从取象比类角度理解防风通圣散的配伍思想  

Formula combination thought of Fangfeng Tongsheng San understood from angle of thinking of classification according to manifestation

作　　者：陈香云 刘珍洪[1] 刘甜甜[1] 杨桢[1] Chen Xiangyun;Liu Zhenhong;Liu Tiantian;Yang Zhen(Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学

出　　处：《北京中医药大学学报》2019年第11期894-897,共4页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(No.81573847);北京市中医药薪火传承“3+3工程”项目李庆业名老中医工作站(No.2015-JC-31)~~

摘　　要：防风通圣散是一首具有代表性的经典方,临床上广泛用来治疗各种类型的疾病。但是它在方剂分类上一直存在争议,甚至在君药的确定上也有诸多分歧。作为《方剂学》教材收录的寒凉派大师刘河间的唯一方剂,它或许集中体现了河间的清热思想,是一首纯粹的清热剂。取象比类思维是中医学理论的重要思维方式,因此,结合“取象比类”的中医思维特征,通过运用中医处方法分析了防风通圣散的组方思想,认为防风通圣散运用了以寒治热法、火郁发之法、釜底抽薪法、利水清热法以及养血清热法。从取象比类角度理解防风通圣散为临床运用提供了新的思路。Fangfeng Tongsheng San(Miraculous Powder of Ledebouriella)is a representative classic formula used widely in treatment of various types of diseases.However,there are disputes on its classification,and even in the determination of the sovereign medicinal there are many differences.As the only Liu Hejian’s formula,who was a master of cold school,Fangfeng Tongsheng San is included in textbook-Science of Herbal Formula.It may embody Liu Hejian’s thought of clearing heat and is a pure heat-clearing agent.The thinking of classification according to manifestation is an important thinking pattern of the theory of traditional Chinese medicine(TCM).Therefore,combining with TCM thinking characteristic,the formula design thought of Fangfeng Tongsheng San is analyzed by applying TCM formulation.It is believed that Fangfeng Tongsheng San uses the therapies of treating heat with cold medicinals,removing fire stagnation,extracting the firewood from under cauldron,inducing diuresis and clearing heat,and nourishing blood and clearing heat.The understanding of Fangfeng Tongsheng San from the angle of thinking of classification according to manifestation will open a new door for us to use it flexibly.

关 键 词：取象比类 防风通圣散 刘河间 清热 

分 类 号：R289.1[医药卫生—方剂学]