李东垣《脾胃论》的研究进展
Research Progress on Li Dongyuan’s Pi Wei Lun
DOI: 10.12677/tcm.2026.154235, PDF,    科研立项经费支持
作者: 戴玺诺, 王淯檬, 马诗语：河北中医药大学中医学院，河北 石家庄
关键词: 李东垣；《脾胃论》；中医学；传统中医；现代研究；Li Dongyuan； Pi Wei Lun； Classical Chinese Medicine； Traditional Chinese Medicine； Modern Research
摘要: 目的：李东垣的《脾胃论》作为中医学的重要经典，系统阐述了脾胃在人体气血生化、营养吸收及疾病防治中的核心地位，奠定了脾胃学说的理论基础。随着现代医学技术的发展和传统中医理论的深入挖掘，近年来对《脾胃论》的研究不断深化，涵盖了其理论体系的解析、临床治疗指导价值以及与现代病理机制的关联探讨。但是当前研究仍存在理论与实践结合不够紧密、现代科学证据支持不足等问题。方法：通过研究《脾胃论》的历史沿革、主要理论内容、临床应用实践这三部分内容。结果：重点分析了其在消化系统疾病、免疫调节等领域的现代研究进展，提出了李东垣《脾胃论》中脾胃功能与免疫系统及血细胞生成关系的潜在指导价值，为脾胃疾病及免疫相关疾病的治疗提供了初步的理论依据和实践指导。结论：通过不断促进《脾胃论》的科学传承与创新发展，可为中医脾胃理论的现代化提供学术支持和应用指导。
Abstract: Objective: Pi Wei Lun (Treatise on the Spleen and Stomach) by Li Dongyuan is an important classic in traditional Chinese medicine that systematically elaborates on the central role of the spleen and stomach in the generation of qi and blood, nutrient absorption, and disease prevention and treatment, thereby establishing the theoretical foundation of the spleen-stomach doctrine. With the advancement of modern medical technology and the growing exploration of traditional Chinese medicine theory, research on Pi Wei Lun has been progressively deepening in recent years, covering the analysis of its theoretical framework, its guiding value in clinical practice, and its correlation with modern pathological mechanisms. However, current studies still face challenges such as insufficient integration of theory with practice and a lack of robust modern scientific evidence. Methods: This study examines three aspects: the historical evolution of Pi Wei Lun, its main theoretical content, and its clinical application. Results: The analysis focuses on recent research progress in areas such as digestive system diseases and immune regulation, suggesting the potential guiding value of Li Dongyuan’s insights in Pi Wei Lun regarding the relationship between spleen-stomach function, the immune system, and hematopoiesis, thereby providing preliminary theoretical support and practical guidance for the treatment of spleen-stomach disorders and immune-related diseases. Conclusion: Promoting the scientific inheritance and innovative development of Pi Wei Lun can provide academic support and application guidance for the modernization of the spleen-stomach theory in traditional Chinese medicine.
文章引用：戴玺诺, 王淯檬, 马诗语. 李东垣《脾胃论》的研究进展[J]. 中医学, 2026, 15(4): 483-489. https://doi.org/10.12677/tcm.2026.154235

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