刍议三仁汤君药之动态性  

Discussion on the Dynamicity of Sanren Decoction's Sovereign Medicine

作　　者：王仁山 马少丹[2] WANG Renshan;MA Shaodan(College of Traditional Chinese Medicine,Fujian University of Traditional Chinese Medicine,Fujian Province,Fuzhou 350122,China;Department of Prescription,College of Pharmacy,Fujian University of Traditional Chinese Medicine,Fujian Province,Fuzhou 350122,China)

机构地区：[1]福建中医药大学中医学院,福建福州350122 [2]福建中医药大学药学院方剂教研室,福建福州350122

出　　处：《光明中医》2024年第12期2346-2349,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

摘　　要：三仁汤之君药认定多有争议,目前主要存在2种观点:一者以杏仁、白蔻仁、薏苡仁(三仁)为君药,一者以滑石为君药。结合《黄帝内经》《本草纲目》《温病条辨》等中医古籍及近现代医家的相关文献、著述记载分析,发现上述2种观点并不矛盾,反而体现了君药的动态性。文章分别对2种观点进行阐述,认为治法方面以三仁为君药重在强调宣畅气机,以滑石为君药重在强调清热利湿,根据治疗的侧重点不同,其君药亦可随之而改变。The identification of Sanren decoction's sovereign medicine is controversial.At present,there are two main viewpoints about it as follows:one is to regard Almond,Amomum Cardamomum and Coicis Semen(referred to as"Sanren")as the sovereign medicine,while the other is to regard speckstone as sovereign medicine.Analyzing by combining with the record of the ancient books of traditional Chinese medicine such as Inner Canon of Yellow Emperor,Compendium of Materia Medica,Detailed Analysis of Epidemic Warm Diseases and the relevant papers and literature of contemporary and modern doctors,it was found that the above two views are not contradictory,but reflect the dynamicity of sovereign medicine.This article elaborated on"Sanren"as the sovereign medicine and talc as the sovereign medicine respectively,the author believed that the former emphasizes on promoting circulation of qi while the latter emphasizes on clearing heat and removing dampness in terms of the treatment,which means that Sanren decoctions sovereign medicine can also change with the different emphasis of the treatment.

关 键 词：三仁汤 君药 杏仁 薏苡仁 白蔻仁 滑石 君药动态性 

分 类 号：R289.5[医药卫生—方剂学]