摘要
方证对应是中医临床实用的论治方法,研究以半夏秫米汤为基础方的方证在后世的演变,对于认识中医方证发展历史、掌握方证演变规律,乃至中医理论传承创新,均有指导意义。半夏秫米汤的源流变化有一条比较清晰的线路,后代在前代的基础上接力式地递进发展。该方的药味组成变化由晋代到明代较原方增加,清代又回归原方再创造;其主治范围也随之变化、拓展,由单纯的不寐到多种睡眠障碍再到精神变化,方随证变;其病机认识亦不断丰富,由阳不入阴到胆腑病机、中焦病机变化,体现了中医理论基于方证实用为特征的发展规律,对半夏秫米汤的病机认识也不断丰富,逐渐精准。
The correspondence between formulas and patterns is a practical therapeutic method in traditional Chinese medicine（ TCM） in clinic practice. It has a guidance value to study on the evolution of Banxia Shumi Tang（ Pinellia Tuber and Husked Sorghum Decoction） in later generations in making a clear view on development history of TCM formula-related patterns,grasping the rules of this evolution,and improving inheritance and innovation of TCM theory. There is a clear rout of the changes in origin and development of Banxia Shumi Tang,which is a progressive development on the foundation of previous evolution. The changes in the composition of Banxia Shumi Tang have showed that herbal medicinals increased from the Jin Dynasty to the Ming Dynasty,and returned to the original formula recreation during the Qing Dynasty. The indications of this formula have also changed and expanded,from simple insomnia to a variety of sleep disorders and to mental discomfort,which reveals that the formula corresponds to pattern development. The knowledge on pathogenesis has also been continuously enriched,from yang failing to enter Yin to the pathogenesis changes of gallbladder and the middle energizer. That reveals the development law of TCM academy based on the characteristics of formularelated patterns utilization. The perspective on the pathogenesis of Banxia Shumi Tang has also been enriched and gradually refined.
作者
金珏
胥孜杭
陈晓
Jin Jue;Xu Zihang;Chen Xiao(School of Basic Medical Sciences,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2018年第9期726-730,共5页
Journal of Beijing University of Traditional Chinese Medicine
基金
上海市教委博士点建设项目(No.A-182040105)~~
关键词
黄帝内经
半夏秫米汤
方证
Huangdi Neijing （the Yellow Emperor＇ s Internal Classic）
Banxia Shumi Tang （PinelliaTuber and Husked Sorghum Decoction）
formula-related patterns
