麻黄汤与还魂汤异同之探微  

Exploration of the Differences and Similarities between Mahuang Decoction(麻黄汤)and Huanhun Decoction(还魂汤)

作　　者：李心玥 王树鹏[1] LI Xinyue;WANG Shupeng(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847

出　　处：《中西医结合慢性病杂志》2025年第1期37-40,共4页JOURNAL OF INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE ON CHRONIC DISEASES

基　　金：国家中医药管理局第四批全国中医(临床、基础)优秀人才研修项目(国中医药人教函〔2017〕24号)。

摘　　要：关于麻黄汤与还魂汤之名,皆首见于“医圣”张仲景之著作《伤寒杂病论》一书中。其方剂中的药物组成相近,均涉及有麻黄、杏仁、甘草三味中药,且原方中张仲景对此三味药的用量相同。但两方在治疗上却又各有侧重,分别治疗外感与内伤疾病,亦在书中分属于不同的篇章,即伤寒与杂病。通过对麻黄汤与还魂汤二者的源流考证、用药分析、煎服法和主治功效等方面来一一进行辨析,以探求二者之间的差异和共通之处。通过研究相近或相似方剂之间的异同,来进行经方方证证治规律的研究,探寻中医经典《伤寒杂病论》中遣方用药的巧妙,有助于对张仲景学术学说研究的深耕,加强中医思辨能力,更能在临床实践中灵活地运用经方,以发挥出其应有的疗效。The names of Mahuang Decoction(麻黄汤)and Huanhun Decoction(还魂汤)were first mentioned in the book Treatise on Cold Pathogenic and Miscellaneous Diseases by ZHANG Zhongjing,a medical sage.The drug composition in its formula is similar,all involving three traditional Chinese medicines:ephedra,almond,and licorice,and the dosage of ZHANG Zhongjing in the original formula is the same for these three medicines.But both sides have their own emphasis on treatment,treating external and internal injuries respectively,and are also divided into different chapters in the book,namely typhoid fever and miscellaneous diseases.The author distinguishes and analyzes the origins,medication analysis,decoction methods,and main therapeutic effects of Mahuang Decoction and Huanhun Decoction one by one,in order to explore the differences and similarities between the two.By studying the similarities and differences between similar or similar prescriptions,we can study the rules of syndrome differentiation and treatment of classic Chinese medicine prescriptions,explore the ingenuity of the prescription in the classic Chinese medicine Treatise on Cold Pathogenic and Miscellaneous Diseases,which helps to deepen the academic research of ZHANG Zhongjing,strengthen his thinking ability in traditional Chinese medicine,and flexibly apply classic prescriptions in clinical practice to exert their due therapeutic effects.

关 键 词：《伤寒杂病论》 麻黄汤 还魂汤 仲景学术研究 

分 类 号：R289.3[医药卫生—方剂学] R924[医药卫生—中药学]