论解表药的扩络减阻加速血行作用
|
摘要
解表药,即一类疏肌解表、促使发汗,用以发散表邪、解除表证的药物,称为解表药,代表药物有麻黄、桂枝、荆芥、防风、柴胡、葛根等。目前临床多用于感受外邪,具有恶寒、发热、头痛、身痛、无汗、脉浮等表症者;表邪郁闭,麻疹透发不畅者;水肿初期或麻疹初期兼有表证者,以及其他疾病具有表证需要发汗解表者。导师张金波主任通过多年临床发现解表药不仅具有发汗作用,同时具有活血、温通等功效;其作用部位并不仅在肌表,亦可作用于脏腑内里调节气血津液的运行,即解表药的扩络减阻,加速血行的作用。
The antipyretic drug such as Mahuang,Guizhi,Jingjie,Fangfeng,Chaihe,Gegen and so on,that is,sparse muscle to solve the table and urging the sweating,is used to dispelling superficial evils and relieving superficial symptoms. At present,the clinical use is mostly used to feel the external evil,with aversion,fever,headache,body pain,no sweat,pulse floating and other symptoms of the disease; the table evil is closed and measles eruption is not smooth; edema early or early measles,and other diseases has symptoms that they need to sweat. Director Zhang Jinbo's clinical experience has shown that the antipyretic drug not only has the effect of sweating,but also the effects of promoting blood circulation and warming. The action site is not only in the muscle surface,but also in the internal organs to regulate the movement of qi and blood,that is,it has the effect of enlarging and reducing resistance of antipyretic drug to accelerating blood.
The antipyretic drug such as Mahuang,Guizhi,Jingjie,Fangfeng,Chaihe,Gegen and so on,that is,sparse muscle to solve the table and urging the sweating,is used to dispelling superficial evils and relieving superficial symptoms. At present,the clinical use is mostly used to feel the external evil,with aversion,fever,headache,body pain,no sweat,pulse floating and other symptoms of the disease; the table evil is closed and measles eruption is not smooth; edema early or early measles,and other diseases has symptoms that they need to sweat. Director Zhang Jinbo's clinical experience has shown that the antipyretic drug not only has the effect of sweating,but also the effects of promoting blood circulation and warming. The action site is not only in the muscle surface,but also in the internal organs to regulate the movement of qi and blood,that is,it has the effect of enlarging and reducing resistance of antipyretic drug to accelerating blood.
引文
[1]高学敏.中药学[M].北京:中国中医药出版社,2007:51.
[2]张金波,王新陆,巩会利,等.清肺化浊行血法防治PM2. 5对慢性阻塞性肺疾病大鼠模型的影响[J].中华中医药杂志,2017,32(11):5176-5179.
[3]张金波,孙广仁.肝气郁结从肺论治的理论探讨[J].中国民族民间医药,2008,2(17):63-64.
[4]贲长恩.组织学与胚胎学[M].上海:上海科学技术出版社,1985:7.
[5]张永文,樊巧玲.逆流挽舟法治下痢机理探讨[J].中国中医基础医学杂志,2001,11(7):8-10.
[6]Zhang JB,Zhang L,Li SQ,et al. Tubeimoside I attenuates inflammation and oxidative damage in a mice model of PM2. 5-induced pulmonary injury[J]. Exp Ther Med,2018,15(2):1602-1607.
[7]张金波,王新陆.清肺化浊行血宽中方对PM2. 5引起慢性支气管炎大鼠肺组织病理学及血清IL-8、TNF-α的影响[J].中华全科医学,2017,15(12):2028-2031.
[8]Zhang J,Li S,Sun L,et al. Therapeutic effects of stemonine on particulate matter 2. 5-induced chronicobstructive pulmonary disease in mice[J]. Exp Ther Med,2017,14(5):4453-4459.
[9]郑国庆.玄府与离子通道的比较研究及中风病的分子机制[J].浙江中西医结合杂志,2002(12):33-34.
[10]王明杰,黄淑芬,罗再琼,等.解表药之再认识[J].中医研究,2014,27(4):1-5.
[11]王明杰,黄淑芬.风药增效论[J].新中医,2006(1):1-4.
[12]邱丽颖,王书华,吕莉,等.麻黄果多糖的抗凝血机制研究[J].张家口医学院学报,1999(1):8-9.
[13]张梦婷,张嘉丽,任阳阳,等.麻黄的研究进展[J].世界中医药,2016,11(9):1917-1921.
[14]许源,宿树兰,王团结,等.桂枝的化学成分与药理活性研究进展[J].中药材,2013,36(4):674-678.
[15]罗再琼,黄文强,杨九一,等.“玄府”:藏象理论的微观结构[J].中医杂志,2011,52(16):1354-1356.
[16]常富业,王永炎,杨宝琴.玄府病变诠析[J].中医药学刊,2005(8):1389-1392.
[2]张金波,王新陆,巩会利,等.清肺化浊行血法防治PM2. 5对慢性阻塞性肺疾病大鼠模型的影响[J].中华中医药杂志,2017,32(11):5176-5179.
[3]张金波,孙广仁.肝气郁结从肺论治的理论探讨[J].中国民族民间医药,2008,2(17):63-64.
[4]贲长恩.组织学与胚胎学[M].上海:上海科学技术出版社,1985:7.
[5]张永文,樊巧玲.逆流挽舟法治下痢机理探讨[J].中国中医基础医学杂志,2001,11(7):8-10.
[6]Zhang JB,Zhang L,Li SQ,et al. Tubeimoside I attenuates inflammation and oxidative damage in a mice model of PM2. 5-induced pulmonary injury[J]. Exp Ther Med,2018,15(2):1602-1607.
[7]张金波,王新陆.清肺化浊行血宽中方对PM2. 5引起慢性支气管炎大鼠肺组织病理学及血清IL-8、TNF-α的影响[J].中华全科医学,2017,15(12):2028-2031.
[8]Zhang J,Li S,Sun L,et al. Therapeutic effects of stemonine on particulate matter 2. 5-induced chronicobstructive pulmonary disease in mice[J]. Exp Ther Med,2017,14(5):4453-4459.
[9]郑国庆.玄府与离子通道的比较研究及中风病的分子机制[J].浙江中西医结合杂志,2002(12):33-34.
[10]王明杰,黄淑芬,罗再琼,等.解表药之再认识[J].中医研究,2014,27(4):1-5.
[11]王明杰,黄淑芬.风药增效论[J].新中医,2006(1):1-4.
[12]邱丽颖,王书华,吕莉,等.麻黄果多糖的抗凝血机制研究[J].张家口医学院学报,1999(1):8-9.
[13]张梦婷,张嘉丽,任阳阳,等.麻黄的研究进展[J].世界中医药,2016,11(9):1917-1921.
[14]许源,宿树兰,王团结,等.桂枝的化学成分与药理活性研究进展[J].中药材,2013,36(4):674-678.
[15]罗再琼,黄文强,杨九一,等.“玄府”:藏象理论的微观结构[J].中医杂志,2011,52(16):1354-1356.
[16]常富业,王永炎,杨宝琴.玄府病变诠析[J].中医药学刊,2005(8):1389-1392.