当归补血汤证病机新解  

New explanation of pathogenesis of Danggui Buxue Decoction

作　　者：张鹏悦 闫润 杨阳[1,2] ZHANG Peng-yue;YAN Run;YANG Yang(Hebei University of Chinese Medicine,Shijiazhuang 050200,China;Hebei Key Laboratory of Chinese Medicine Prevention Research on Cardio-cerebrovascular Dieases,Shijiazhuang 050091,China)

机构地区：[1]河北中医学院,石家庄050200 [2]河北省心脑血管病中医药防治研究重点实验室,石家庄050091

出　　处：《中华中医药杂志》2023年第6期2794-2796,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：河北省中医药管理局科研计划项目(No.2018100,No.2023110);2022年度引进留学人员资助项目(No.C20220110)。

摘　　要：文章从李东垣原著《内外伤辨惑论》《脾胃论》和《兰室秘藏》的角度出发,溯本求源,在认真辨析了当前“血虚阳浮”“血虚外感”和“脾虚燥热”几种主流观点后,从原文解读、方药分析和类方鉴别3个层面对当归补血汤证的病机提出了新的见解,认为其病机为“气虚下陷血分发热”,属于气虚阴火之重证。The article tries to find the source of LI Dong-yuan’s works by analyzing his original works,namely,Clarifying Doubts about Damage from Internal and External Causes,Treatise on Spleen and Stomach and Secret Book of the Orchid Chamber.Through the analysis of several current mainstream views,ncluding‘blood deficiency and yang floating’‘external sensation of blood deficiency’and‘spleen deficiency dryness and heat’,a new insight was put forward on the pathogenesis of Danggui Buxue Decoction from three aspects:original text interpretation,prescription analysis and prescription identification,that is,the pathogensis is‘qi deficiency,submergence in the blood and fever’,which belongs to the severe disease of qi deficiency and yin fire.

关 键 词：当归补血汤 阴火 李东垣 黄芪 当归 血虚发热 

分 类 号：R289.5[医药卫生—方剂学]