基于胃阴学说探析叶天士辨治胃阴虚证经验

［中图分类号］R24 [文献标志码］A [文章编号]0256-7415（2025）14-0161-05

DOl：10.13457/j.cnki.jncm.2025.14.031

Analysis of YE Tianshi's Diagnostic and Therapeutic Experience in Stomach Yin Deficiency Syndrome Based on Stomach Yin Theory

YUYinghui1，LIU Chengli²

1.TheFirstClinicalMedicalSchoolofGuangzhouUniversityofChineseMedicine，GuangzhouGuangdong51o6，China；2.Guangzhou UniversityofChineseMedicine，GuangzhouGuangdong51Ooo6，China

Abstract：This study systematically traces the theoretical originsandhistorical contextofYE Tianshi's stomach yintheory through the developmental framework of Chinese medicine spleen-stomach theory.In response to the clinical chalenges posed by the prevalence of warm diseases and frequent depletion of stomach yin during the Qing Dynasty， YE proposed thecore conceptthat "the stomach favors moisture".Heemphasizedthe physiological characteristicsof the stomach as "yang-earth preferring cool-moisture"，advocatedfor the separate management of the spleen and stomach， anddeveloped innovative methods for nourishing stomach yin，includingsweet-cool moisteningand sour-sweet combination for nourishing yin.These contributions addresed the limitations of LI Dongyuan's spleen-stomach theory， which overemphasized warm-tonifying and yang-raising methods.The article elaborates on the etiology，pathogenesis， anddifferentiation principleof stomach yindeficiency syndrome（e.g.，hunger without desire toeat，epigastricburning pain，red tongue with scant coating）.Through case analyses from Lin Zheng Zhi Nan YiAn （Case Records as a Guide to Clinical Practice），it demonstrates YE's clinical expertisein flexiblyapplying therapeutic strategies suchas the method of clearing heat to nourish stomach and the method of sweet-moderation benefiting stomach.

Keywords：Stomach yin theory；YE Tianshi；Stomach yin defficiency syndrome；Stomach yin-nourishing method；Warm diseases；Separate management of the spleen and stomach； Lin Zheng Zhi Nan Yi An

脾胃理论是中医藏象学说的核心内容之一，强调脾胃为“后天之本”，是人体气血生化之源。（剩余6992字）