从温病“先入后出,从阴引阳”理论探讨达原饮类方的中医思维  

Discussion on the Traditional Chinese Medicine thinking of Dayuanyin recipes from the theory of“first in and then out,from yin to yang”in Warm Diseases

作　　者：唐嘉伟 尚懿纯[1] TANG Jiawei;SHANG Yichun(School of Traditional Chinese Medicine,Tianjin University of Chinese Medicine,Tianjin 301617,China)

机构地区：[1]天津中医药大学中医学院,天津301617

出　　处：《四川中医》2024年第8期28-31,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：天津市卫健委中医中西医结合科研课题(编号:2023071、2023086);天津市高等学校研究生教育改革研究计划项目(编号:2023-125);天津中医药大学2021年“杏林育贤班”质量工程建设项目(编号:2021XLYX-18);天津中医药大学中医学院教育教学改革研究一般课题(编号:ZYXY-2021~005、ZYXY-2022~001)。

摘　　要：达原饮为明末清初医家吴又可首创,在瘟疫盛行之时,其影响范围遍布全国,吴又可在总结大量临床经验教训的基础上,创《温疫论》一书,其中达原饮可称众方之首。后世温病学派如叶天士、吴鞠通、王孟英、薛生白、雷少逸、俞根初等众多医家,灵活变通,对达原饮有不同程度的继承和创新。本文通过分析达原饮及其变方的用药逻辑,以此为例提出温病学派用药规律的创新性认知,即“先入后出”、“从阴引阳”为主的用药理论。Dayuanyin was pioneered by Wu Youke,an expert in infectious diseases of traditional Chinese medicine in the late Ming and early Qing dynasties.When the plague was prevalent,Wu Youke created the book“Theory of Warm Epidemic”on the basis of summarizing a large number of clinical experiences and lessons.Dayuanyin can be called the most important formula in this book.Later generations of Warm diseases school such as Ye Tianshi,Wu Jutong,Wang Mengying,Xue Shengbai,Lei Shaoyi,Yu Genchu and many other physicians have inherited and innovated Dayuanyin to varying degrees.By analyzing Dayuanyin and similar prescriptions,the rules and the innovative cognition of the Warm diseases School is summarized as the drug theory of“first in and then out”and“introducing yang from yin”.

关 键 词：达原饮 先入后出 从阴引阳 膜原 温疫论 疫病 湿热阻遏 三焦分消 

分 类 号：R254[医药卫生—中医内科学]