首页|《傅青主女科》白芍、甘草药对配伍应用探析

《傅青主女科》白芍、甘草药对配伍应用探析

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《傅青主女科》记有白芍、甘草药对共 16 处,治疗涵盖带下病、月经病、妊娠及产后病等多种疾病,其药用剂量、炮制方法、药对比例皆有精义。通过对白芍、甘草药对配伍应用的案例及剂量、炮制、比例特点进行分析,发现白芍、甘草药对在带下病中疏肝健脾以化湿止带,在月经病中调肝补脾以调经止痛,在妊娠病中养血益气以降逆、安胎,在产后病中调补气血以祛邪通乳,对于大怒小产则奏平肝降逆、缓急止痛之效。剂量方面,白芍多用3~5 钱,甘草多用 1 钱,并根据肝郁、脾虚的主次程度来调整两药用量。炮制方面,多用酒白芍、生甘草,酒炒可使白芍养血行血、补而不滞,大多用于肝气郁滞或气血亏虚所致疾病中;甘草生用补而不腻,并能起到泻火之效。配伍比例方面,治疗肝郁克脾,白芍、甘草比例多用5∶1;若气血不足为主,则为3∶1;若火热明显,则为 1∶1。探析《傅青主女科》中白芍、甘草药对的应用规律,旨在深入学习传承傅青主学术思想,为临证精准运用及研究白芍、甘草药对提供新的思路和方法。
Analysis on application of Paeoniae Radix Alba and Glycyrrhizae Radix et Rhizoma couplet medicines in FU Qingzhu Nüke
There are a total of 16 couplet medicines of Paeoniae Radix Alba and Glycyrrhizae Radix et Rhizoma in the book FU Qingzhu Nüke,covering a wide range of diseases such as leukorrheal diseases,menopathy,pregnancy,and puerperal diseases,and there is a fine sense of the dosage,processing,and proportion of the couplet medicines.Through analyzing the cases of Paeoniae Radix Alba and Glycyrrhizae Radix et Rhizoma couplet medicines and the characteristics of dosage,processing,and proportion,we conclude that Paeoniae Radix Alba and Glycyrrhizae Radix et Rhizoma couplet medicines are mainly as followed:smoothing liver and strengthening spleen in treating leukorrheal diseases to remove dampness and stop leucorrhoea;regulating liver and tonifying spleen in menopathy to regulate menstruation and relieve pain;nourishing blood and benefiting qi in pregnancy to lower adverse qi and tranquilize fetus to prevent miscarriage;regulating and tonifying qi and blood in puerperal diseases to eliminate pathogenic factors and promote lactation;suppressing hyperactive liver for descending adverse qi,and relieving spasm and pain in cases of miscarriage due to rage.In terms of dosage,Paeoniae Radix Alba is mainly used for three to five qian,and Glycyrrhizae Radix et Rhizoma is primarily used for one qian,and the dosage of the two medicinals is adjusted according to the degree of primary and secondary liver stagnation and spleen deficiency.In terms of processing,wine Paeoniae Radix Alba and raw Glycyrrhizae Radix et Rhizoma are primarily used.Stir-frying with wine can help Paeoniae Radix Alba nourish blood and promote blood circulation,tonifying without stagnation,and it is used in most of the diseases caused by liver qi stagnation or qi and blood deficiency.Glycyrrhizae Radix et Rhizoma used in raw is tonifying without causing stagnation,and it can also have the effect of purging fire.In terms of proportion,the ratio of Paeoniae Radix Alba to Glycyrrhizae Radix et Rhizoma is 5∶1 for liver stagnation restraining spleen,3∶1 for qi and blood deficiency,and 1∶1 for obvious fire-heat.This paper analyses the application of Paeoniae Radix Alba and Glycyrrhizae Radix et Rhizoma couplet medicines in FU Qingzhu Nüke,aiming to deeply study and inherit the academic thought of FU Qingzhu,and to provide new ideas and method for the precise application of Paeoniae Radix Alba and Glycyrrhizae Radix et Rhizoma couplet medicines in clinical practice and researches.

FU Qingzhu NükePaeoniae Radix AlbaGlycyrrhizae Radix et RhizomaShaoyao Gancao Decoctioncouplet medicines

郭霖霖、刘雁峰、任巧生、李晶晶、霍超越、黄致超

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北京中医药大学东直门医院 北京 100700

北京中医药大学第三附属医院

傅青主女科 白芍 甘草 芍药甘草汤 药对

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(12)