Exploration and Reflection on the Differentiation and Treatment of Li Dongyuan's Internal Injury Disease
ZHAO Yanjie
LIU Shiwei
SONG Suhua
Abstract：Nei Wai Shang Bian Huo Lun is one of the works of Li Dongyuan,the four great masters of Jin and Yuan dynasties.The middle volume mainly discusses the pathogenesis,syndrome and treatment of internal injury disease.Dongyuan's internal injury disease is a deficiency disease caused by the damage of spleen and stomach.The physiological basis is mainly related to the function of the spleen and stomach to produce and disperse essences.The core pathogenesis is the deficiency of essence and Qi and the upward rush of Yin fire caused by the damage of spleen and stomach.Seasonal dominant Qi will also change the main contradiction of internal injury disease.In view of the changing pathogenesis,Dongyuan established methods like relieving fever with sweet and warm-natured drugs,invigorating Qi for ascending,followed by Buzhong Yiqi decoction,Shenzhu Tiaozhong decoction and other prescriptions,forming a complete syndrome differentiation and treatment system of internal injury diseases.Dongyuan's theory and method are very exquisite,and most of them are derived from the classics of sages.On the basis of literature review,the author selects three points:relieving fever with sweet and warm-natured drugs,astringing,and wind drug ascending Yang,speculates on its original meaning so that it can be flexibly used in clinic.
Keywords：Li DongyuanNei Wai Shang Bian Huo HunSpleen and stomachSeasonQi's ascending and descendingSweet and warm-natured drugsBreeding divergence
Publication Date：2024-02-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 185-189 )