高雅 安宏 徐世杰

    [摘要] 口渴是临床常见的症状，本文梳理李东垣对渴癥的认识和用药，认为口渴的发生以气火失调为根本，以脾胃为主要病位，并依五脏虚实传于心、肺、肝、肾，从而得出东垣辨治口渴的主要思路是以脾胃为中心的五脏虚实传变。探讨东垣对渴症的辨治，有助于后世更好把握其脾胃论，可寻到辨治渴症及其相关疾病的方便之门。

    [关键词] 渴;火热;脾胃;五脏

    [中图分类号] R228? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-7210(2019)01(c)-0136-04

    [Abstract] Thirst is a common clinical symptom， this article summarizes Li Dongyuan′s understanding of thirst symptom and drug use， and puts forward that thirst is based on the disorder of Qi and fire as fundamental， primary location is spleen and stomach， and then spreads in turn of the other five internal organs： heart， lung， liver， kidney. The thought is presented that Li Dongyuan cured this symptom focusing on spleen and stomach and according to deficiency and excess change among the five internal organs. Discussion on the differentiation and treatment of thirst symptom by Li Dongyuan will help later generations to grasp the theory of spleen and stomach better， and find out the convenient way to distinguish and treat thirst and related diseases.

    [Key words] Thirst; Fire; The spleen and stomach; The five internal organs ......