从“轻可去实”论方之悟与变  

Understanding and Variations of the Theory of“Light Medicinals to Expel Excess”

作　　者：张哲 刘宇洲 付强[1] 付殷[1] 李冀[1] ZHANG Zhe;LIU Yuzhou;FU Qiang;FU Yin;LI Ji(Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《中医药学报》2024年第11期1-4,共4页Acta Chinese Medicine and Pharmacology

基　　金：中医药传承与创新百千万人才工程(岐黄工程)国家中医药领军人才支持计划(国中医药人教函〔2018〕284号);全国名中医专家传承工作室项目(No.14061220023)。

摘　　要：方剂古有十剂之说,十剂各有特点,亦各有所长。本文浅议十剂之中“轻可去实”之法,据此法在辨证论治之应用,阐述其“轻”“实”之意,并通过举例“轻可去实”治法之典型方剂黄连苏叶汤,讨论其在论治过程中配伍、运用之变化,领悟“方之用,变也”之理,以期更好运用“轻可去实”治法遣方用药。In ancient times,there was a theory of ten formulae for a disease,and each of the formulae had its own characteristics and advantages.This article briefly discusses a method in the ten formulae,“light medicinals to expel excess”method,and based on the application of this method in pattern differentiation and treatment,explains the meaning of“light”and“excess”.Furthermore,through taking Huanglian Suye Decoction as an example that light medicinals can expel excess pathogens,we illustrate the changes of drug combination and application in the treatment process for people to understand the truth of“The application of formulae in clinic lies in the change”and provide ideas for better clinical application of this method and compatibility selection.

关 键 词：轻可去实 悟与变 黄连苏叶汤 方无至方 

分 类 号：R289.1[医药卫生—方剂学]