基于辛开苦降法探讨子干姜汤在肺系疾病治疗中的运用  

Clinical application of Zhizi Ganjiang Decoction in treating pulmonary diseases with the method of opening with pungent drugs and descending with bitter drugs

作　　者：高源 蔡松 冯泽悦 张立山[1] GAO Yuan;CAI Song;FENG Zeyue;ZHANG Lishan(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院,北京100700

出　　处：《中华中医药杂志》2025年第3期1226-1229,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：全国名老中医药专家武维屏传承工作室建设项目(No.国中医药人教发【2011】42号);北京中医药新奥奖励基金课题(No.2018-XAJLJJ-005)。

摘　　要：辛开苦降法是中药性味配伍的重要理论之一,具有平调寒热、畅达气机的功效,其首见于《黄帝内经》,后被广泛运用于各种疾病中。文章通过探寻辛开苦降法的理论渊源,以及该法在肺系疾病的运用,阐述子干姜汤作为辛开苦降的代表方剂之一,在肺系疾病治疗中有广泛运用前景。临证运用子干姜汤时需注意询问患者病史,以及患者是否有“微烦”或“微饮”的症状,并可将其与茯苓杏仁甘草汤、小柴胡汤类方等联用,令辛苦各尽所长。并附典型医案1则加以佐证。The theory of‘opening with pungent drugs and descending with bitter drugs'is one of the important theories in compatibility of Chinese herbal medicine,which has the effect of regulating cold and heat,and promoting qi circulation.It was first mentioned in Huangdi Neijing,and has been widely used in various diseases.This article explores the theoretical origins of the‘opening with pungent drugs and descending with biter drugs',as well as its application in pulmonary diseases,and explains that Zhizi Ganjiang Decoction,as one of the representative decoctions of this theory,has a broad application prospect in the treatment of pulmonary diseases.When applying this decoction in clinical practice,it is necessary to ask the patient's medical history,pay attention to whether the patient has symptoms of‘mild restlessness'or‘slight fluid retention',and this decoction can be combined with Fuling Xingren Gancao Decoction or similar formulae of Xiaochaihu Decoction,so that each ingredient can play its own role.One typical medical case is attached for evidence.

关 键 词：辛开苦降法 子干姜汤 经方 肺系疾病 临床运用 张立山 

分 类 号：R256.1[医药卫生—中医内科学]