基于经方医学理论探析张仲景芍药的应用  

Analysis on the application of Chinese peony by Zhang Zhongjing based on the theory of classical prescriptions

作　　者：苏晶 崔巍[1] 徐巧丽 刘真如 汪子涵 赵德喜[2] SU Jing;CUI Wei;XU Qiaoli;LIU Zhenru;WANG Zihan;ZHAO Dexi(Changchun University of Chinese Medicine,Changchun 130117,China;Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,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医院,长春130021

出　　处：《吉林中医药》2024年第9期998-1001,共4页Jilin Journal of Chinese Medicine

基　　金：吉林省中医药科技项目(2018016);吉林省中医药委托研究项目(2016WT17);长春市科技发展计划项目(21ZGM32)。

摘　　要：《伤寒论》和《金匮要略》中含有芍药的方剂共55首,从芍药最简方,加减芍药方,芍药最大量方,同类方剂综合分析等方面探讨芍药用药规律。芍药属阳明经药,主养血活血,调和营卫,清热,缓挛急,止痛,止利,利小便,通大便等。芍药与不同药物的配伍组方,发挥作用不同,只有明确芍药功用,同时掌握常用配伍意义,临证时方疗效显著。There are 55 prescriptions containing it in Shanghan Lun and Jingui Yaolue.This article discusses the medication rules of Chinese peony mainly from four aspects:the simplest prescription of Chinese peony,the modified prescriptions of Chinese peony,the prescription containing the maximum dosage of Chinese peony,and a comprehensive analysis of similar prescriptions containing the medicine.It concludes that Chinese peony mainly acts to regulate the Yangming meridian,having the functions of nourishing blood and promoting blood circulation,harmonizing yingfen and weifen,clearing heat,relieving spasm,relieving pain,stopping diarrhea,facilitating diuresis,and promoting defecation,etc.Combined with different medicines,Chinese peony has different effects.Therefore,it is imperative to clarify its effects and grasp the significances in its common combination with other herbs,so that to guarantee a remarkable efficacy in clinical practice.

关 键 词：芍药 《伤寒论》 《金匮要略》 经方理论 

分 类 号：R222[医药卫生—中医基础理论]