摘要
通过方药溯源、痰寒之辨、方义解析、类方衍变对温胆汤主治"胆寒"进行辨析。温胆汤一方三源,主治"胆寒",然观现今《方剂学》教材多认为其主治"胆胃不和,痰热内扰证",有由"寒"转"热"之变,并发现方中的生姜用量不减反增,认为温胆汤主治应为"胆痰",即胃郁胆滞、痰浊内阻证。
Through tracing the source of medicine,differentiating between phlegm and coldness,analyzing decoction,comparing similar decoctions,this paper promoted a differentiation and analysis of"gallbladder coldness",which is the major disease treated by Wendan Decoction.This decoction was once thought to be derived from three ancient books as the main treatment of"gallbladder coldness".However,most textbooks of"formulas of Chinese medicine"suggested that Wendan Decoction should be mainly used to treat"disharmony between gallbladder and stomach,syndrome of phlegm-heat attacking internally".It seemed that the function of the medicine had turned to the opposite,from"coldness"to"heat".This paper also revealed that ginger dosage had increased during the development of this decoction.Therefore,Wendan Decoction should be regarded as the major decoction for treating"gallbladder phlegm",a syndrome of stomach depression and gallbladder stagnation,stagnation of endogenous retention of phlegm.
作者
金珏
陈晓
JIN Jue;CHEN Xiao(School of Basic Medical Sciences,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《上海中医药杂志》
2021年第8期37-41,共5页
Shanghai Journal of Traditional Chinese Medicine
基金
上海市卫健委中医药传承和科技创新项目(ZYCC2019001)
上海市卫健委进一步加快中医药事业发展三年行动计划项目(ZY[2018-2020]-CCCX-2001-01)。
关键词
温胆汤
胆寒
胆痰
辨析
Wendan Decoction
gallbladder coldness
gallbladder phlegm
differentiation and analysis
