基于六经辨证与五行理论浅析炙甘草汤治疗“心动悸”的组方思路  

A brief analysis of the formulating rule of treating palpitation with the Zhigancao decoction based on six-meridian differentiation and five elements theories

作　　者：王清轩 高长昀 WANG Qingxuan

机构地区：[1]湖北中医药大学,湖北武汉430061 [2]湖北中医药大学附属医院,湖北武汉430061

出　　处：《中医临床研究》2024年第25期59-62,共4页Clinical Journal Of Chinese Medicine

摘　　要：阴阳理论及五行理论在中医理论中有极其重要的地位。张机(字仲景)在继承前人思想的基础上将医理与经方熔于一炉,编撰成《伤寒杂病论》,《伤寒杂病论》分为《伤寒论》与《金匮要略》,开创了中医辨证论治的先河,促进了中医学的发展,并对后世形成了深远的影响,直至现在仍对临床诊疗有很大的指导意义。张机以其独到的见解创立了六经辨证,详细阐述了阴阳理论与五行理论,并以此为基础揭示了疾病的传变规律。炙甘草汤出自张机《伤寒论》,是针对寒入太阳,太阳误治或失治,进而直入少阴的方药。太阳与少阴在人属水火。寒入水火,可化为热,亦可寒盛伤阳,炙甘草汤所治之证为前者。其方义为助土之阳正治寒水则亢火无源,助金之水则金不为火炼而不成亢金。研究以炙甘草汤为切入点,运用五行理论和六经辨证思想探究张机以炙甘草汤治疗“心动悸”的组方思路,为临床提供参考。The Yin(阴)and Yang(阳)theory and the five elements theory play an important role in traditional Chinese medicine.ZHANG Ji,based on inheriting the thoughts of his predecessors,combined medical theory with classical prescriptions and compiled them into Shanghan Zabing Lun(《伤寒杂病论》),which is divided into Shanghan Lun(《伤寒论》)and Jingui Yaolue(《金匮要略》).He pioneered the differentiation of symptoms and treatment in traditional Chinese medicine,promoted the development of traditional Chinese medicine,and had a profound impact on later generations.Even now,it still has great guiding significance for clinical diagnosis and treatment.ZHANG Ji established the six-meridian syndrome differentiation with his unique insight,elaborated the Yin and Yang theory and the five elements theory,and revealed the law of disease transmission and change on this basis.The Zhigancao decoction(炙甘草汤)comes from Shanghan Lun written by ZHANG Ji.It is a prescription for the diseases of cold straight into Shaoyin meridian(少阴经)after mistaking treatment or lacking treatment when the cold in Taiyang meridian(太阳经).Taiyang meridian and Shaoyin meridian are classified into water and fire in the human body,respectively.When cold enters into water and fire,it can be turned into heat,or become more powerful cold and damage Yang.The Zhigancao decoction is made for the treatment of the former.In terms of the function of this prescription,Yang that supports the earth can eliminate cold water to make hyperactive fire have no source,and the water that supports gold can eliminate hyperactive gold.In this article,taking the Zhigancao decoction as the starting point,the formulating rule of the Zhigancao decoction in the treatment of palpitation is explored based on the five elements theory and six-meridian syndrome differentiation thought for more clinical reference.

关 键 词：太阳病 炙甘草汤 六经辨证 五行 

分 类 号：R241.5[医药卫生—中医诊断学]