银翘散加减在温病证治中的应用研究  

Applications of Modified Yinqiao Ponder in Treating Febrile Diseases

作　　者：王学艺 庞欣欣[2] 朱清 李新宝 王慧丽 韩佳瑞[1,2] Wang Xueyi;Pang Xinxin;Zhu Qing;Li Xinbao;Wang Huili;Han Jiarui(Henan University of Chinese Medicine,Henan,Zhengzhou 450046,China)

机构地区：[1]河南中医药大学,河南郑州450046 [2]河南省中医院,河南郑州450002

出　　处：《中国中医急症》2023年第4期639-642,650,共5页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家中医临床研究基地科研项目(2019JDZX068,2019JDZX2119);全国名老中医药专家传承工作室设立分站项目;全国中医药创新骨干人才培养项目(国中医药人教函[2019]128号);河南省自然科学基金项目(202300410256);河南省中医药科学研究专项重点课题(20-21ZY1003);河南省高等学校重点科研项目计划(19A360009);河南省重点研发与推广专项(科技攻关)项目(202102310505,202102310171);河南省中医药拔尖人才培养项目专项课题(2019ZYBJ17)。

摘　　要：热邪内蕴、气机不畅、热因气阻的郁热证为温热类温病病机的中心环节,贯穿卫气营血各个阶段,是温热类温病病机的共性,治以开火郁、畅气机,方使热透散。银翘散一方蕴辛开苦降、滋清透散、清热解毒为一体,方中主以辛凉,宣畅气机,少佐辛温,火郁发之,为温病郁热证正治,方中药物归经广泛,涉及五脏、气血。在《温病条辨》中,银翘散的加减应用涉及卫气营血,其现代应用亦涉及多个分科,以银翘散为主治疗温热类温病各阶段病证,可执简驭繁。The syndrome of stagnation of heat,which contains heat evil,is blocked by qi,and is the central link of the pathogenesis of warm-type febrile diseases,It runs through all stages of weifien,qifen,yingfen and xuefen,which is the commonness of its pathogenesis.To treat it,removing the stagnation of fire and un-obstructing qi can make the heat diffuse and dissipate.Yinqiao Powder has the functions of activating qi flowing,clearing away heat and detoxicating.The main features of Yinqiao Powder were pungent and cool,which could smooth qi,while the warm-natured ingredients could resolve the fire stagnation.The drugs in Yinqiao Powder have a wide range of channels,involving the five internal organs,qi and blood.In the differentiation of febrile diseases,modified Yinqiao Powder involved weifen,qifen,yingfen and xuefen,and its modern application also involves many branches.Yinqiao Powdercan be used the treatment of warm-type febrile diseases at all stages.

关 键 词：温热类温病 郁热证 银翘散加减 卫气营血辨证 透热转气 

分 类 号：R254.3[医药卫生—中医内科学]