栀子豉汤及其系列方在呼吸系统疾病中的应用  

Application of Zhizichi Decoction and its derivative formulas in respiratory system diseases

作　　者：王慧 王婧[1] 高源 蔡松 宋仕群 张立山[1] WANG Hui;WANG Jing;GAO Yuan;CAI Song;SONG Shiqun;ZHANG Lishan(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100010)

机构地区：[1]北京中医药大学东直门医院,北京100010

出　　处：《现代中医临床》2024年第5期31-35,共5页Modern Chinese Clinical Medicine

基　　金：国家自然科学基金项目(No.82274453)。

摘　　要：栀子豉汤是治疗胸膈郁热的经典方剂,该方药少力宏,主治邪热郁于胸膈之胸脘窒闷、烦扰不安。肺居于胸膈内,邪热郁于胸膈必会影响到肺的生理病理,肺系疾病亦容易出现胸膈郁热,故常常见到肺系疾病患者出现栀子豉汤证。栀子豉汤有五个系列方,每个方在原方证的基础上都有其各自的特点;此外,因不少肺系疾病病程较久,病情复杂,涉及多经病变,兼有痰饮水湿等诸多病理产物,所以临床上栀子豉汤证也常以兼见证的形式出现在患者的症状中,临床上对于此类疾病常选栀子豉汤类方与他方合用进行治疗而收效。Zhizichi Decoction(Gardenia and Prepared Soybean Decoction) is a classic formula for treating heat stagnation in chest and diaphragm.This prescription is characterized by its limited number of ingredients but potent effects,primarily used for the treatment of pathogenic heat stagnating in the chest and diaphragm,manifesting as chest and epigastric stuffiness and fullness,restlessness,and disturbance.The lungs are located within the chest and above the diaphragm;hence,pathogenic heat stagnation in these areas inevitably affects the physiological and pathological aspects of the lungs.Pulmonary diseases are also prone to present with symptoms of chest and diaphragm heat stagnation,exhibiting frequently indications for the use of Zhizichi Decoction.There are five formulas derived from the original one,each with its unique characteristics based on the original syndrome.Moreover,many pulmonary diseases have a prolonged course and complex conditions involving multiple meridian disorders,accompanied by various pathological products such as phlegm,retained fluids,and dampness.Therefore,in clinical practice,symptoms indictive for Zhizichi Decoction often present as concurrent symptoms in patients.For such diseases,it is common to combine Zhizichi Decoction-based formulas with other prescriptions for treatment,achieving effective result.

关 键 词：栀子豉汤 胸膈郁热 呼吸系统疾病 

分 类 号：R259[医药卫生—中西医结合]