《金匮要略》七方中黄芪的应用探析  

Application of milkvetch root in the seven prescriptions in Synopsis of Golden Chamber

作　　者：李怡憬 曹方[1] 张益蒴 张乐[1] 刘彦晶 LI Yijing;CAO Fang;ZHANG Yishuo;ZHANG Le;LIU Yanjing(Changchun University of Chinese Medicine,Changchun 130117,China;Third Affiliated Clinical Hospital of Changchun University of Chinese Medicine,Changchun 130117,China)

机构地区：[1]长春中医药大学,长春130117 [2]长春中医药大学附属第三临床医院,长春130117

出　　处：《吉林中医药》2024年第6期718-721,共4页Jilin Journal of Chinese Medicine

基　　金：吉林省教育厅课题(JJKH20241054KJ);吉林省中医药科技项目(2023049)。

摘　　要：黄芪味甘性温,善补胸中大气,入肺脾二经,能大补中气,培土生金,调营和卫,温化水饮,仲景在《金匮要略》中有七方应用黄芪,组方配伍精良,笔者总结黄芪药物性味功效并对其在《金匮要略》七方中的配伍特点和组方应用详细论述,分析得出黄芪与桂枝、芍药、甘草配伍可补气调营、助脾升阳,亦可益中舒木;与茯苓、防己配伍可补气助阳、利水除湿;与麻黄、桂枝、芍药配伍可益气实表,温阳散邪、通行荣卫的结论。由此阐述仲景在《金匮要略》运用黄芪的诸多规律,以期对黄芪的临床应用提供更多思路。Milkvetch root is sweet in taste and warm in nature,good at replenishing pectoral qi in the chest and entering the lung and spleen meridians,which can replenish the middle qi,cultivate earth and generate metal,harmonize yingfen and weifen,and warmly resolve fluid retention.It is used in 7 prescriptions recorded in the Synopsis of Golden Chamber by written Zhang Zhongjing,which are characterized by their exquisite formation and compatibility.This analysis elaborates on milkvetch root's therapeutic properties,its synergistic interactions,and its specific applications in the seven formulas,revealing that when it is combined with cassia twig,Chinese peony,and liquorice root,it can replenish qi,harmonize nutrient qi,and reinforce the spleen and promote yang,invigorate the middle qi and disperse liver qi as well.When paired with Indian bread and mealy fangji root,it can benefit qi and reinforce yang,induce diuresis and eliminate dampness.Additionally,in combination with ephedra herb,cassia twig,and Chinese peony,it can benefit qi to consolidate superficies,warm yang to eradicate pathogens,and harmonize rongfen and weifen.This discussion underscores Zhang Zhongjing's extensive application of milkvetch root in his prescriptions,aiming to explore the regularities in this respect and enrich its clinical application.

关 键 词：黄芪 《金匮要略》 配伍功效 经方应用 

分 类 号：R281[医药卫生—中药学]