经方中“麻黄-石膏”配伍规律探究  

Exploration of the combination pattern of“Ephedra-Gypsum”in meridian formulas

作　　者：李阳 樊蒙真 张羽 杨彬 宋文杰 郝征[1,2,3] LI Yang;FAN Mengzhen;ZHANG Yu;YANG Bin;SONG Wenjie;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 Chinese Medicine Theory of Innovation and Application,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30617 [3]天津市现代中医理论创新转化重点实验室,天津301617

出　　处：《天津中医药大学学报》2024年第5期418-423,共6页Journal of Tianjin University of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(82104818)。

摘　　要：[目的]基于《伤寒论》《金匮要略》探讨“麻黄—石膏”配伍用药规律。[方法]通过中医传承辅助平台对“麻黄—石膏”经方药味进行统计分析。[结果]“麻黄—石膏”配伍经方中甘草、麻黄、石膏是核心药味配伍组合;药味以温性为主,寒性次之;五味以辛、甘味为主;归经以肺经为主;症状涉及两大症状群,一为发热、恶风、汗出、脉浮、喘为核心的症状群;二为身肿、身黄、脉沉、小便不利为核心的症状群;麻黄与石膏配伍剂量比例变化随病机变化而改变。[结论]“麻黄—石膏”经方病邪分无形与有形,且两者多混杂出现;“麻黄—石膏”经方病机围绕肺之宣肃功能的改变;“麻黄—石膏”配伍用药以麻黄为核心。[Objective]Based on the Treatise on Febrile Diseases and Synopsis of the Golden Chamber,to explore the regularity of the compatibility of“Ephedra-Gypsum”in medication.[Method]Statistical analysis was conducted on the flavor of the“Ephedra-Gypsum”classic formula through the Traditional Chinese Medicine(TCM)Inheritance Assistance Platform.[Result]In the compatibility formula of“Ephedra-Gypsum”,Licorice,Ephedra,and Gypsum are the core medicinal flavor combinations;The medicinal taste is mainly warm,followed by cold;The five flavors are mainly spicy and sweet;The main meridian is the lung meridian;The symptoms involve two major symptom groups,one being fever,bad wind,sweating,pulse floating,and asthma as the core symptom group;The second symptom group is characterized by swelling,yellowing,heavy pulse,and poor urination;The dosage ratio of Ephedra combined with Gypsum varies with the pathogenesis.[Conclusion]The pathogenic factors of the“Ephedra-Gypsum”meridian are divided into intangible and tangible,and the two are often mixed;The pathological mechanism of the“Ephedra-Gypsum”meridian formula revolves around the changes in the function of promoting and eliminating the lung;The combination of“Ephedra-Gypsum”uses ephedra as the core.

关 键 词：麻黄—石膏 经方 配伍 规律 

分 类 号：R289.5[医药卫生—方剂学]