基于性味合化理论图解连梅汤类方的组方规律  

An analysis on the medication rule of Lianmei series decoction based on the theory of combination of Chinese medicinal properties and flavors using geometric figures

作　　者：张文静 单燕然 张月敏 白辰 于河 ZHANG Wenjing;SHAN Yanran;ZHANG Yuemin;BAI Chen;YU He(School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学中医学院,100029

出　　处：《环球中医药》2024年第7期1221-1226,共6页Global Traditional Chinese Medicine

基　　金：国家中医药管理局中医药创新团队及人才支持计划(ZYYCXTD-C-202006);国家中医药管理局高水平中医药重点学科建设项目(zyyzdxk-2023264)。

摘　　要：性味合化理论是根据中药四气五味的基本特性和相互作用指导中医师进行立法组方,进行临床疾病治疗的中医理论,是中医学科重要的基础理论。连梅汤首见于吴鞠通《温病条辨》下焦篇第三十六条,主治暑邪入于少阴或厥阴引起的消渴、麻痹、心烦等症。全方配伍严谨、刚柔并用,以酸、甘、苦味药物相互合化,形成敛、清、补三法并用的治法,共同发挥清心滋肾柔肝的功效,现被广泛应用于治疗腹泻、糖尿病、失眠等疾病。本文应用几何图形展示连梅汤类方的源流和后世加减变化,更加形象地展示经方的立法思路和性味合化,阐述温病名家对酸味药物的性味配伍和应用,如酸甘化阴、酸苦泄热、酸辛通阳等,为临床辨证组方提供思路。The theory of combination of Chinese medicinal properties and flavors is an important basic theory of Chinese medicine that guides Chinese physicians on the legislation of the combination of Chinese medicinal properties and flavors for the treatment of clinical diseases.Lianmei Decoction was first mentioned in Article 36 of Wu Jutong’s“Detailed analysis of warm diseases”,which is mainly used to treat thirst,paralysis,and heartburn caused by summer evils entering into Shaoyin or Jueyin.The whole formula is strict,rigid and flexible,with sour,sweet and bitter drugs with each other,forming the convergence,clearing and tonic three methods of treatment,together to play a clear heart,nourish the kidney and soften the liver’s efficacy,modern widely used in diarrhea,diabetes,insomnia and other diseases.In this paper,we use geometrical figures to show the origin of Lianmei Decoction and the regulation in the later generation of addition and subtraction,to show the legislative ideas and flavor combinations of the prescription in a more lively way,and to elaborate the flavor combinations and applications of the acidic medicines by the famous experts of the warm disease,such as acidic-sweet to nourish yin,sour-bitter to relieve heat,sour-pungent to promote yang,provide new approach for the clinical identification of the formulae.

关 键 词：性味合化 连梅汤 几何图形 酸味药物 温病学 

分 类 号：R22[医药卫生—中医基础理论]