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经方中芍药配伍应用规律探析
周建锋1, 张沁园2, 曲夷2
1.山东中医药大学, 济南 250355;2.山东中医药大学伤寒教研室, 济南 250355
摘要:
考察《伤寒杂病论》经方中配伍应用芍药的61首经方(56首原方,5首加减方)及126条相关条文。通过对经方剂量、比例、配伍、病位主症的分析,认为:经方中芍药为白芍;白芍并非补血药,其益阴补血的功效是通过配伍实现;经方中"分"为计量单位;芍药在丸散汤中的常见用量;经方中芍药主治的症状包括四肢挛急、腹痛、烦满、下利、小便不利等。与不同药物配伍,作用部位与症状随之变化,常见配伍有桂枝、附子、甘草、柴胡、黄芩、枳实、当归、茯苓等。
关键词:  芍药  经方  伤寒论  配伍
DOI:10.11656/j.issn.1672-1519.2019.11.12
分类号:R222.2
基金项目:山东省中医经典名方协同创新中心(山东中医药大学)。
Analysis of compatibility rules of paeonia lactiflora in classical prescriptions
ZHOU Jianfeng1, ZHANG Qinyuan2, QU Yi2
1.Shandong University of Traditional Chinese Medicine, Jinan 250355, China;2.Shanghan Teaching and Research Section, Shandong University of Traditional Chinese Medicine, Jinan 250355, China
Abstract:
To investigate 61 classical prescriptions (56 original prescriptions,5 Changing Prescriptions) and 126 related clauses in the classical prescriptions of Treatise on Febrile and Miscellaneous Diseases. Through the analysis of the dosage,proportion,compatibility and the main symptoms of the disease,it is concluded that the peony in the classical prescription is paeonia lactiflora; paeonia lactiflora is not a blood tonic,and its effect of tonifying yin and blood is realized through compatibility;the "points" in the classical prescription are the units of measurement;the common dosage of paeonia lactiflora in pill,powder and decoction;the main symptoms of paeonia lactiflora in classical prescriptions include acute clonus of limbs contracture,abdominal pain,dysphoria and adverse urination. Compatible with different drugs,the action site and symptoms change accordingly. It is commonly compatible with cassia twig,aconitum carmichaeli,glycyrrhiza,bupleurum,scutellaria baicalensis,fructus aurantii,angelica sinensis,poria cocos and so on.
Key words:  paeonia lactiflora  classical prescription  theory of typhoid fever and miscellaneous diseases  compatibility
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