试论太阴中风证及主治方药黄芪桂枝五物汤  

Discussion on Taiyin disease with wind affection syndrome and Huangqi Guizhi Wuwu Decoction

作　　者：刘佳佳 林树元[1] 曹灵勇[1] LIU Jia-jia;LIN Shu-yuan;CAO Ling-yong(College of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou 310053, China)

机构地区：[1]浙江中医药大学基础医学院,杭州310053

出　　处：《中华中医药杂志》2018年第4期1291-1293,共3页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：为探讨太阴中风证的主方,文章基于《伤寒论》《金匮要略》原文,探究太阴中风证的概念与病机,论证其与血痹病病因病机的关系、与血痹病主方黄芪桂枝五物汤脉症以及药物功用之间的联系。结果发现,太阴中风证是在太阴病核心病机"里虚水饮"基础上,外感风邪发展而来;血痹病黄芪桂枝五物汤证是体质为"里虚水饮"的尊荣人,"加被微风"而得。两者病因病机相同、脉症相符、药物功用主治相合。因此,黄芪桂枝五物汤是太阴中风证的主方。To explore the main prescription of Taiyin disease with wind affection syndrome. We explored the concept and pathogenesis of taiyin disease with wind affection syndrome, and demonstrated the relationship with the etiology and pathogenesis of blood-arthralgia, as well as the relationship with the main prescription of blood-arthralgia which called Huangqi Guizhi Wuwu Decoction and the drug function based on the original text of Shanghan Lun and Jingui Yaolue. The core of taiyin disease was interior deficiency with retained fluid, and taiyin disease with wind affection syndrome was developed based on it with exogenous wind pathogen. Those people who were rank and honored had interior deficiency and retained fluid constitution, which meant they were easy to get blood-arthralgia with exogenous pathogenic wind. Taiyin disease with wind affection and Huangqi Guizhi Wuwu Decoction shared the same etiology and pathogenesis, pulse and symptoms and the herbal efficacy matches. So, Huangqi Guizhi Wuwu Decoction is the main prescription of taiyin disease with wind affection.

关 键 词：太阴中风 黄芪桂枝五物汤 血痹 里虚水饮 伤寒论 金匮要略 

分 类 号：R289.5[医药卫生—方剂学]