浅谈叶天士胃阴学说及其现代应用价值
The stomach-yin theory of Ye Tianshi and its modernapplication value

中医的辨治胃阴由来已久，著名温病学家叶天士在脾胃分治的理论指导下，首创了胃阴学说，它完善了脾胃学说，使后世医家受益匪浅。本文重点探讨了随着社会环境的更迭，生活习惯的改变，胃阴不足之证的发病日渐增多，拓展到脾胃病的诊治，其发病与肝关系最为密切。人们生活、工作压力俱增，肝气横逆犯脾胃，致使脾胃功能受损。军人作为一个特殊的群体，面临更大的压力，更易情志过极，肝病及胃。因此，对于脾胃病的辨治，当以肝为枢纽，疏肝解郁，滋养胃阴。同时对其预防调摄也是很有必要和意义的。
There has been a long history about identifying and treating the stomach-yin. Until the Qing dynasty,based on the theory of treating spleen and stomach separately, Ye Tianshi, as an outstanding expert of warm disease,created the stomach-yin theory, which perfected the spleen-stomach theory. The later physicians benefit a lot from it. Thisarticle discusses mainly that the incidence of stomach-yin insufficiency increase with the change of social environmentand people’s life style, and further points out that the development of spleen-stomach diseases is closely related with theliver. The increasing pressure from life and work makes liver-qi attack the stomach and spleen, eventually leading to theinjury of their functions. Soldiers are a special population under high pressure. Their extreme emotional alterations mightcause liver disease, which often involves the stomach. So, we should treat the liver as the hub of identifying and treatingspleen-stomach diseases. The prescriptions like dispersing liver-qi, relieving qi stagnation and nourishing stomach-yinaccompanied by prevention and health nursing are very necessary and meaningful for treating spleen-stomach diseases