《金匮要略》己椒苈黄丸条新解  

A new interpretation of Jijiao Lihuang Pill clause in Synopsis of Golden Chamber

作　　者：邱旭东 李良松 钟相根 QIU Xudong;LI Liangsong;ZHONG Xianggen(School of Basic Medical Sciences,Yunnan University of Chinese Medicine,Kunming,Yunnan 650500,China;School of Ancient Chinese Studies,Beijing University of Chinese Medicine,Beijing 100029,China;School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;National Key Laboratory for Quality Assurance and Sustainable Utilization of Genuine Medicinal Materials,Beijing 100700,China)

机构地区：[1]云南中医药大学基础医学院,云南昆明650500 [2]北京中医药大学国学院,北京100029 [3]北京中医药大学中医学院,北京100029 [4]道地药材品质保障与资源持续利用全国重点实验室,北京100700

出　　处：《上海中医药杂志》2025年第4期13-16,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：2022年国家中医药管理局第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]239号);国务院台湾事务办公室台湾中医药研究基地建设项目(GTB2017-170);中国中医科学院中央本级重大增减支项目“名贵中药资源可持续利用能力建设项目”(2060302-2301-16)。

摘　　要：基于《金匮要略》原文记载,回归张仲景“辨病→平脉→析证→定治”之“病脉证并治”临床诊疗决策模式,通过文献学、考据学等方法,对己椒苈黄丸条内涵展开探讨。认为己椒苈黄丸当属于支饮治方,其用丸剂之意除“峻药缓投”之外,尚考虑到支饮腹满不耐饮水,以及椒目利于入丸散服用的因素;邓珍本之方后注中“口中有津液”后脱漏“止”字,应作“口中有津液,止”,即口中有津液为取效;己椒苈黄丸主治支饮发病过程中出现腹内有水作满者;在现代疾病中,慢性肺心病急性加重期并发腹腔积液所表现出的症状(如口干、腹胀等)与己椒苈黄丸条的记载较为接近。This article is based on the original record of Synopsis of Golden Chamber and returns to Zhang Zhongjing's clinical diagnosis and treatment decision-making model of"disease-pulse-syndrome combined treatment",which following the clinical practice process of"differentiates the disease→analyzes the pulse→analyzes the syndrome→determines the treatment".Through methods such as literature review and textual research,the connotation of this clause is explored.It is believed that Jijiao Lihuang Pill belongs to the formula for treating thoracic fluid retention,and the use of the pill formulation not only reducing the drug resistance of violent,but also take into accounts the factors of patients with abdominal distention who do not want to drink water,and Jiaomu could take better effects using the formulation of pill or powder.The note at the end of the prescription is described as"there is body fluid in the mouth".After textual research,this article believes that the word"zhi(stop)"is missing in the sentence of Deng Zhen's edition.The original text should be"there is body fluid in the mouth,then stop",that is to say,the body fluid in the mouth is the reaction after the medication takes effect.This prescription is used to treat abdominal distention caused by water during the process of thoracic fluid retention.In modern medicine,the symptoms of patients with acute exacerbation of chronic pulmonary heart disease complicated with peritoneal effusion(such as dry mouth,abdominal distention,etc.)are close to the record of Jijiao Lihuang Pill's clause.

关 键 词：金匮要略 己椒苈黄丸 支饮 经典名方 考证 

分 类 号：R22[医药卫生—中医基础理论]