基于文献与清代医案的半夏泻心汤证因机辨析  

Analysis on the Causes and Mechanisms of Banxia Xiexin Decoction Based on Documents and Medical Cases in Qing Dynasty

作　　者：周冉冉 罗亚敏[1] 李伊然 李冉 杨凤 李芊芊 陶晓华[1] ZHOU Ranran;LUO Yamin;LI Yiran;LI Ran;YANG Feng;LI Qianqian;TAO Xiaohua(Beijing University of Chinese Medicine,Beijing 100029,China;Guang′anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]北京中医药大学,北京100029 [2]中国中医科学院广安门医院,北京100053

出　　处：《世界中医药》2023年第20期2918-2923,共6页World Chinese Medicine

基　　金：国家重点研发计划项目(2019YFC1709200,2019YFC1709201)。

摘　　要：经典名方半夏泻心汤出自《伤寒论》,古往医家对此方论述颇丰,辨证论治而取效于临床。每首方剂皆有其相应的证机,病机作为疏通中医古今异病同治的枢纽,贯穿于病脉证并治动态诊疗全过程。现通过梳理历代半夏泻心汤的理论文献,研究清代医家应用此方的医案,从理论到临床辨析半夏泻心汤证的病因与病机,并以Cytoscape、TBtools软件进行可视化,为研究经方古为今用提供参考思路。半夏泻心汤证理论文献与医案阐述的因机互有异同,清代医家临证应用多种辨证方法合而辨机,较为重视体质致病的影响,体现中医圆机活法的论治思维。The classic prescription of Banxia Xiexin decoction comes from Treatise on Febrile Diseases.Ancient doctors have discussed the prescription quite extensively.Its treatment based on syndrome differentiation is effective in clinical practice.Each prescription has its corresponding syndrome and mechanism.Pathogenesis can be used as the key of understanding “treating different diseases with same methods” in ancient and modern Chinese medicine,running through the whole process of the dynamic diagnosis and treatment of disease,pulse and syndrome.By reviewing the theoretical literature of Banxia Xiexin decoction in all dynasties,and studying the medical cases of its application by doctors in the Qing Dynasty,we analyzed the etiology and pathogenesis of Banxia Xiexin decoction syndrome from theory to clinic.Also,it was visualized with Cytoscape and TBtools software.As a result,the reference ideas for the study of making the past classic prescription serving the present could be provided.There are similarities and differences for the causes and mechanisms descriptions between the theoretical literature and medical cases of Banxia Xiexin decoction syndrome.In the Qing Dynasty,doctors applied a variety of syndrome differentiation methods to expand the indication of syndrome and cause,paid more attention to the influence of constitution causing diseases,reflecting the TCM lively treatment thinking.

关 键 词：半夏泻心汤 病因 病机 医案 文献 清代 分析和编辑软件 生物信息分析 

分 类 号：R222.2[医药卫生—中医基础理论]