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基于黏膜外感理论探讨三表汤的组方思想 被引量:7

Exploration on Prescription Composition Thought of Sanbiao Decoction(三表汤)Based on Mucosal Superficies Syndrome Theory
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摘要 感冒是感受触冒风邪,邪犯卫表而导致的常见外感疾病,其核心机制是病原体入侵机体黏膜屏障产生黏膜免疫反应,黏膜免疫系统在机体感染的初始阶段发挥重要作用。仝小林院士认为感冒起病,大致有三:曰太阳,曰卫分,曰胃肠,皆属于表(外感病初始阶段的证候,相对于"里证"而言),由此提出黏膜外感理论,具体而言:皮肤黏膜外感对应太阳之表;呼吸道黏膜外感对应卫分之表;消化道黏膜外感对应胃肠之表。三表汤是仝小林院士针对各类感冒而设的基础方剂,由葛根、生麻黄、桂枝、羌活、金银花、桔梗、藿香、生甘草组成,方中涵盖了感冒病症的基本用药,既可以作为各类感冒的基础方,也可以作为流行性感冒的预防方。 Cold is a common exogenous disease caused by wind evil invading the surface.Its core mechanism is that pathogens invade the mucosal barrier to produce mucosal immune response.The mucosal immune system plays an important role in the initial stage of infection.Academician TONG Xiaolin believes that there are roughly three reasons for the onset of a cold:Taiyang,Wei phase and gastrointestinal tract,all of which belong to the exterior syndrome(the syndrome in the initial stage of exogenous disease is relative to the“internal syndrome”),so he puts forward the theory of mucosal exogenous disease.Specifically,the skin mucosal exogenous disease corresponds to the exterior of Taiyang.The exterior of Wei phase corresponding to respiratory mucosal exogenous diseases.The exterior of gastrointestinal tract corresponding to mucosal extravasation of digestive tract.Sanbiao Decoction(三表汤)is a basic prescription formulated by academician TONG Xiaolin for all kinds of common cold.It consists of Gegen(Radix Puerariae Lobatae),Mahuang(Herba Ephedrae),Guizhi(Ramulus Cinnamomi),Jinyinhua(Flos Lonicerae Japonicae),Jiegeng(Radix Platycodonis),Huoxiang(Herba Pogostemonis)and Gaocao(Radix Et Rhizoma Glycyrrhizae).The prescription covers the basic medication of cold diseases,which can be used as a basic prescription for various kinds of common cold as well as a preventative prescription for influenza.
作者 徐坤元 刘文科 仝小林 XU Kunyuan;LIU Wenke;TONG Xiaolin(Guang'anmen Hospital,Chinese Academy of Traditional Chinese Medicine,Beijing 100053,China)
出处 《辽宁中医杂志》 CAS 2021年第11期71-73,共3页 Liaoning Journal of Traditional Chinese Medicine
基金 国家重点基础研究发展计划(2010CB530601)
关键词 感冒 黏膜免疫 黏膜外感理论 三表汤 仝小林 cold mucosal immunity mucosal superficies syndrome theory Sanbiao Decoction(三表汤) TONG Xliaolin
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