基于“土中泻木”论痛泻要方组方配伍之内涵
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摘要
痛泻要方是由白术、白芍、防风、陈皮4味药组成,其中白术、白芍配伍体现了中医学"土中泻木"这一治疗方法。"土中泻木"意同"抑木扶土",临床上根据疾病的症候主次不同,在治疗上,"抑木""扶土"是有主次之分的。文章通过阐释"土中泻木"这一治疗原则的思想源流发展、理论基础和内涵实质,从痛泻要方主治病症的病因病机、临床表现和痛泻要方的配伍特点3个方面论述痛泻要方组方配伍的内涵,阐明了痛泻要方在治疗肝旺脾虚之痛泻证时是以"抑木"为主,"扶土"为辅。
Tongxie yaofang is composed of four Chinese herbs, which are Largehead Atractylodes Rhizome, Radix Paeoniae Alba, Radix Sileris, Dried Tangerine Peel. The compatibility between Largehead Atractylodes Rhizome and Radix Paeoniae Alba reflects the treatment principle of 'purging wood from the earth' in traditional Chinese medicine. The conception of 'purging wood from the earth' is the same as 'restraining wood and hilling earth'. In clinic, according to the different main symptoms of diseases, 'restraining wood' and 'hilling earth' are divided into primary and secondary treatment. This article illustrates the development, theoretical basis and essence of the principle of 'purging wood from the earth' purging wood from the earth", and discusses the connotations of the compatibility of Tongxie Yaofang from three aspects of the etiology, pathogenesis, clinical manifestations and compatibility, and expounds that Tongxie Yaofang in the treatment of pain-diarrhea with syndrome of liver prosperity and spleen deficiency, 'restraining wood' is the main therapeutic method, while 'hilling earth' is as the adjuvant therapy.
Tongxie yaofang is composed of four Chinese herbs, which are Largehead Atractylodes Rhizome, Radix Paeoniae Alba, Radix Sileris, Dried Tangerine Peel. The compatibility between Largehead Atractylodes Rhizome and Radix Paeoniae Alba reflects the treatment principle of 'purging wood from the earth' in traditional Chinese medicine. The conception of 'purging wood from the earth' is the same as 'restraining wood and hilling earth'. In clinic, according to the different main symptoms of diseases, 'restraining wood' and 'hilling earth' are divided into primary and secondary treatment. This article illustrates the development, theoretical basis and essence of the principle of 'purging wood from the earth' purging wood from the earth", and discusses the connotations of the compatibility of Tongxie Yaofang from three aspects of the etiology, pathogenesis, clinical manifestations and compatibility, and expounds that Tongxie Yaofang in the treatment of pain-diarrhea with syndrome of liver prosperity and spleen deficiency, 'restraining wood' is the main therapeutic method, while 'hilling earth' is as the adjuvant therapy.
引文
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[17]周胜强.痛泻要方方证病机探讨.中医药通报,2014,13(1):43-44
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[22]王殿华.抑木扶土与疏肝健脾辨异.中医函授通讯,1991,3:28-29
[2]吴润秋.中华医书集成金匮类.北京:中医古籍出版社,1999:1
[3]王国辰.医学全书李东垣.北京:中国中医药出版社,2006:13
[4]明·李时珍.本草纲目.北京:中国书店,2011:67-68
[5]季晓杭,顾勤.顾勤从“土虚木贼”辨治慢性腹泻经验浅探.辽宁中医药大学学报,2017,19(5):41-43
[6]许芝银,罗志昂.乳腺疾病临证思辨.江苏中医药,2017,49(1):1-6
[7]杜淑娟,郑燕霞.扶土抑木法在儿科疾病中的应用举隅——省名中医罗笑容主任经验拾撷.吉林中医药,2006,26(4):10-11
[8]明·张景岳.类经图翼.太原:山西科学技术出版社,2013:11
[9]魏凤琴.对五行“木土”关系的再认识.国医论坛,2008,23(6):49-50
[10]元·朱丹溪.丹溪心法.北京:中国医药科技出版社,2012:59
[11]清·汪昂.医方集解.北京:人民卫生出版社,2006:123
[12]明·张介宾.景岳全书上册.北京:人民卫生出版社,2011:539
[13]刘静,傅杰.痛泻要方核心药组论证.中医杂志,2012,53(2):172-174
[14]明·吴昆.医方考.北京:中国中医药出版社,2007:81
[15]清·罗国纲.罗氏会约医镜.北京:人民卫生出版社,1965:302
[16]马书娟,姚建平.试论痛泻要方之“痛泻”.中国药物经济学,2016,12(10):67-68
[17]周胜强.痛泻要方方证病机探讨.中医药通报,2014,13(1):43-44
[18]明·龚廷贤.寿世保元.上海:上海科学技术出版社,1959:178
[19]秦伯未.谦斋医学讲稿.上海:上海科学技术出版社,1978:120
[20]辛增平,丁舸.痛泻要方功用主治释疑.新疆中医药,2007,25(增刊):86-87
[21]赵荣华,谢鸣.痛泻要方方证病机及其变化运用.辽宁中医药大学学报,2011,13(8):183-185
[22]王殿华.抑木扶土与疏肝健脾辨异.中医函授通讯,1991,3:28-29