基于中药“望闻问切”理论探析“切”法与中药药性的关系  

Relationship Between"Pressing Method"and Properties of Herbs Based on Theory of"Inspection,Smelling,Asking and Pressing"

作　　者：孙珍珍 李家劼 朋汤义[2] SUN Zhenzhen;LI Jiajie;PENG Tangyi(Anhui University of Chinese Medicine,Hefei 2300\2,China;The First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China)

机构地区：[1]安徽中医药大学,安徽合肥230012 [2]安徽中医药大学第一附属医院,安徽合肥230031

出　　处：《中医药学报》2020年第1期41-44,共4页Acta Chinese Medicine and Pharmacology

基　　金：2018年中央中医药公共卫生服务款宣传贯彻《中医药法》项目(财社〔2018〕820号);2017年高等学校省级质量工程项目(2017sxzx92);安徽中医药大学教研研究生创新计划项目(2017YJG013)。

摘　　要：中药是中医学理论中的重要组成部分,中药的“望、闻、问、切”四法,通过调动身体的各个感官,眼看、鼻闻、口尝、手摸感知药物,推断中药药性和功效,其中的“切”法,是通过手来感知中药。以手抚药可获得药物的寒热之感,其寒热之感与药性之间的关系,可简单概括为“温热者性温热,寒凉者性寒凉”“温热者辛而甘,寒凉者酸苦咸”“温热者浮而升,寒凉者沉而降”。该关系对于认识药物的个性和共性以及临床实际用药有实际指导意义。而就“切”法本身而言,于中药理论与实践均具重要意义,尚可通过课堂及临床教学两种方式来加快其推广应用。Chinese materia medica is an important nart of TCM.The four methods of"inspection,smelling,asking and pressing"of TCM can be use!to inler the properties and efficacy of herbs,by mobilizing various senses of the body,such as inspecting,smelling,tasting,and feeling the herbs.The feeling of cold and heat can be obtained by touching herbs,herbs with warm feeling have the property of pungent and sweet,and herbs with cold feeling have the property of sour,bitter and salty.Herbs with warm feeling have the features of floating and ascending,herbs with cold feeling have the features of sinking and descending.These relationships have practical significance for understanding the individuality and commonness of herbs to guide the clinical applications of them.In terms of pressing method,it is of great significance to the theory and practice of Chinese materia medica.

关 键 词：切 以手抚药 寒热之感 四气五味 升降浮沉 指导意义 

分 类 号：R285.1[医药卫生—中药学]