《伤寒论》葛根汤古今应用探析  

Ancient and Modern Literature Research on Application of Treatise on Febrile Diseases Gegen Decoction(葛根汤)

作　　者：陈强[1] 逯艳婷 王洪海[1] CHEN Qiang;LU Yanting;WANG Honghai(Shandong University of Traditional Chinese Medicine,Jinan 250355,Shandong,China)

机构地区：[1]山东中医药大学,山东济南250355

出　　处：《辽宁中医药大学学报》2024年第10期165-169,共5页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：国家自然科学基金青年科学基金项目(82204795);山东省自然科学基金青年项目(ZR2020QH329)。

摘　　要：经典方剂的制剂研发逐渐成为热潮。深化对经典名方的研究和开发,应以中医理论为基础,结合临床实践,以此来稳固其研究和开发的根基。该研究运用溯源法与文献计量学的方式,通过深入探讨葛根汤的源流发展、病机病证、主治功效、组方精义、临床运用等方面,旨在进一步推动对葛根汤的古今文献研究进展。结果表明葛根汤作为《伤寒论》中治疗“项背强几几”的经典方剂,经过后世医家对仲景组方思想的继承和发展,其同名方更是不胜枚举。葛根汤的主治病机可概括为外邪侵袭太阳经脉,甚则内迫阳明,方中以葛根解阳明之肌,麻黄散太阳之表,桂枝调营卫之和,为组方核心,芍药、甘草生津养液,生姜、大枣调和脾胃,四药相辅。全方配伍发汗解表,升津舒经而治疗项背不舒。古籍中所记载的葛根汤虽涉及各科病证,但论其病机总属“邪犯经脉”。葛根汤现代临床应用集中在肌肉骨骼系统、头面五官系统等,具体在颈椎病、肩周炎、头痛、眩晕等病证更具优势。The classic formulas and preparations have gradually become a boom.To deepen the research and development of classical prescriptions,we should combine them with clinical practice on the basis of TCM theory to consolidate the foundation of their research and development.This study used traceability method and bibliometric methods to further promote the research progress of ancient and modern literature on Gegen Decoction(葛根汤)by deeply discussing the origin and development of Gegen Decoction,pathogenesis and syndrome,main therapeutic efficacy,composition and clinical application.The results show that Gegen Decoction,as a classic prescription for the treatment of“neck and back are strained and uncomfortable”in the Treatise on Febrile Diseases,has been inherited and developed by later generations of doctors to Zhongjing's formula,and its eponymous formula is even more numerous.The main pathogenesis of Gegen Decoction can be summarized as the invasion of the sun meridians by external evils,and even the internal forcing of Yangming,the formula uses Gegen(Puerariae Lobatae Radix)to relieve the muscles of Yangming,Mahuang(Ephedrae Herba)to disperse the surface of the sun,and Guizh(i Cinnamomi Ramulus)to adjust the sum of camp and health,which is the core of the formula,Shaoyao(Paeoniae Radix Alba)and Gancao(Glycyrrhizae Radix Et Rhizoma)to nourish liquid,Shengjiang(Zingiberis Rhizoma Recens)and Dazao(Jujubae Fructus)to reconcile the spleen and stomach,and the four medicines complement each other.The whole formula is compatible with sweating and relieving the surface,and the treatment of the back is uncomfortable.Although Gegen Decoction recorded in ancient books involves various diseases,its pathogenesis always belongs to the“evil meridians”.The modern clinical application of Gegen Decoction focuses on the musculoskeletal system,head and facial facial system,etc.,and is more advantageous in cervical spondylosis,frozen shoulder,headache,vertigo and other syndromes.

关 键 词：经方 葛根汤 源流发展 方义 应用 

分 类 号：R289.5[医药卫生—方剂学]