世界中医药

目的：在明晰脏腑辨证发展脉络、明确不同时期脏腑辨证理论内涵特点的基础上，进一步阐释张元素对脏腑辨证理论完善所做出的有益补充及相关贡献。方法：选取中医医学史研究方法、文献追溯法和中医文献学研究方法，搜集、整理先秦两汉、晋隋唐宋、金元时期有关脏腑辨证的古籍及医家论述，并结合现代文献检索方法予以补充，厘清脏腑辨证发展的脉络，总结归纳出张元素乃至易水学派关于脏腑辨证理论的发挥。结果：张元素所著《医学启源》，从理论上填补了脏腑辨证理论体系之空白，并从相关学术思想、临证应用等方面丰富了脏腑辨证理论的内涵，延伸了脏腑辨证在中医长河中的生命力。结论：张元素是脏腑辨证理论体系建立的完成者，更为重要的是，张元素丰富和延伸了脏腑辨证在临证应用方面的生命力。

English Summary:

On the basis of clarifying the development of zang-fu syndrome differentiation and defining the connotation characteristics of zang-fu syndrome differentiation theory in different periods，to further explain the beneficial supplement and relevant contributions made by Zhang Yuansu to the improvement of zang-fu syndrome differentiation theory.Methods：Through tracing method in medical research method，literature of traditional Chinese medicine and TCM philology research methods，the pre-Qin period，Jin，Sui，Tang，Song Dynasties，Jin and Yuan Dynasties about differentiation of ancient books and the expoundation were collected and organized，and combined with modern literature retrieval method to supplement，clarify the differentiation of development context，summarizes the development of syndrome differentiation of zang-fu by Zhang Yuansu and Yi Shui school.Results：The Medical Origin written by Zhang Yuansu filled in the theoretical blank of the theory system of zang-fu syndrome differentiation，enriches the connotation of zang-fu syndrome differentiation theory from relevant academic thoughts and clinical application，and extended the vitality of zang-fu syndrome differentiation in the long river of traditional Chinese medicine.Conclusion：Zhang Yuansu is the completion of the theoretical system of zang-fu syndrome differentiation，and more importantly，he enriches and extends the vitality of zang-fu syndrome differentiation in the application of clinical syndrome differentiation.

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