从一气周流探讨麦门冬汤证核心病机与组方思路  

Exploration of Core Disease Mechanism and Formula Composition Rationale of Maimendong Decoction(麦门冬汤)Syndrome from Perspective of“One Qi Flowing in Cycles”

作　　者：苏宇情 都芮 宋博涵 王埝琦 李楠[1] 周德颖 李晓凤[2] 杜武勋[2] SU Yuqing;DU Rui;SONG Bohan;WANG Nianqi;LI Nan;ZHOU Deying;LI Xiaofeng;DU Wuxun(Tianjin University of Traditional Chinese Medicine,Tianjin 300383,China;The Second Affiliated Hospital of Tianjin University of 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11期1219-1222,1241,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(编号:82004329);天津市名中医传承工作建设项目(批文号:津卫中〔2022〕303号);全国名老中医药专家传承工作室建设项目(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：基于黄元御一气周流理论,通过整理文献,分析麦门冬汤证核心病机及组方思路。麦门冬汤证核心病机为中虚胃逆,阳明失降,气火上逆,相火刑金,即上燥热中虚(上焦燥热兼中土虚损)。其组方思路为补中虚、建中气以斡旋枢机,降胃气、润肺金、平逆火以清肃降机。麦门冬汤论治范围并不局限于肺系疾病或阴虚肺热证,凡是存在中虚胃逆、气火上逆之病机者,均可考虑本方或依据本方思路施治。To explore the core disease mechanism and formula composition rationale of Maimendong Decoction(麦门冬汤)syndrome,based on the theory of“One Qi Flowing in Cycles”by HUANG Yuanyu,and through sorting out the literature.The core disease mechanism of Maimendong decoction syndrome are middle deficiency and stomach rebellion,qi in yangming pulse failing to descend,upward reversal of qi and fire,ministerial fire damaging metal,namely dry heat in the upper and deficiency in the middle(dry heat in the upper energizer and deficiency in the middle earth).The formula composition rationale are tonifying the middle,invigorating middle qi to turn the pivot,lowering down stomach qi,moistening lung metal,putting down rebelling fire to clear,disperse and lowering down movement.The treatment scope of Maimendong Decoction is not limited to the lung diseases or yin deficiency and lung heat syndrome.Whenever there is disease involving the disease mechanism of deficiency of in the middle and stomach rebellion,and upward reversal of qi and fire,Maimendong Decoction could be applied or treated with syndrome differentiation based on this formula rationale.

关 键 词：一气周流 麦门冬汤 中虚胃逆 气火上逆 核心病机 组方思路 

分 类 号：R289.3[医药卫生—方剂学]