李东垣《兰室秘藏》妇科学术思想与用方用药探析

李东垣在《兰室秘藏》中论述了妇人经闭、经漏、带下以及其他妇人易得疾病,认为妇人经闭应补气养血、清泻虚火,而针对经漏不止,应以补脾胃、升举气血,并论述了其他理论与治法,一并形成了具有鲜明个人特色的妇科治病模式.对李东垣在书中的妇科用药频次以及药物归经的统计分析,可见出现频次较高的药物均为补中益气汤中的组成药物,足见李东垣对于脾胃的重视,也可见其学术思想对妇科疾病治疗的指导意义.

Discussion on LI Dongyuan' s gynecology academic thought and clinical practice of Lanshi Micang

To analyze the academic ideology of gynecology mentioned by LI Dongyuan in Lanshi Micang. LI discussed amenorrhea, metrostaxis, morbid leukorrhea and other diseases women prone to suffer. He believed that tonifying qi and nourishing blood, clearing deficiency fire should be used to treat amenorrhea, while treating metrostaxis should tonify the stomach and spleen, lift qi and blood with the other theories and treatments, made up a distinct personal characteristics of gynecological treatment model. Statistical analysis of the used herbs as well as their meridian tropism in the book shows that the most of herbs were the component of Middle-Tonifying Qi-Replenishing decoction which reveals the importance of stomach and spleen and the guidance of his academic thoughts for treating gynecological diseases.