经方中“麻黄—石膏”配伍规律探究

Exploration of the combination pattern of “Ephedra-Gypsum” in meridian formulas

关键词:  麻黄—石膏  经方  配伍  规律

Key words:  Ephedra-Gypsum  Jing Fang  compatibility  rule

摘要:

[目的] 基于《伤寒论》《金匮要略》探讨“麻黄—石膏”配伍用药规律。[方法] 通过中医传承辅助平台对“麻黄—石膏”经方药味进行统计分析。[结果] “麻黄—石膏”配伍经方中甘草、麻黄、石膏是核心药味配伍组合；药味以温性为主，寒性次之；五味以辛、甘味为主；归经以肺经为主；症状涉及两大症状群，一为发热、恶风、汗出、脉浮、喘为核心的症状群；二为身肿、身黄、脉沉、小便不利为核心的症状群；麻黄与石膏配伍剂量比例变化随病机变化而改变。[结论] “麻黄—石膏”经方病邪分无形与有形，且两者多混杂出现；“麻黄—石膏”经方病机围绕肺之宣肃功能的改变；“麻黄—石膏”配伍用药以麻黄为核心。

Abstract:

[Objective] Based on the Treatise on Febrile Diseases and Synopsis of the Golden Chamber，to explore the regularity of the compatibility of “Ephedra-Gypsum” in medication. [Method] Statistical analysis was conducted on the flavor of the “Ephedra-Gypsum” classic formula through the Traditional Chinese Mediciｎｅ（TCM） Ｉｎｈｅｒitance Assistance Platform. [Result] In the compatibility formula of “Ephedra-Gypsum”，Licorice，Ephedra，and Gypsum are the core medicinal flavor combinations；The medicinal taste is mainly warm，followed by cold；The five flavors are mainly spicy and sweet；The main meridian is the lung meridian；The symptoms involve two major symptom groups，one being fever，bad wind，sweating，pulse floating，and asthma as the core symptom group；The second symptom group is characterized by swelling，yellowing，heavy pulse，and poor urination；The dosage ratio of Ephedra combined with Gypsum varies with the pathogenesis. [Conclusion] The pathogenic factors of the “Ephedra-Gypsum” meridian are divided into intangible and tangible，and the two are often mixed；The pathological mechanism of the “Ephedra-Gypsum” meridian formula revolves around the changes in the function of promoting and eliminating the lung；The combination of “Ephedra-Gypsum” uses ephedra as the core.