基于黄芪桂枝五物汤方证相关性理论探讨营卫与气血间关系  

Exploring relationship between Ying-nutrients and Wei-defence and qi-blood based on formula-syndrome related theory of Huangqi Guizhi Wuwu Decoction

作　　者：刘宛欣 都广礼[2] LIU Wanxin;DU Guangli(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;School of Basic Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437 [2]上海中医药大学基础医学院,上海201203

出　　处：《上海中医药大学学报》2022年第5期97-100,共4页Academic Journal of Shanghai University of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(81273657);上海中医药大学课程建设项目(2021SHUTCMTD0)。

摘　　要：营卫和气血是构成人体和维持人体生命活动的基本物质,营卫和气血一直分别描述,但是二者之间的关系鲜有论述。通过“药群法”解析黄芪桂枝五物汤的证治,并根据方证相关理论,以方剂治法反证病机(即“以方测证”),进而探讨营卫、气血之间的关系。认为营卫出于中焦,经脾上输心肺后的上焦气化而方为气血,即“中焦受气取汁,变化而赤,是为血”,因此,营卫出于中焦,变化于上焦,与气血同源但不同质。从这个意义上看,营卫的实质就是气血。Ying-nutrients and Wei-defence and qi-blood are the basic substances that constitute human body and maintain human life activities. Although Ying-nutrients and Wei-defence and qi-blood have been described separately,the relationship between the two is rarely discussed. The syndromes and treatments of Huangqi Guizhi Wuwu Decoction are analyzed through“medicine group method”,the pathogenesis was proved backward by formula treatment(i. e.“Inferring syndromes with formulas”)according to the related theory of formula and syndrome,then the relationship between Ying-nutrients and Wei-defence and qi-blood are discussed. It is considered that Ying-nutrients and Wei-defence are derived from the middle jiao,and the upper jiao is pneumatized after the upper spleen is transfused into the heart and lung,and transformed into qi and blood,i.e.“The middle jiao receives qi,takes the juice and transforms into red liquid called blood”. Therefore,Ying-nutrients and Wei-defence are from the middle jiao,change in the upper jiao,with qi and blood homologous but different quality. In this sense,the essence of Ying-nutrients and Wei-defence is qi and blood.

关 键 词：黄芪桂枝五物汤 药群法 营卫 气血 证治 

分 类 号：R285[医药卫生—中药学]