摘要
目的研究张仲景的合方理论。方法以文献学、数学的方法,分别探讨张仲景合方的动机与目的、合方的依据、合方的原则,合方中方与方间的“七情”关系,合方的功效,合方“先煎后合”与“先合后煎”之异同。结果合方动机与目的除获取更好的临床疗效外尚存在信仰和经验的问题;合方的依据是依据证候与病机;合方的原则是增效与减毒,合方中方与方间在比重上起码存在着主辅、对等关系;从方与方间的相互作用来看可能存在着类似中药配伍的“七情”关系;合方的功效将产生相加、协同与拮抗;合方“先煎后合”与“先合后煎”的不同制备法将影响合方的疗效。结论合方是方剂发展的另一条路,是方剂研究的一个新的领域,合方能够拓广现有方剂的应用范围。
Objective To study the prescription combination theory of ZHANG Zhong-jing. Methods The methodology of philology and mathematics was used to investigate and analyze the motivation and purpose, basis and principles of combined prescriptions, the＂ seven emotions＂relationship between prescriptions after prescription combination, the effects of combined prescriptions, and the difference between two prescription preparing methods of＂combining after decocting＂and＂ decocting after combining＂. Results In addition to obtain a better clinical effect, the motivation and purpose of prescription combination were related to the belief and experience. The basis of prescription combination was syndrome manifestations and pathogenesis, and the principles of prescription combination were to potentiating effectiveness and attenuating toxicity. In a combined prescription there was at least a main-assist or reciprocal relation in proportion between the prescriptions. There might be a relationship similar to＂ seven emotions＂ relation in Chinese medicine formulary in the interaction between prescriptions. The effectiveness of combined prescription showed potentiation, cooperation and antagonism. The preparing methods, such as combining after decocting and decocting after combining, had the influence on the curative effect of a combined prescription. Conclusion The prescription combination is another way for the development of Chinese medicine formulary, and a new field in the study of Chinese medicine formulary. The prescription combination broadens the applicative scope of existing prescriptions.
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2006年第10期653-657,共5页
Journal of Beijing University of Traditional Chinese Medicine
基金
国家自然科学基金项目(No.30371723
30572298)
关键词
张仲景
合方
理论
证候
病机
ZHANG Zhong-jing
prescription combination
theory
syndrome manifestations
pathogenesis
