中药走守药性的理论探析  

Theoretical Analysis on Nature of Fixed and Itinerant Effects in Chinese Materia Medica

作　　者：韦乃球[1] 邓家刚[1] 冼寒梅[1] 韦建信 

机构地区：[1]广西中医药大学中药学教研室,南宁530200 [2]广西罗城仫佬族自治县中医医院,罗城546400

出　　处：《世界科学技术-中医药现代化》2015年第3期438-441,共4页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：广西壮族自治区科技厅科技基础条件平台建设项目(10-046-04):中药药效研究重点实验室建设;负责人:邓家刚

摘　　要：中药药性理论是祖国医药理论体系中的重要组成部分,是中国历代医家在长期的医疗实践中,以阴阳、五行、脏腑、经络、治则等中医理论为基础,根据药物的性质特征及患者用药之后的反应而高度概括的一种理性认识。自古以来,中药药性理论一直指导着中医临床的准确辨证施药,对中华民族的医疗保健和繁衍生息有着不可磨灭的贡献。中药药性理论是学习、研究、运用中药所必须掌握的基本理论知识,其概念内涵包括四气、五味、归经、升降浮沉、毒性、补泻、润燥、滑涩、刚柔、走守、峻缓等内容。可见,以走守概括中药的作用特征,亦是中药药性理论的组成内容之一。虽然历代医家对中药走守药性的论述尚显凌乱,但该药性对于阐释药物作用机理以及临床选药、配伍组方的指导意义却不容忽视。Theory of Chinese materia medica （CMM） nature was an important part in traditional Chinese medicine （TCM） theoretical system. During the long term practice, based on TCM theories ofyin and yang, five elements, zang- fu, meridian and treatment principle, herbal features and patients＇ reactions were highly summarized into recognition and understanding. Since ancient time, theory of CMM nature has always guided the accurate syndrome differentiation and medication in TCM clinical practice. It contributed to the heahhcare and reproduction of Chinese people. Theory of CMM nature is the basic theoretical knowledge which must be mastered in the study and research. Its concepts contained four-qi, five tastes, channel tropism, ascending and descending, toxicity, tonification and reducing, moisture and dryness, smooth and astringent, softness and hardness, fixed and itinerant effect, strong and mild. Using fixed and itinerant effects in the summarization of CMM function is one of the components in CMM nature theories. Although discussions on this theory from practitioners during past dynasties were in disorder, the significant guidance in herbal interaction mechanism and prescription compatibility should not be ignored.

关 键 词：中药药性理论 走守药性 确定依据 临床意义 

分 类 号：R285.1[医药卫生—中药学]