| 中文摘要 |
本文旨在探討中國金元時代著名醫家李東垣的婦科學術思想，研究材料以李氏所著脾胃論及蘭室秘藏為主，結果顯示，李氏治婦科疾病，其學術思想與其所著脾胃論之元氣陰火學說有密切關係，其論婦人經閉、崩漏、帶下，多因脾胃虛損，中氣下陷，陰火亢盛，濕熱下注所致，故治婦人經閉，主張以補血瀉火為主；治婦人崩漏，以補氣養血，升提舉陷，瀉陰火為主；治婦人帶下，以益氣補血、溫補脾陽、袪下焦寒濕為主，此形成具有治療特色的婦科治病模式。此外，李氏婦科臨床上有一重要發現，脾虛氣陷日久，陰火可轉化為寒證，形成下焦寒濕和虛寒，而治療以溫補為主。The purpose of study is to review gynecological thought of Li Dong-Yuan. He was a famous physician at Jin-Yuan Dynasty in China. Chinese Classic book of Pi-Wei-Lun and Lan-Shi-Mi-Cang wrote by Li’s are the origin of research material. The results demonstrated that the thinking process of Li’s treated women’s diseases was relationship with Yuan-Qi-Yin-Fire hypothesis. He though that woman amenorrhea, abnormality of uterine bleeding and leucorrhea were resulted from spleenstomach qi vacuity, center qi fall, yin fire hyperfunction and damp-heat pouring down. He treats woman amenorrhea with the principle of supplementing blood and discharge heat. He treats uterine flooding and spotting by supplementing qi and nourishing the blood, upraise center qi, and overcome yin fire. He treats leucorrhea used the method of boost qi and supplementing the blood, warm supplementing the spleen yang, and overcome cold dampness in lower burner. The therapeutic character of women’s disease became a model of gynecological treatment. On the other hand, Li’s had an important discovery in gynecological clinic that if the spleen qi vacuity causes center qi fall for a long time, yin fire may transform cold pattern. It will perform cold dampness as well as vacuity cold in lower burner. Warm supplementation applied was the main method of treatment. |
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