世界中医药
文章摘要
引用本文:张鑫蕾,王町囡,孙燕.泻心汤类方及其衍化方演化规律中的“方-证要素对应”思想探究[J].世界中医药,2018,(03):.  
泻心汤类方及其衍化方演化规律中的“方-证要素对应”思想探究
Exploration on the Perspective of “Formula-pattern Elements Correspondence” in Xiexin Decoction Analogous Prescriptions and Its Derived Prescriptions Evolutionary Regularity
投稿时间:2017-06-06  
DOI:10.3969/j.issn.1673-7202.2018.03.053
中文关键词:  泻心汤类方  方-证要素对应  衍化方  演化规律
English Keywords:Xiexin decoction analogous prescriptions  Formula-pattern elements correspondence  Derived prescriptions  Evolutionary regularity
基金项目:国家自然科学基金项目(81673868);2016年度北京中医药大学基本科研业务费项目(2016-JYB-JSMS-006)
作者单位
张鑫蕾,王町囡,孙燕 北京中医药大学中医学院北京100029 
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中文摘要:
      泻心汤类方为治疗心下痞的一类方剂,辛开苦降以平调寒热、恢复气机升降。“方-证要素对应”是指“方剂要素”与“证候要素”之间存在的对应关系,属于临证组方的一种基本思维模式,是辨证论治临证组方过程中的重要依据,强调“理法方药”之间的逻辑关系,组方药物靶向明确、药味多而不杂,少而易明。剖析泻心汤类方及衍化方的演化规律,深入探究其中的“方-证要素对应”思想,明晰仲景泻心汤类方的加减思路,以期拓宽医者辨证论治的思路,并为更好地临床辨证用药指明规律。
English Summary:
      Xiexin decoction analogous prescriptions are a group of formulas, which are used to treat epigastric oppression by acrid opening and bitter downbearing so as to regulate cold and heat mildly as well as recover qi movement. “Formula-pattern elements correspondence” means corresponding relationships between “formula element” and “pattern element”, which belongs to a kind of radical thinking model of clinical prescriptions. It is also an important basis in the process of syndrome differentiation and clinical prescriptions. This thinking model emphasizes the logical relationship between “principles, methods, formulas, and medicines”. The medicines' targets are definite, and the types of medicines can be many and not mixed, or few and easy to understand. The evolutionary regularity of Xiexin decoction analogous prescriptions and its derived prescriptions are analyzed, and the perspective of “formula-pattern elements correspondence” is deeply explored. The modification thinking of Zhongjing's Xiexin decoction analogous prescriptions are clarified, so as to broaden doctors' thinking of syndrome differentiation and point out the regular pattern of clinical syndrome differentiation medication better.
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