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目的:挖掘李东垣对《内经》“肠游下血”的理论阐发及其临床应用,为经典应用临床提供指导.方法:疏理《内经》肠澼下血理论,解读《脾胃论》的经典阐述.结果:李氏对肠澼病症表现及病机阐发均有独到见解,创立肠游下血主方配伍精当、法度严谨,临床加减应用考虑全面、应用灵活.结论:李东垣对《内经》肠湃下血理论具有较好的继承和创新,对该病的临床应用具有很好的指导作用.“,”Objective:Using classical theories into practice,to study LI Dongyuan's understanding of the theory of diarrhea with blood in Neijing and to study his clinical application of treating this disease.Methods:Collate relating articles about diarrhea in Neijing and expound contents of diarrhea with blood in Treatise on Spleen and Stomach.Results:LI Dongyuan has a unique comprehension about pathogenesis and manifestations of diarrhea.He creates a prescription with appropriate herbal medicines and accurate dosage to treat the disease of diarrhea with blood,and uses the prescription flexibly considering of individual difference of each patient.Conclusions:LI Dongyuan not only heirs the essence from Neijing but also develops his own theory.His understanding and experiences of treating diarrhea can be significant guidance in today.