泽漆汤症证病机方药探析  

Analysis on symptoms,syndromes,pathogenesis and medicinal herbs of Zeqi Decoction

作　　者：陈颖娟 陈晓[1] 李海峰[1] 胥孜杭 邹纯朴[1] CHEN Yingjuan;CHEN Xiao;LI Haifeng;XU Zihang;ZOU Chunpu(School of Basic Medical Sciences,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Department of TCM Gynecology,Shanghai Jing’an District Hospital of Traditional Chinese Medicine,Shanghai 200072,China)

机构地区：[1]上海中医药大学基础医学院,上海201203 [2]上海市静安区中医医院中医妇科,上海200072

出　　处：《上海中医药杂志》2023年第1期66-70,共5页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(82274229);上海市自然科学基金项目(20ZR1458500);上海市静安区中医药临床重点专科建设项目(JA2020-Z006)。

摘　　要：通过对古今文献梳理,探析泽漆汤症证病机方药。泽漆汤证的主要症状包括已发热或未发热、咳嗽上气、胸胁隐痛、胸中有水气、脉沉等;病机由浅入深可概括为邪气犯肺、肺失宣肃→邪郁化热、痰挟瘀血→肺脾气虚、水饮内停,三者亦可兼容并见,贯穿始终;全方寒温并用,攻补兼施,标本皆治,具有逐水通阳、清热化瘀、止咳化痰、健脾益气功效,适用于虚实寒热错杂的痰饮病证;方中紫参在现代临床应用中治疗急性呼吸道感染当为拳参,用于治疗肺癌当为石见穿,用于治疗慢性支气管炎当为紫菀。The symptoms,syndromes,pathogenesis and medicinal herbs of Zeqi Decoction were analyzed by reviewing ancient classics and modern literature.Zeqi Decoction syndrome mainly manifests such symptoms as fever or no fever,coughing with qi counter-flow,dull pain in the chest and hypochondrium,fluid retention in the chest,and deep pulse,etc.The pathogenesis can be summarized into three aspects from the superficial layer to the deep layer:pathogenic qi invading the lung,and the lung failing to disperse and descend;the depressed pathogenic qi transforming into heat,and phlegm intermingling with blood stasis;qi deficiency of the lung and spleen,and internal fluid retention.The three aspects can appear simultaneously and intermingle through the whole disease course.Zeqi Decoction uses medicinal herbs in both cold and warm nature,combines reinforcement with reduction,and can treat both manifestations and root cause of disease.It is applicable to the disorder of phlegm and fluid retention with intermingled deficiency and excess,cold and heat as it has the effects of expelling water retention and activating yang,clearing heat and removing stasis,stopping coughing and resolving phlegm,and strengthening the spleen and replenishing qi.In modern clinical application,Zishen might refer to different medicinal herbs for different diseases.For instance,it could be Quanshen(Bistortae Rhizoma)for treating acute respiratory tract infection,or Shijianchuan(Salviae Chinensis Herba)for treating lung cancer,or Ziwan(Asteris Radix et Rhizoma)for treating chronic bronchitis.

关 键 词：泽漆汤 厚朴麻黄汤 经典名方 《金匮要略》 胸腔积液 病机 主治病证 

分 类 号：R289.5[医药卫生—方剂学]