基于通和思想探讨《温疫论》承气汤类方  

Application of Chengqi Decoction in the work On Plague Diseases based on the Tonghe thought

作　　者：姬谈 王仁臻 孙晶[1] 苏金峰[1] 张福利[1] JI Tan;WANG Renzhen;SUN Jing;SU Jinfeng;ZHANG Fuli(Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学,哈尔滨150040

出　　处：《吉林中医药》2025年第1期32-35,共4页Jilin Journal of Chinese Medicine

基　　金：国家中医药管理局全国老中医药专家学术经验继承工作项目(国中医药人教函〔2022〕76号);黑龙江省中医药经典普及化专项课题(ZYW2022-023,ZYW2023-016)。

摘　　要：基于通和思想理论内涵,分析吴又可《温疫论》中承气汤方的应用,探讨吴又可对通和思想的应用与发挥。吴又可主要通过投石问路以探通和之机、逐邪以承胃气为通、慎寒以保胃气为和、攻补兼施通和共济对通和思想进行发挥。吴又可运用承气汤,师于仲景而不拘泥于仲景之用,从伤寒变通到温病,将承气汤的运用从伤寒范畴扩展到温疫病范畴,为现代方剂的跨学派研究提供了思路。Based on illustrating the theoretical connotations of Tonghe thought,this article explores Wu Youke's application and development of the thought by means of analyzing his application of Chengqi Decoction in his work On Plague Diseases.Wu Youke mainly puts into practice and expands the Tonghe thought through the following four aspects:delving into the mechanisms of Tonghe thought by trying out herbs according to varying syndromes,expelling pathogenic factors to activate stomach qi,applying cold-natured herbs with caution to harmonize stomach qi,and applying reinforcement and elimination methods in combination to pursue both unblocked and harmonious flow of stomach qi.Wu Youke flexibly utilizes Chengqi Decoction,learning from Zhang Zhongjing without being bound by the original use of the prescription,expanding its application from the scope of cold pathogenic diseases to that of warm epidemics,providing an idea for cross disciplinary research on modern formulas.

关 键 词：通和思想 《温疫论》 承气汤 继承与发展 

分 类 号：R229[医药卫生—中医基础理论]