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《张氏医通》向导药探析
殷学亮1, 王蕾2, 周波2
1.天津中医药大学郭霭春医史文献研究所, 天津 301617;2.天津中医药大学中医学院, 天津 301617
摘要:
向导一词在《张氏医通》中共出现27次。张璐运用向导药属于引经药的拓展应用。或仅作舟楫,载引他药发挥功效;或以己之效,引领他药共除邪气;或以痘儿之衣为胎毒之向导,载毒入内可为痘苗。选用与邪气性质相同的药物、与药物误用所伤一致的药味、治病证独具良效的药品作为向导药,可拓展传统引经药选用原则,可为医者提供另一种组方思路和思辨模式,对提升临床疗效有指导意义。
关键词:  向导药  《张氏医通》  张璐
DOI:10.11656/j.issn.1672-1519.2024.12.14
分类号:R22
基金项目:国家中医药管理局中医药古籍文献和特色技术传承专项(GZY-KJS-2021-046);天津市卫生健康委中医药重点学科建设项目——中医各家学说。
Analysis of guide medicine in Zhang Shi Yi Tong
YIN Xueliang1, WANG Lei2, ZHOU Bo2
1.Guo Aichun Institute of Medical History and Literature, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;2.College of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
Abstract:
The term “guide” appears 27 times in Zhang Shi Yi Tong. ZHANG Lu’s use of guide medicine belongs to the expanded application of meridian-inducing medicine. Or just as a boat,carrying and guiding other medicines to exert their effects;or use one’s efficacy to lead other medicines to eliminate evil qi together;or use the clothing of a pimple as a guide for fetal toxins,carrying toxins into the body can produce a vaccine. Choosing drugs with the same properties as evil qi,the same taste as the medicine caused by drug errors,and medications with unique and effective treatment patterns as guide drugs can expand the traditional principles of selecting meridian-inducing drugs. Can provide doctors with another formulation and thinking mode,and have guiding significance for improving clinical efficacy.
Key words:  guide medicine  Zhang Shi Yi Tong  ZHANG Lu
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