為喜用風藥，四為以益氣升發為主要概念。依據文獻以及李東垣相關著作發現，並非完全如此，且歷代醫家並未深入探討。本次研究以《內外傷辨惑論》、《脾胃論》二本著作為研究範圍，以含有風藥之升陽類方為材料，運用描述性統計之方式，找出東垣運用升陽類方之規律。目的為釐清東垣運用升陽概念之條件，包含方劑總劑量之選擇、風藥種類與劑量之選擇、「益氣」與「升發」解釋東垣理論之偏頗。治療以補益脾胃元氣為主，使用風藥多以柴胡、升麻輕用數分為多。治療目的以消痞積為主時，以柴胡使用劑量宜重。瀉脾胃火滯為主，以升麻使用劑量宜重。治療以除溼為主時，以羌活為多，溼邪在上則使用劑量輕，溼邪在下則使用劑量重，且多配伍獨活。治療病位以上焦為主，則方劑總劑量輕，風藥劑量比大。方劑治療病位以中下焦為主，方劑總劑量重，風藥劑量比小。此次研究結果，對李東垣內傷理論之升陽思想有明確證據解釋。對於李東垣相關升陽類方，歷代醫家所著之評論者多，但孰是孰非難以論斷。藉研究結果推論東垣升陽類方之使用條件，判斷醫家說法以何者為當，有助於李東垣相關升陽方劑之理解，並清楚說明李東垣使用風藥規律、升陽類方運用概念，補前人之未備。 Dong-Yuan Li is a famous doctor in Jin and Yuan dynasty. He present a internal damage theory supplemented external contraction theory. He considers every qi come form spleen, and uses this concept to cure every disease. Many scholars think his specialties in prescriptions are using many kinds of medicines, using light prescription dose , using wind medicines and boosting qi. According related literature, the specialties are not identical with previous ones. Sphere in this reserch is according to two books written by Dong-Yuan Li, pi wei luen and nei wai shang bian huo luen. The materials are prescription containing wing medicines. The descriptive statistics is used in this research. The goal is to find out the regularities about these formulas. Supplementing qi, bupleurum and rattletop are used with light dose. Harmonizing the stomach and instestines ,bupleurum is used with heavy dose. Clearing the heat in the stomach and instestines , rattletop is used with heavy dose. Resolving the external dampness, notopterygium root is used with light dose. Dispelling the internal dampness, notopterygium root is used with heavy dose. Notopterygium root usually appears with notopterygium gium incisum .Curing upper site, the total used dose is light and the dose ratio with wing medicines is height level. Curing lower site, the total used dose is heavy and the dose ratio with wing medicines is low level. These research outcomes are explicit. We can use these outcomes to explain Dong-Yuan Li’s internal damage theory unequivocally and judge which interpretation is appropriate about these prescription. These result are additional remark and making previous explainations up.
Appears in Collections:	[Graduate Institute of Chinese Medical Science] Theses & dissertations

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