益元散方药考辨  

Characteristics and Clinical Application of Yiyuan San Based on Xuanfu Theory

作　　者：陈柳霖 胡宇 吴明权 叶臻 叶俏波[1] 秦凯华 王明杰 Chen Liulin;Hu Yu;Wu Mingquan;Ye Zhen;Ye Qiaobo;Qin Kaihua;Wang Mingjie(School of Basic Medical Sciences,Chengdu University of Traditional Chinese Medicine,Chengdu,611137,China;Department of Pharmacy,Sichuan Province Orthopedic Hospital,Chengdu,610041,China;Health Preservation and Rehabilitation College,Chengdu University of Traditional Chinese Medicine,Chengdu,611137,China;Traditional Chinese Medicine Hospital Affiliated to Southwest Medical University,Luzhou,646000,China)

机构地区：[1]成都中医药大学基础医学院,四川成都611137 [2]四川省骨科医院,四川成都610041 [3]成都中医药大学养生康复学院,四川成都611137 [4]西南医科大学附属中医医院,四川泸州646000

出　　处：《成都中医药大学学报》2024年第6期22-26,共5页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：四川中医药流派工作室项目(川中医药办发[2019]37号);四川省中医药管理局项目(2021MS558);成都中医药大学校级教育教学改革项目(JGYB202334)。

摘　　要：益元散首载于刘河间《黄帝素问宣明论方•痢门》,由滑石、甘草组成,目前多作为清暑利湿之剂。通过回溯河间学术思想与历代医药典籍,文章对益元散方名、方义、主治源流及组方特色进行考证、梳理、解析,发现益元散原书主治涵盖内外各科七十余证,与当今认知具有显著差异。笔者认为益元散具有鲜明“气一元论”内涵,在河间玄府理论视角下,既可甘寒解热,亦能淡渗利窍,通过畅达气、血、津、液、精、神治疗各类热郁疾患,是刘河间在火风、燥火行令的时空背景下以开玄手法治疗阳热怫郁的代表方剂,在当今疑难病症的治疗中发挥着解毒、利窍、疗疮等作用,本文为还原益元散的制方思想和扩展现代应用提供理论支撑。Yiyuan San,consisted of talc and licorice,is first published in Huangdi Suwen Xuanming Lunfang written by Liu Wansu in the Jin Dynasty.Currently,it is mostly regarded as a formula for clearing Heat and Dampness.By analyzing the connotation of Yiyuan San with the help of Liu′s academic thought and ancient medical books,this paper identifies the correct names,mean,treatment,and characteristic of it.Then we find that the therapeutic effects of Yiyuan San cover lots of diseases,which is different from present understanding.Under the perspective of Xuanfu,it can treat various kinds of disorders by promoting the circulation of Qi,Blood,body Fluids,essence.It is a representative formula of Liu′s treatment of dredging Xuanfu under the special spatial and temporal background,and it is playing a role of treating Heat,detoxifying Toxins,dredging Xuanfu,and treating sores now.This paper provides a theoretical support for the restoration of the formulamaking thought of Yiyuan San and the expansion of its modern applications.

关 键 词：益元散 滑石 玄府 六一散 天水散 太白散 

分 类 号：R289[医药卫生—方剂学]