张仲景“缓中补虚”之浅谈  

A Brief Discussion on Zhang Zhongjing's “Mitigating the Middle and Tonifying the Deficiency”

作　　者：李阳 樊蒙真 郝征[1,2,3] LI Yang;FAN Mengzhen;HAO Zheng(School of Traditional Chinese Medicine,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;Medical History and Documentation Center of Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;Tianjin Key Laboratory of Modern Traditional Chinese Medicine Theory Innovation and Transformation,Tianjin 301617,China)

机构地区：[1]天津中医药大学中医学院,天津301617 [2]天津中医药大学医史文献中心,天津301617 [3]天津市现代中医理论创新转化重点实验室,天津301617

出　　处：《中医药学报》2024年第4期81-84,共4页Acta Chinese Medicine and Pharmacology

基　　金：国家中医药管理局专项项目(GZY-KJS-2020-037)。

摘　　要：目的:浅论“缓中补虚”内涵,探讨张仲景临床思维。方法:对张仲景《金匮要略》中大黄?虫丸条文及药味进行研究,加以现代“缓中补虚”治法相关临床文献进行补充。结论:“缓中补虚”作为虚劳干血的治则,其中“缓”为干血攻伐药味处方的核心法则,“补虚”为其目的,代表方大黄?虫丸现代应用广泛,提示张仲景临床思维至今在现代医疗体系中仍具有指导意义。Objective:To discuss the connotation of“mitigating the middle and tonifying the deficiency”and to explore Zhang Zhongjing's clinical thinking.Methods:The articles and medicinal flavors of Dahuang Zhechong pill,which was recorded in the book“Synopsis of the Golden Chamber”authored by Zhang Zhongjing,were studied and modern clinical literatures related to the treatment principle of“mitigating the middle and tonifying the deficiency”were added.Conclusion:“Mitigating the middle and tonifying the deficiency”is a treatment principle for consumptive disease with blood deficiency.Mitigating the middle is the core rule of the prescription and“tonifying the deficiency”is the purpose,indicating the broad use of Dahuang Zhechong pill in modern time,suggesting that Zhang Zhongjing's clinical thinking still has important guiding significance in modern medical system.

关 键 词：缓中补虚 金匮要略 大黄䗪虫丸 干血虚劳 

分 类 号：R222[医药卫生—中医基础理论]