《备急千金要方》腑实热病证组方配伍用药特色初探

Preliminary study on the formula compatibility and medication feature of fu-organ excess heat syndrome in Valuable Prescriptions for Emergency

关键词:  备急千金要方  腑实热  组方配伍  用药特色

Key words:  Valuable Prescriptions for Emergency  fu-organ excess heat syndrome  compatibility of prescriptions  drug characteristics

摘要:

《备急千金要方》集中体现了唐代初期以前的医学成就，具有很高的临床价值，首开脏腑论治先河，脏腑卷下分列虚实，提示辨证法门，方药罗列其中，以方示法。《备急千金要方》腑实热内容，以寸口脉位定脏腑，以阳实脉象示病性，以关联经脉及脏腑病症为提纲，以热邪充斥，经腑、脏腑同病为病理特征。依据各腑实热的病理特点，结合《千金翼方》本草理论，分析其组方用药特色，随腑实热病性不同有清养、清泻、清宣、清解等功效，视其兼证而用安神、泻下、利水、行气、凉血，解毒散结等药物。其组方配伍思路既可以针对现代疾病如不寐、头痛、乳痈、口疮、便秘、癃闭等提供借鉴，也可为临床新药开发提供方源和创新思路。

Abstract:

Valuable Prescriptions for Emergency intensively reflect the medical achievements in early Tang Dynasty and prior period,which embody distinctive clinical value. This book initiates the syndrome differentiation and treatment determination from the perspective of viscera,and all viscera list symptoms and prescriptions of excess and deficiency to show the principles of treatment. The contents of fu-organ excess heat in Valuable Prescriptions for Emergency outline the symptoms of related meridians and viscera as well as show the viscera differentiation and the nature of disease by pulse location and manifestation. The pathological characteristic of fu-organ excess heat in Valuable Prescriptions for Emergency is ill function of viscera or meridians and fu-organ caused by pathogenic heat. According to the features of fu-organ excess heat syndrome and the related herbal medicine theory in Supplement to Valuable Prescriptions,we analyse that the characteristics of prescriptions,according to the disease of different have different effects,including clear and nourishment,clear and purgation,clear and dispersion,clear and detoxification,and according to accompanied symptoms combined with herbs of soothe nerve,promote diuresis,promote qi circulation,cool blood and remove stasis. Its compatibility of prescriptions ideas not only can provide benefical solutions for the treatment of modern illness like insomnia,headache,mastitis,constipation,uroschesis and apatha,but also can provide basic formula and creative idea for new drug development.