《伤寒论》中的泻下剂及其配伍规律浅析  

Purgative Prescription and Its Compatibility Rule in Treatise on Cold Damage Diseases

作　　者：韩延华[1] 姜勋[2] 

机构地区：[1]黑龙江中医药大学第一附属医院,黑龙江哈尔滨150040 [2]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《河南中医》2010年第9期833-836,共4页Henan Traditional Chinese Medicine

摘　　要：《伤寒论》中的泻下剂有以下几首:十枣汤、三物白散、大承气汤、大柴胡汤、大陷胸汤、大陷胸丸、小承气汤、小陷胸汤、抵挡丸、抵挡汤、桃核承气汤,调胃承气汤和麻子仁丸。综合上述13首方子,均可看到承气汤的影子。热与水谷互结治以承气汤加减;热与湿相结治以承气汤配伍化湿逐水之药;热与血结成瘀血而致病治以承气汤配伍化瘀逐血痹之药。故凡是有热为患即可用承气汤为底方酌情加减。可见承气汤在下法中占有非常重要的地位。There are thirteen purgative prescriptions in Treatise on Cold Damage Diseases：Shizao Decoction,Sanwubai Powder,Dachengqi Decoction,Dachaihu Decoction,Daxianxiong Decoction,Daxianxong Pill,Xiaochengqi Decoction,Xiaoxianxiong Decoction,Didang Pill,Hetao Chengqi Decoction,Tiaowei Chengqi Decoction,Maziren Pill.To sum up,Chengqi Decoction must be found among the above prescriptions.Whether heat is combined with food,dampness or blood stasis,Chengqi Decoction can be modified to treat diseases due to heat.Therefore,Chengqi Decoction plays a very important role in the purgative therapy.

关 键 词：《伤寒论》 泻下剂 配伍 十枣汤 三物白散 大承气汤 大柴胡汤 大陷胸汤 大陷胸丸 小承气汤 小陷胸汤 抵挡丸 抵挡汤 桃核承气汤 调胃承气汤 麻子仁丸 张仲景 

分 类 号：R222.2[医药卫生—中医基础理论]