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论甘草在张仲景方药体系中的核心作用

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甘草是《伤寒论》和《金匮要略》两部著作中使用频次很高的药物,是研究张仲景方药体系的重要切入点.甘草在张仲景方药体系中的作用与现在甘草的功效有较大差异,本文以张仲景方药体系为基础,结合历代本草古籍记载,对包含甘草的方剂进行梳理,总结甘草的4个基本功效为:存津液、保胃气、扶阳气和护焦膜.甘草的基本功效与张仲景方药体系的核心治则契合,甘草是构建张仲景方药体系的核心药物之一.为更清晰地呈现方药扩增的逻辑,本文将包含甘草的经方进行拆解,根据与甘草配伍药物的远近关系,将经方划分为一级方、二级方、三级方、四级方和其他方,将对应的药物划分为一级药、二级药、三级药、四级药和其他药.以桂枝、干姜、芍药、麻黄为例,分析其与甘草组方的原理.张仲景方药体系以充分发挥或延伸甘草的4个基本功效为动机加减方药,在不断扩增的基础上形成了现有的大部分经方,为进一步深入研究张仲景方药体系提供了新的思路和方法.
The role of Glycyrrhizae Radix et Rhizoma in ZHANG Zhongjing's prescription system
Glycyrrhizae Radix et Rhizoma is the most commonly used herb in ZHANG Zhongjing's Treatise on Cold Pathogenic Diseases and Synopsis of Golden Chamber.It serves as a crucial entry point for understanding ZHANG Zhongjing's prescription system.The role of Glycyrrhizae Radix et Rhizoma in ZHANG Zhongjing's prescription system differs from its current recognized efficacy.By analyzing the typhoid prescriptions and referring to ancient materia medica texts from various dynasties,this study categorizes the formulas containing Glycyrrhizae Radix et Rhizoma and identifies four fundamental efficacies associated with it:fluid retention,preservation of gastric qi,support of yang qi,and protection of the triple energizer.These basic efficacy principles align with the core treatment principles implied in ZHANG Zhongjing's prescription system,suggesting that Glycyrrhizae Radix et Rhizoma is one of the key herbs in constructing ZHANG Zhongjing's prescription system.To elucidate the logical expansion of prescriptions,formulas containing Glycyrrhizae Radix et Rhizoma are deconstructed and classified into first-order,second-order,tertiary-order,quaternary-order,and other formulas based on the affinity of the paired herbs.Similarly,the corresponding herbs are classified accordingly.Using Cinnamomi Ramulus,Zingiberis Rhizoma,Paeonia lactiflora Pall.,and Ephedrae Herba as examples,the study analyzes the principles behind formulas containing Glycyrrhizae Radix et Rhizoma.ZHANG Zhongjing's prescription system strategically added or subtracted other herbs to fully utilize or extend the four fundamental effects of Glycyrrhizae Radix et Rhizoma,resulting in the majority of existing formulas through continuous expansion.This provides new insights and approaches for further in-depth study of ZHANG Zhongjing's prescription system.

Glycyrrizae Radix et Rhizomaclassical formulaZHANG Zhongjingtextual research

金雨静、黄世敬

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中国中医科学院广安门医院 北京 100053

甘草 经方 张仲景 考证

中国中医科学院科技创新工程项目中央级公益性科研院所基本科研业务费专项资金资助项目中央高水平中医医院临床科研业务费资助项目

CI2021A01313ZZ15-XY-LCQ-04HLCMHPP2023035

2024

北京中医药大学学报
北京中医药大学

北京中医药大学学报

CSTPCD北大核心
影响因子:1.568
ISSN:1006-2157
年,卷(期):2024.47(7)
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