小青龙汤古今应用与方证探析  

Application and Discussion of Xiao Qinglong Decoction

作　　者：吴朦 于延顺 李玉波[1] 郑昭瀛 Wu Meng;Yu Yanshun;Li Yubo;Zheng Zhaoying(Institute of Basic Theory for Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China;Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]中国中医科学院中医基础理论研究所,北京100700 [2]中国中医科学院中医临床基础医学研究所,北京100700

出　　处：《世界中医药》2019年第1期109-114,共6页World Chinese Medicine

基　　金：中央级公益性科研院所基本科研业务费中国中医科学院基础所自主选题项目(YZ17105;YZ1539)

摘　　要：小青龙汤出自《伤寒杂病论》,是疗效确切、使用广泛的经典方剂,一直以来被归为辛温解表剂范畴。本文通过梳理历代的医籍论述,结合古代医案、现代研究、临床应用情况,探讨小青龙汤证的因机证治与方药特点。认为"饮"邪往往是小青龙汤证的病机关键,且治"饮"是小青龙汤组方用药的核心意图所在。若囿于"外寒内饮"之说,恐不能充分发挥其应有的疗效。Xiao Qinglong Decoction stemmed from the theory of Treatise on Cold Pathogenic and Miscellaneous Diseases,which is a classical prescription with definite curative effect and widely used.Based on the review of the medical records in the past dynasties,combined with ancient medical records,modern research and clinical application,this paper discusses the characteristics of the treatment and prescription of Xiao Qinglong Decoction.It is believed that “yin” xie (pathogenic fluid) is usually the key point of pathogenesis,and the treatment of pathogenic fluid is the intention of Xiao Qinglong Decoction.If confined to “outside cold with inner fluid”,we will not make the best use of it.

关 键 词：小青龙汤 临床应用 饮 方证 

分 类 号：R289.4[医药卫生—方剂学]