“轻苦微辛”治法在外感病治疗中的价值
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国家社会科学基金项目(22BZS077);国家中医药管理局中医药创新团队及人才支持计划项目(ZYYCXTD-C-202006)


Value of “Mild Bitter and Slightly Pungent” in the Therapy of External Contraction Diseases
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    摘要:

    叶桂提出“轻苦微辛”治法,意指味微苦、微辛,性质轻清药物配伍,可入上焦、中焦调节气机,即强调秉持方药作用的“流动”之性。常用药物如杏仁、白蔻、橘红、桔梗、郁金、枳壳、栀子、淡豆豉等,方剂如栀子豉汤及其变方、三仁汤等。临床可用于温热、湿热类邪气郁痹上焦所致中焦乃至三焦气机不利之外感病,且无伤正之痹,为外感病辨治开拓了思路,有一定的应用价值。

    Abstract:

    Ye Gui proposed the “mild bitter and slightly pungent” treatment principle,which indicates that the combination of drugs that are mild bitter and slightly pungent in flavor and light and plain in nature can regulate the qi movement in the upper and middle energizers,emphasizing the “flowing” nature of the medicinal effects.Commonly used drugs include Armeniacae Semen Amarum,Amomi Fructus Rotundus,Citri Exocarpium Rubrum,Platycodonis Radix,Curcumae Radix,Aurantii Fructus,Gardeniae Fructus,and Sojae Semen Praeparatum.Formulas such as Zhizichi Decoction and its modifications,and Sanren Decoction,are often used.Clinically,this method can be applied to external contraction diseases caused by warm and dampness-heat pathogens obstructing the upper energizer,which lead to impaired qi movement in the middle energizer and even the triple energizers.This approach does not harm the body's righteous qi and provides a new perspective for diagnosing and treating external contraction diseases,showing significant application value.

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赵一霖,陈宣妤,刘绍媛,侯雪雍,王翰飞,赵岩松.“轻苦微辛”治法在外感病治疗中的价值[J].世界中医药,2024,(15).

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  • 收稿日期:2023-04-23
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  • 在线发布日期: 2024-08-22
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