参附汤考辨  

Exploration of Ginseng and Aconite Decoction

作　　者：郭晶晶[1] 年莉[1] 

机构地区：[1]天津中医药大学,天津300193

出　　处：《河南中医》2017年第12期2220-2221,共2页Henan Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划项目(编号:2012-CB-518400)

摘　　要：参附汤始见于《圣济总录》,但临床常用参附注射液根据药物组成和功用来讲却来源于《济生续方》。历代参附汤虽方名相同但组成各异,方中均在以人参、附子为主药的基础之上进行加减变化,其中人参、附子的用量比也十分值得考究;虽主治病症不尽相同,但均以脾肾阳虚为主,直至现代临床常用"参附注射液"专治阳气不足之真阳虚脱证。历代医家更是对药量加减、药味配伍及功能主治不断进行着改变,对后世继续发掘创新提供了宝贵的经验。The number of prescriptions related to Ginseng and Aconite Decoction in previous dynasties was over 10 and it first ap- peared in the book of Comprehensive Recording of Divine Assistance. The medical composition and function of clinical application of Ginseng and Aconite Injection originated from Supplement to Formulas to Aid the Living. Though the names of Ginseng and Aco- nite Decoction in various dynasties are the same, the compositions of the decoction varied. Modifications were made based on the main herbs ~ff Renshen （ Radix et Rhizoma Ginseng） and Fuzi （Radix Aconiti Lateralis Praeparata） ,and the dosage of Renshen （ Radix et Rhizoma Ginseng） and Fuzi （ Radix Aconiti Lateralis Praeparata） observe exploration. Though the indications are dif- ferent,they all focus on the yang deficiency of the spleen anti kidney, and even until now ＂Ginseng and Aconite Injection＂ is spe- cifically used to treated true yang collapse due to yang qi deficiency. The dosages, compatibilities of the drugs and indications vary from dynasty to dynasty, which provides precious experience for the further exploration and innovation of later generations.

关 键 词：参附汤 参附注射液 《圣济总录》 《济生续方》 

分 类 号：R289.1[医药卫生—方剂学]