木防己汤析疑  

Analysis on The Cocculus Rilobus Decoction

作　　者：李亚南[1] 许二平[1] LI Ya-nan;XU Er-ping(Henan university of traditional Chinese medicine,Zhengzhou 450008,China)

机构地区：[1]河南中医药大学,郑州450008

出　　处：《中国中医基础医学杂志》2020年第7期981-982,1029,共3页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：教育部人文社会科学研究规划基金项目(12YJAZH171)-河南历代名医及学术思想研究。

摘　　要：《金匮要略》中木防己汤的基本脉证、主治证机及方药配伍等存在诸多争议。通过研究《伤寒杂病论》原文及相关文献,认为其条文中所论的病位“膈间”位于三焦膈膜之间,涉及的脏腑有心、肺、胃;“面色黧黑”是水饮之色并不是瘀血所致;而“虚者”“实者”当指脉象的虚实。本方的主治证机为饮停津伤、虚热内扰证,治以通阳散饮、清热利水,方中所用大量石膏是取其性味辛寒,以散饮清热,木防己汤对于临床中虚实寒热错杂的水饮病具有重要的应用价值。In the synopsis of the golden chamber,there are many controversies on the basic pulse syndrome,the main treatment mechanism and the compatibility of prescriptions and medicines of Cocculus Rilobus Decoction.Through the study of Treatise on Cold Pathogenic and Miscellaneous Diseases text and related literature,The Diaphragm is located in Triple energizer which related with heart and lung and stomach,swarthy complexion is the color of water and fluid,and the“deficiency”and“excess”refers to the pulse.Cocculus rilobus Decoction is to treat the Syndrome of retention and consumption of fluid and disturbance of deficiency-heat.Gypsum is to disperse the fluid and clear heat.It can be well-used in clinical application when the complex pathogenesis being identified.

关 键 词：木防己汤 《金匮要略》 支饮 脉证 配伍 

分 类 号：R289.5[医药卫生—方剂学]