摘要
[目的]依据《本经》条文对一些著名的方药配伍进行解读,并例举导师临床运用实例予以分析。[方法]立足于理解《本经》的基础上,以干地黄、白术、柴胡等药物为联系线索,参照四物汤、黄土汤、菖蒲郁金汤等相关名方的原书主治条文,并结合导师徐晓东运用《本经》药物的经验,阐述相关名方的内涵与应用。[结果]四物汤、黄土汤、菖蒲郁金汤等相关名方的原书主治条文与《本经》内容有许多吻合之处。《本经》诸药主治是各经典方药配伍之准绳,如《本经》中干地黄之功是"逐血痹",四物汤、黄土汤等均以《本经》功效而选药组方;菖蒲郁金汤方中使用菖蒲,乃取《本经》中载其可"开心孔"之功;《金匮要略》中防己黄芪汤、麻黄加术汤等诸方中白术之效乃取《本经》"止汗"之用;小柴胡汤、柴胡疏肝散等方中用柴胡是取《本经》载其可"治心腹""除寒热邪气"之意。导师徐晓东老师善用《本经》药物教学、临证,给学生颇多启发。[结论]历代医家在组方时继承和发展了《本经》药物理论,结合《本经》所论将使历代名方的理解与应用更加贴近原意,从而更深入地理解历代名方中药物的配伍意义,并能指导遣药组方的实践,此等值得后世学者深入研习。
Objective] Explain the intentions of those famous TCM combinations for disease according to Shennong Bencao Jing. [Methods] Find out the principles to make up those famous TCM prescriptions based on understanding the efficacy of medicine described in Shennong Bencao Jing, through combining comparing the original documents of each other with the clinical practice of Mr. Xu Xiaodong. The natural medicine such as Gan Dihuang, Baizhu and Chai Hu were used as mediums to relate those famous TCM prescriptions and Shennong Bencao Jing. [Results] The original documents of Shennong Bencao Jing and those famous TCM prescriptions which were related together by natural medicine such as Gan Dihuang, Baizhu and Chai Hu have much in common. For example, Gan Dihuang used in Si Wutang, Huang Tutang etc. according to the effect of promoting blood circulation and removing blood stasis described in Shennong Bencao Jing. Chang Pu used in Changpu Yujintang according to the effect of resuscitation and restoring consciousness described in Shennong Bencao Jing. Baizhu used in Fangji Huangqi Tang, Mahuang Jiazhu Tang of Jinkui Yaolue according to the antiperspirant effect described in Shennong Bencao Jing. Chai Hu used in Xiao Chaihu Tang, Chaihu Shugan San etc. according to the effect of relieving the abdominal discomfort, attacks of chills and fever described in Shennong Bencao Jing. The theory of Shennong Bencao Jing is well applied in clinical teaching and practice by Mr. Xu Xiaodong, bringing students a lot of inspiration. It is possible to explain the principles of making up those famous TCM prescriptions and guide the compatibility of TCM according to Shennong Bencao Jing. [Conclusion] Doctors in the ancient world have inherited and developed the Shennong Bencao Jing theory when filling the prescription; comprehension and application of those famous TCM prescriptions will be more original according to Shennong Bencao Jing. The theory of Shennong Bencao Jing is worth our further study and extension.
出处
《浙江中医药大学学报》
CAS
2015年第5期412-414,共3页
Journal of Zhejiang Chinese Medical University
关键词
神农本草经
方剂
方药配伍理论
干地黄
白术
柴胡
菖蒲
医案
Shennong Bencao Jing
prescription
prescription compatibility theory
Gan Dihuang
Baizhu
Chai Hu
Chang Pu
medical cases
