摘要
小阴旦汤证是外感阳邪致"精化为气"太过,则少阳生气太过,少阳为枢功能偏向于助东方升气,使六经升的力量表现太过,总体上表现"天气下降"不及,则取芍药"酸收"以抑太阳之开(少阳升气),取黄芩"苦降"以助阳明之合(少阳天气),更取姜草枣正补脾胃"地气",用药之性味补入下降的力量,矫正少阳为枢偏于升太过的病证;而小阳旦汤证是外感阴邪致"精化为气"受阻(不及),则少阳生气不及,少阳为枢功能难以使地气上升,使六经升的力量表现不及,总体上表现"地气上升"不及,则取桂枝"辛开"以助太阳之开(少阳升气),取赤芍"酸收"以助降南方火气和西方天气,再取姜草枣正补脾胃"地气",用药之性味补入上升的力量,矫正少阳为枢偏于升不及的病证。至于赤白芍之活用,则根据二者对阴的力量赤泄白补,小阴旦汤用白芍助阴以增加降的力量,小阳旦汤改用赤芍药则恰为防止白芍助阴而更加阻碍"地气上升",且能泻南方火气太过。
The symptom of Xiaoyindan Tang is exogenous pathogenic factors " into Yang Qi" is resort to too much rage. Shaoyang for the pivot function tends to help lifting the Eastern Qi,make six liters power perform a lot,which performed by the " weather down" less and then to take acid Shaoyao to suppress peony the sun open( Shaoyang lift Qi),take the bitter Huangqin to help the Yangming( Shaoyang weather). What' more,it takes Ginger,Jujube,Licorice to tonify spleen and stomach Qi. The character and taste of medicine produce the function of reinforcing and reducing,which decreased the power of correction of Shaoyang diseases tends to rise too. For the Xiaoyinyangdan Tang syndrome is exogenous pathogenic factors " into Qi"( less),then blocked Shaoyang lifting Qi as Shaoyang for the pivot function is difficult to make up to six liters of Qi,power as the performance,the overall performance of " Qi rising" is not, " pungent" Guizhi to help open the sun( Shaoyang Qi lift) and from the acid Red Peony to support the southern temper and western weather. Then Ginger,Jujube and Licorice were used to tonifying spleen and stomach Qi,medication of flavors complement into the rising power,correction of Shaoyang for pivot tends to rise less than the disease and syndrome. As for the red and white peony leverage,according to both the Yin force red discharge white fill,Xiaoyindan Tang with Radix Paeoniae Alba and medicine to help Yin to increase down force. Chishao( Red Paeony Root) instead Baishao( Radix Paeoniae Alba) in Xiaoyangdan Tang which is exactly to prevent Baishao( Radix Paeoniae Alba) supporting Yin and block the rise of earth Qi and diarrhea too much South fire.
出处
《中医学报》
CAS
2016年第6期807-811,共5页
Acta Chinese Medicine
基金
2012年度甘肃省高校学科带头人扶持项目(12GSXKJH-07)
甘肃省高校人文社科重点研究基地项目(DHYX-2011-03)
甘肃省第十二批科技计划项目(1212RJZA089)
敦煌医学诊疗技术与临床应用建设项目(DHYX1415-004)
关键词
“少阳为枢”
小阴旦汤
小阳旦汤
《辅行诀五脏用药法要》
" Shaoyang as pivot"
Xiaoyindan Tang
Xiaoyangdan Tang
The Method of Auxiliary Line for These Five Zang-Organs Medication