张仲景解表类“角药”的配伍特点分析
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国家自然科学基金重点项目(81430102)—基于病证结合的清开灵/精制清开灵抗缺血性中风证治特点及其对神经血管单元的多靶点调控机制研究


Discussion on the Compatibility Features of the “Corner Medicines”, the Reveling Superficies Medicine of ZHANG Zhongjing
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    摘要:

    “角药”是具有相互关联作用的三味中药的有机组合,以中医基础理论为思想指导,以辨证论治为应用前提,以“三足鼎立,互为犄角”为核心特点,介于中药和方剂之间的一种特殊形式,既可以独立成方,也可以作为方剂中的主药或辅药,能显著提高临床疗效。《伤寒论》和《金匮要略》中的方剂配伍巧妙,药方精简,本文以解表方剂为切入口,基于原文,分析和探讨经方中解表类“角药”的配伍特点,从解肌发表、发汗解表、解表散寒、清热解表、化饮解表、解表清里、化气解表、温经解表、扶阳解表这9个角度加以详实梳理,对张仲景解表类“角药”形成整体归纳,以期对经方中“角药”的价值形成一个初步的认识,为临证运用经方提供新的思考方式,最终扩大经方的临证使用范围。

    Abstract:

    “Corner Medicines” is an organic combination of three-flavored Chinese medicines that have interrelated effects.It is based on the basic theory of traditional Chinese medicine and is based on the premise of syndrome differentiation and treatment.With the core characteristics of “three legs stand up, each other is a corner”, it is a special form between traditional Chinese medicine and prescriptions, which can be formulated independently.This special form can be used independently or as a main or auxiliary medicine in prescriptions, which can significantly improve clinical efficacy.In the Treatise on Cold Pathogenic Diseases and Synopsis of Golden Chamber, there were precise compatibility of prescriptions, and streamlined prescriptions.Based on the original text, this paper taking relieving superficies formula as the starting point, analyzing and discussing the compatibility features of the “Corner Medicine”, the relieving medicine in the classical prescriptions, elaborating the “Corner Medicines” in 9 perspectives, namely, relieving superficies syndrome by relieving muscles, inducing sweating, dispelling the cold, clearing heat, resolving fluid retention, clearing interior, resolving qi, warming channel and strengthening yang qi.Through the summery of the “Corner Medicine”, the reliving superficies medicine of ZHANG Zhongjing, we expected to form a preliminary understanding of the value of the “Corner Medicines” in classical prescriptions and to provide new ways of thinking for the clinical application of those prescriptions, and ultimately to expand the scope of the application.

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徐甜,王雪茜,程发峰,连雅君,樊姝宁,邓楠,王庆国.张仲景解表类“角药”的配伍特点分析[J].世界中医药,2020,(06).

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  • 收稿日期:2018-07-15
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  • 在线发布日期: 2020-04-16
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