济川煎新释  

New Explanation of Jichuan Decoction(济川煎)

作　　者：高宁 昝树杰 张泽曦 金鑫瑶 杨丰文[1] GAO Ning;ZAN Shujie;ZHANG Zexi;JIN Xinyao;YANG Fengwen(Tianjin University of Traditional Chinese Medicine,Tianjin,301617;First Teaching Hospital of Tianjin University of Traditional Chinese Medicine)

机构地区：[1]天津中医药大学,天津市301617 [2]天津中医药大学第一附属医院

出　　处：《中医杂志》2023年第20期2150-2152,共3页Journal of Traditional Chinese Medicine

基　　金：中国工程院战略研究与咨询项目(2023-PP-05)。

摘　　要：从济川煎的方名溯源、《景岳全书》本草原文窥探、当归与肉苁蓉的君药之争及历代功效论述考辨入手,探讨济川煎的方药释义。认为济川煎方名原义为增液行舟,当归为君养血润燥,肉苁蓉为臣润下通便,综合分析其功效并非温肾助阳而是侧重于养血润燥通便,主治为阴血亏虚之便秘,并通过古籍文献等例证效验。This paper explores the interpretation of Jichuan Decoction(济川煎)by tracing its name´s origin,exa-mining the original texts of herbs in the decoction within Jingyue's Complete Works(《景岳全书》),exploring the debate on the sovereign drug of Danggui(Angelica sinensis[Oliv.]Diels)and Roucongrong(Cistanche deserticola Y.C.Ma),and analyzing the historical discussions on the efficacy of the decoction.It is believed that the original mean⁃ing of the name Jichuan Decoction(济川煎)refers to its strategy for treating“deficiency constipation”,which can be described as“increasing water to navigating the boat”.Danggui(Angelica sinensis[Oliv.]Diels)is considered the sovereign herb for nourishing blood and moistening dryness,while Roucongrong(Cistanche deserticola Y.C.Ma)serves as the minister herb for moistening the intestines and promoting bowel movements.It is concluded by the author that Jichuan Decoction(济川煎)does not primarily focus on warming the kidneys and assisting yang,but rather emphasizes nourishing blood,moistening dryness,and promoting bowel movements.Its main indication is constipa⁃tion due to deficiency of yin and blood,which is supported by evidence from antiquarian materials.

关 键 词：济川煎 便秘 方剂功效 

分 类 号：R289.5[医药卫生—方剂学]