方剂配伍中散收思维刍议  

Discussion on the Idea of Divergence and Convergence in Prescription Compatibility

作　　者：张赫然[1] 赵志恒[2] ZHANG Heran1 ,ZHAO Zhiheng2(1. Tianjin Gong＇an Hospital,Tianjin China 300042; 2. Tianjin University of Chinese Medicine,Tianjin China 30019)

机构地区：[1]天津市公安医院,天津300042 [2]天津中医药大学,天津300193

出　　处：《中医学报》2018年第2期258-261,共4页Acta Chinese Medicine

摘　　要：散收是从药物的作用趋向而言,药性向外、趋上的则为散,药性偏内、趋下的则为收。散收思维在方剂中的应用主要体现在3个方面:以散佐收、以收佐散和散收并用。以散佐收主要针对邪气束表、腠理不固、营卫失和的病机,方如玉屏风散;以收佐散是指在盛正不虚的情况下,为防大队辛散温燥之品耗伤正气,而配用少量收敛正气的药物,方如小青龙汤、苓甘五味姜辛汤、射干麻黄汤、厚朴麻黄汤、真武汤等;散收并用即向外发散与向内收敛的药物同用,方如桂枝汤、四逆散、桂枝甘草龙骨牡蛎汤、乌梅丸、四神丸等。Divergence and convergence are the trend in terms of the effect of the drug.Having outwardly diverging trend on the medicinal properties,and vice versa is convergence,and requires obedience organs or evil in nature.The application of divergence and convergence thinking in the prescription is mainly reflected in three aspects.Divergence with convergence,for example Modified Yupingfeng San,is for the pathogenesis of pathogenic factors fettering the skin and skin cannot protect body,which lead to nutrientdefense disharmony.In the normal circumstances,convergence with divergence,such as Xiaoqinglong Tang,Linggan Wuwei Jiangxin Tang,Shegan Mahuang Tang,Houpu Mahuang Tang,Zhenwu Tang,is to prevent warm drugs damaging healthy Qi,and compatibility with a small amount of convergence drugs.Divergence and convergence use simultaneously is diverging medicine and astringent medicine used together at the same time,such as Guizhi Tang,Sini San,Guizhi Gancao Longgu Muli Tang,Wumei Wan,Sishen Wan,et al.

关 键 词：“结者散之” “散者收之” 以收佐散 以散佐收 方剂学 配伍规律 

分 类 号：R289.1[医药卫生—方剂学]