国医大师张志远运用小建中汤经验拾萃  

ZHANG Zhiyuan’s experience in using Minor Center-Fortifying Decoction

作　　者：王尧[1] 李崧[1] 刘桂荣[1] WANG Yao;LI Song;LIU Guirong(Shandong University of Traditional Chinese Medicine,Jinan 250014)

机构地区：[1]山东中医药大学,济南250014

出　　处：《现代中医临床》2023年第1期48-51,共4页Modern Chinese Clinical Medicine

基　　金：国家中医药管理局第三届国医大师传承工作室建设项目(No.国中医药人教发[2018]119号);齐鲁医派中医学术流派传承项目(No.鲁卫函[2022]93号)。

摘　　要：小建中汤首见于《伤寒杂病论》,基本作用是和营卫、调阴阳,适用病机为脾胃气虚、木旺乘土、肝胃不和。小建中汤以饴糖为君,温中补虚、固护中焦脾胃,寓含阴阳双补之意,阴中求阳,阳中求阴,正和补养之道。张志远教授遥承仲景之绪,对遣用小建中汤有独特的认识。一是在原方基础上予以加味,易收奇功。二是调整诸药剂量,对证而用。三是重视服药注意事项。并结合临床病案阐述小建中汤的加减应用。Minor Center-Fortifying Decoction was first seen in Treatise on Cold Damage and Miscellaneous Diseases. Its basic function is to harmonize ying and wei levels and regulate yin and yang, which makes it suitable for deficiency of qi in the spleen and stomach, excess of wood restricting the soil and disharmony between the liver and stomach. The formula, which takes Yitang(Saccharum Granorum) as the chief medicinal, warms the center and supplements deficiency, reinforces and protects the middle jiao, spleen and stomach. By doing so, it supplements both yin and yang, seeking yang within yin while seeking yin within yang, which is in line with the optimal way of supplementing and nourishing. Professor Zhang Zhiyuan, laureate of the title of National TCM Master, has a unique understanding of clinical idea of Zhang Zhongjing and the use of the decoction. Firstly, He added certain herbal ingredients to the original prescription as needed, which yielded extraordinary results. Secondly, the dosage of individual herbs used in the formula was adjusted according to the pattern of the patient. Thirdly, he also developed unique insights into the precautions of the drug. This study discusses the application of Minor Center-Fortifying Decoction in combination with clinical cases.

关 键 词：小建中汤 胃痛 虚劳 肺痨 名医经验 张志远 

分 类 号：R289.3[医药卫生—方剂学]