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《金匮要略》妇人病常用方剂药对配伍 被引量:9

The Commonly Used of Female Combination of Ingredients in a Traditional Chinese Formula of Synopsis of the Golden Chamber
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摘要 仲景以桂枝茯苓丸治疗妊娠病,故炼蜜和丸,白蜜润肠补中,丸者缓也,药量逐渐增加,一则固胎扶正,二则有形之物,当以缓消。全方时刻顾护正气与阴血,免伤胎气,通因通用治漏下,活血通脉,瘀水同消,祛邪不伤正。胶艾汤以胶艾与四物配伍,意在求本,组方用药不重炭黑炒末之品塞流,而是通过充养血海、调和冲任、温固经脉以和气血,血循常道、瘀血归经则藏泄有度,下漏自止。当归芍药散肝脾同调,气血兼顾,补泻并用,血水共治,仲景强调肝与血对女性的重要性在此略见一斑。散者散也,用散剂治疗血水互结达到标本同治。半夏厚朴汤行气解郁,化痰除涎,辛开苦降,标本同治,用药紧扣病机,不仅治疗梅核气,还能治疗各种痰凝气滞导致的精神病,胃脘病,胸肺疾病等。甘麦大枣汤补益心脾,生金荣木,心肺肝脾均得以滋养,烦躁自除。温经汤用药覆盖寒、热、虚、瘀四大病机,正是"天地温和,则经水安静也"。虽病症错杂,从配伍来看仲景治疗妇人出血证思路层次清晰。仲景治疗妇人病无不以肝和血为中心,强调女子以血为本,以肝为先天。然治肝不忘脾,治血不离水,是"见肝实脾""血不利则为水"思想的贯穿。仲景用药精简但紧扣病证,多种药味均可相互结合成有意义的药对,补泻并用、寒热相合、动静搭配等特点突出了仲景用药的灵活性。各种治法也无不体现了审证求因,审因论治,治病求本的原则。 Zhnngjing to bolus of cassia twig tuekahoe treat gestational disease, and refining honey pill, Hnnev fill runchang, The dnsage increase gradually,The first,Solid tire centralizer,The second,Tangible thing shoud he Off slowly. Ihe whole preseriplions regard Vital qi and Yin Blood, General use general course to treatment metrostaxis,promoting blood circulation to remove obstruction from meridians,disappear the blood stasis and edema. Jiao ai Soup is conteet with Jiao ai and Si wu, the purpose is to seek the essence,Powder of Danggui Shaoyao harmonizing the liverand spleen, QI and blood reinfnrcement. Thus it can he seen, zhnngjing Attaches great importanee to women's liver blood, Soup Banxiahnupu moving qi In remove qi stagnation, resolving phlegm and disintegrating masses,herhs acrid in flavor for dispersing and herbs bitter in flavor for deseending,Not nnly Ireatment goobus hvsterieus, but also treatment Mental illness ,The diagnosis disease, hmg disease what is beaeause of morning siekness due to phlegm retention, ganmaidazao Soup tonifying the kidnet and heart,then the Be agitated is disappear,Zhong-jing medicine concise but elnsely,disease and a variety of ingredients can be combined into a meaningful on, diarrhea and supplement, was not in agreement, match of dynamic and static characteristics highlighted zhong-jing medicine flexibility. Various treatment will reflected by careful card, the umpire for treatment,the prineiple of cure this disease.
出处 《河南中医》 2016年第10期1683-1685,共3页 Henan Traditional Chinese Medicine
关键词 妇人病 《金匮要略》 桂枝茯苓丸 胶艾汤 当归芍药散 半夏厚朴汤 甘麦大枣汤 温经汤 张仲景 wumen's miscellaneous diseases synopsis of the golden chamber Guizhifuling Pill Jiaoai Soup Dangguisaoyao Power Banxiahoupu Soup Ganmaidazao Sonp Wenjing Soup ZHANG Zhong-jing
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