桂芍楮实汤配伍原理及源流初探  

Preliminary Study on the Compatibility Principle and Origin of Guishao Chushi Decoction

作　　者：王一童[1] 贾波[1] 李继明 刘兴隆[1] 任玉兰 贾志超[1] Wang Yitong;Jia Bo;Li jiming;Liu Xinglong;Ren Yulan;Jia Zhichao(School of Basic Medicine of Chengdu University of Chinese Medicine,Chengdu China,610075;School of Chinese Classics of Chengdu University of Chinese Medicine,Chengdu China,610075)

机构地区：[1]成都中医药大学基础医学院,四川成都610075 [2]成都中医药大学国学院,四川成都610075

出　　处：《现代中医药》2019年第4期111-114,共4页Modern Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)(2013CB532005);国家社会科学基金(2014BZS005);四川省科技计划项目(2014SZ0175)

摘　　要：《六十病方》是成都老官山汉墓医书的一部,所载内容反映了西汉早期的方剂学成就。就其所载“桂芍楮实汤”进行考辨与探析,认为其主治因“寒”邪所致,以“腹痛”为主症的疝病,其配伍以桂、芍为基本结构,全方具有温中寓补、正邪兼顾的组方特点。同时,基于“类方”具有主要组成药物或主要配伍关系相同、组方结构相似的特征,认为桂芍楮实汤与仲景桂枝汤类方存在源流关系。厘清这一源流关系,有助于考辨桂枝汤类方的形成,也可为进一步探讨桂枝汤类方方证特点及临床应用提供参考。Formulas for Sixty Diseases is a part of the medical book of the Laoguanshan Han Tomb in Chengdu. The contents reflect the achievements of the prescriptions in the early Western Han Dynasty. Based on the textual research and analysis of Guishao Chushi Decoction, it is believed that its main target should be hernia caused by cold pathogen, and its main symptom is "abdominal pain". Its compatibility is based on laurel and paeonia albiflora, and the whole prescription has the characteristics of both tonifying in warmth and giving consideration to both healthy and pathogenic Qi.At the same time, based on the fact that "analogous prescription" has the same main components or compatibility relationship and similar composition structure, it is considered that there is a source-stream relationship between Guishao Chushi Decoction and Zhongjing Guizhi Decoction or analogous prescription. To clarify this source-stream relationship is helpful to study the formation of Guizhi Decoction-like formulas, and to provide reference for further exploring the characteristics and clinical application of Guizhi Decoction-like formulas and syndromes.

关 键 词：六十病方 桂芍楮实汤 桂枝汤类方 源流 

分 类 号：R289[医药卫生—方剂学]