《腹证奇览》桂芍剂腹证探析  

Analysis of Guishao Decoctions-Abdominal Syndrome Based on Fuzheng Qilan(FuKushokiran-Zen)

作　　者：胡铭臻 赵健[1] 曾丽蓉[1,2] 小川惠子 HU Mingzhen;ZHAO Jian;ZENG Lirong(Tianjin University of Traditional Chinese Medicine,Tianjin(300193),China;Hiroshima Uni-versity Hospital Hanfang Diagnosis and Treatment Center)

机构地区：[1]天津中医药大学,天津300193 [2]日本广岛大学病院汉方诊疗中心

出　　处：《浙江中医药大学学报》2024年第11期1429-1432,共4页Journal of Zhejiang Chinese Medical University

基　　金：国家留学基金委青年骨干教师出国研修项目(202208785001)。

摘　　要：[目的]探索《腹证奇览》所述腹证对临床应用各类桂芍剂的指导意义,挖掘《腹证奇览》“药-腹证”相对的思想,以期为临床鉴别使用桂芍剂提供参考。[方法]整理《腹证奇览》涉及桂芍剂腹证的论述,分类归纳各类桂芍剂的腹证,总结应用桂枝、芍药的腹诊依据,探索腹证与桂芍剂药物加减的对应关系。[结果]《腹证奇览》所涉桂芍剂可据其功效分为温阳类、滋阴类与阴阳平补类,各方均有其详细腹证记载;腹中动气与腹部拘挛是桂芍剂的特征性腹证,临证可依据不同腹证及其与方药的对应关系,以桂枝汤为底方加减运用。[结论]《腹证奇览》作为日本汉方医学腹诊专著,在临床辨证遣方上有深入研究,体现了汉方医家“重实践而轻理论”的诊治特色;该书继承吉益东洞“药证相对”的思想,将“证”具体为“腹证”并以此指导临床遣方用药,为日本后世医家广泛应用,值得挖掘研究。[Objective]To explore the guiding significance of the abdominal syndrome described in the Fuzheng Qilan(FuKushokiran-Zen)on the clinical application of various kinds of Guishao Decoctions,and explore the corresponding relation of medicine-abdomen syndrome in Fuzheng Qilan(FuKushokiran-Zen),so as to provide reference for the clinical differential use of Guishao Decoctions.[Methods]Sort out the discussion of abdominal syndrome involving Guishao Decoctions,classify and summarize the abdominal syndrome of various kinds of Guishao Decoctions,summarize the basis of abdominal diagnosis of Guizhi(Cinnamomi Ramulus)and Shaoyao(Paeonia lactiflora),and explore the corresponding relationship between abdominal syndrome and the addition and subtraction of Guishao Decoctions.[Results]The Guishao Decoction involved in Fuzheng Qilan(FuKushokiran-Zen)can be divided into warming Yang,nourishing Yin,and nourishing Yin and Yang according to its efficacy,and all parties have their detailed records of abdominal syndrome.Abdominal throbbing and abdominal cramps are the characteristic abdominal syndromes of Guishao Decoctions.Clinically,it can be used based on different abdominal syndromes and their corresponding relationships with prescriptions,with Guizhi Decoction as the base.[Conclusion]As a monograph on abdominal diagnosis of Japanese Kampo medicine,Fuzheng Qilan(FuKushokiran-Zen)has in-depth research on clinical syndrome differentiation,reflecting the diagnosis and treatment characteristics of Kampo doctors“emphasizing practice and neglecting theory”.The book inherits the idea of“relative medicine and syndrome”of Yoshitomo Higashito,and specifies“syndrome”as“abdominal syndrome”to guide clinical prescription and medication,which is widely used by later Japanese doctors and worthy of excavation and research.

关 键 词：《腹证奇览》 桂芍剂 腹证 腹诊依据 汉方医学 方证相对 腹中动气 腹部拘挛 

分 类 号：R092[医药卫生]