基于六庚年运气格局解读牛膝木瓜汤配伍原理  

Interpretation of the Compatibility Principle of Niuxi Mugua Decoction(牛膝木瓜汤)Based on Yunqi Configuration of the Six Geng Years

作　　者：王莹[1] 鲁明源[1] WANG Ying;LU Mingyuan(Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学,山东济南250355

出　　处：《山东中医杂志》2023年第2期113-117,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：全国名老中医药专家传承工作室(编号:520786)。

摘　　要：牛膝木瓜汤为陈无择《三因极一病证方论》中针对六庚年、岁金运太过所设方剂。六庚年以金运太过、木虚郁逆、火气来复、金不生水为全年运气格局。在此运气格局下,六庚年人体的病机特点为气结肝郁、肝虚郁逆、心肺火盛、肾虚肝燥;牛膝木瓜汤的配伍原理可据此概括为:整体性味取向偏于温升以治凉降太过,酸敛苦降以补肝达用,温补辛润以滋水涵木。因复气的出现并非必然,故方中并无针对火复的药物,临床可根据具体情况择药组方。兹举庚子年典型验案两则以供验证参考。Niuxi Mugua Decoction(牛膝木瓜汤)is the prescription of CHEN Wuze recorded in Sanyin Ji Yi Bingzheng Fang Lun,which is for disease caused by extreme metal element at Six Geng years.In the Six Geng years,the characteristic of the five evolutive phases and six climatic factors mainly refers to metal circuit extreme,which it is easy to invade the liver wood,resulting in liver deficiency,liver depression and liver qi reversal,so there is too much heart fire and kidney deficiency of clinical syndromes.Under this pattern,the pathogenesis of the human body in Six Geng years is characterized by liver qi stagnation,liver qi deficiency and stagnation,heart and lung fire excess,kidney deficiency and liver dryness.The compatibility principle of Niuxi Mugua Decoction can be summarized that the overall flavor orientation is partial to warm and rise to restrain depression and excessive cold,acid and bitter properties accumulation to supplement the liver,warm and pungent flavors to nourishing liver and kidney.For the emergence of recovery gas is not inevitable,there is no drug for recurring fire evil in the prescription,and the clinical prescription can be selected according to the specific situation.There are two typical cases for reference in this article.

关 键 词：五运六气 六庚年 三因司天方 牛膝木瓜汤 配伍原理 陈无择 

分 类 号：R226[医药卫生—中医基础理论]