基于气化理论探讨清瘟败毒饮方证核心病机与组方思路  

Discussion on Core Pathogenesis and Prescription Ideas of Qingwen Baidu Decoction(清瘟败毒饮)Based on Gasification Theory

作　　者：苏宇情 李晓凤[2] 丛紫东[2] 都芮 宋博涵 周德颖 杜武勋[2] SU Yuqing;LI Xiaofeng;CONG Zidong;DU Rui;SONG Bohan;ZHOU Deying;DU Wuxun(Tianjin University of Traditional Chinese Medicine,Tianjin 300383,China;The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300150,China)

机构地区：[1]天津中医药大学,天津300383 [2]天津中医药大学第二附属医院,天津300150

出　　处：《山东中医杂志》2024年第10期1058-1062,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(编号:82004329);天津市中医药管理局天津市名中医传承工作建设项目“杜武勋天津市名中医传承工作室”(批文号:津卫中[2022]303号);国家中医药管理局全国名老中医药专家传承工作室建设项目“杜武勋全国名老中医药专家传承工作室”(批文号:国中医药发[2022]75号);天津市教委科研计划项目(编号:2019SK025)。

摘　　要：气化理论是中医学认识人体生命活动规律、了解疾病发生发展规律的指导思想。基于气化理论,通过考证著作、整理文献、逻辑分析,认为清瘟败毒饮方证的核心病机为火气独胜,胃虚受毒,气失枢转,五脏气化失常,燔灼十二经。其组方思路为清胃气以斡旋枢机、降逆火以平衡升降、滋肾水以生津化源。因此,清瘟败毒饮虽为治疗热疫的名方,但其应用范围不应局限于热疫以及疾病的毒炽气血阶段,而应推而广之,凡是存在火气独胜之证,均可依据本方思路施治。The gasification theory is the guiding ideology of traditional Chinese medicine in understanding the regularities of human life activities and the regularities of occurrence and development of diseases.Based on the theory of gasification,through researching textual works,sorting out the literature,and logical analysis,it is believed that the core pathogenesis of syndromes treated by Qingwen Baidu Decoction(清瘟败毒饮)is fire qi hyperactivity,stomach deficiency and being poisoned,qi pivot dysfucntion,five viscera gasification disorder,and scorching of twelve meridians.The ideas of its prescription are clearing stomach qi to mediate the pivot,descending the reversed fire to balance the ascending and descending,nourishing kidney water to promote fluid production.Therefore,although Qingwen Baidu Decoction is a famous prescription for the treatment of febrile diseases,its application should not be limited to febrile diseases and the stage of burning qi and blood of the disease,but should be extended.Whenever there is a syndrome of fire qi hyperactivity,it can be treated according to the prescription ideas.

关 键 词：气化理论 一气周流 清瘟败毒饮 火气独胜 胃虚受毒 斡旋枢机 

分 类 号：R289.1[医药卫生—方剂学]