《金匮要略》重视脾胃思想浅析  

A Brief Analysis of Spleen-Stomach Thought Emphasized in Essentials from the Golden Cabinet

作　　者：李彬[1] 陈静[2] 赵慧辉[2] 王娟[2] 王伟[2] 

机构地区：[1]北京中医药大学东直门医院,北京100000 [2]北京中医药大学,北京100000

出　　处：《河南中医》2015年第12期2873-2875,共3页Henan Traditional Chinese Medicine

摘　　要：《金匮要略》共用药味157种,使用次数较多的药物有甘草、生姜、桂枝、大枣、芍药、半夏、茯苓、白术、人参、干姜等,其中前五味药恰好组成桂枝汤。桂枝汤本为解肌祛风,但方中药物既酸甘化阴,又辛甘化阳,具有调营卫,和阴阳的功效,发汗力弱,养正力大,是建中汤类的基本方。如是者,可以看出仲景治疗杂病,处方用药,顾护脾胃,未雨绸缪,先安未受邪之地。如使用药性峻烈或有毒性的药物时,多配以和药以缓药性。There are 157 kinds of herbs which are used in Essentials from the Golden Cabinet,and among of them,Gancao（ licorice）,Shengjiang（ ginger）,Guizhi（ cassia twig）,Dazao（ big jujube）,Shaoyao（ peony）,Banxia（ pinellia）,Fuling（ poria cocos）,Baizhu（ atractylodes）,Renshen（ ginseng）,Ganjiang（ dried ginger）,etc. are frequently used. The first five herbs just form Cinnamon Twig Decoction,which is mainly used to relieve muscles and wind,but it has herbs which not only generate yin due to sour and sweet features,but also generate yang due to pungent and sweet features,and can regulate yingqi and weiqi,harmonize yin and yang,have weak sweating power,and large power to nourish positive energy,therefore it is regarded as the basic prescription of fortifying middle energizer. From this,it can be seen that in terms of miscellaneous diseases,Zhang Zhong-jing gives prescriptions and choosing drugs to protect spleen and stomach,to prevent first,and always considers pacifying the areas which have not been attacked by evils. For example,when using fierce or toxic drugs,harmonic drugs are often used together to relieve their sharp natures. He also often use the Chinese medicine which can be used as both food and drug.

关 键 词：《金匮要略》 四季脾旺不受邪 实脾法 调补脾胃 张仲景 

分 类 号：R289.1[医药卫生—方剂学]