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浅析前胡之推陈致新功用

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前胡味苦、辛,性微寒,归肺经,《神农本草经》《本草经集注》等均记载其有推陈致新功效,可祛除在表之水饮,解在表之邪气,从而达到"推陈"之功,且其味甘可健中焦,补益胃气,故在祛除病理产物的同时还具有补益之功.柴胡、前胡均能疗伤寒寒热,发表散风,推陈致新,清里散结,而前胡更偏于除里之痰饮水气,散表之风邪,其与半夏相配能制痰饮痞结,降逆化浊;与黄芩相配可泻厥阴伏火;与桂枝相配能散表之风邪;与生姜相配意在温胃化饮.前胡之推陈致新功用既体现在气机层面,可理气、散气,对不同程度的气机瘀滞、气机凝结等均有效;又表现在活血通脉方面,在理气的基础上,通行血脉,活血化瘀.散气、活血均是"推陈"的体现,"陈"包括机体的病理产物如痰浊、水饮、瘀血、滞气、燥矢等,推出体内陈旧之代谢废物,促使新生之物产生,从而使机体达到气血通畅、五脏安和的状态.
An Analysis of Qianhu's New Function of Weeding Through the Old to Bring Forth the New
Qianhu(Radix Peucedani)tastes bitter and spicy,and is slightly cold in nature.It belongs to the lung meridian.It is recor-ded in Shen Nong's Classic of Materia Medica and Collective Commentaries on the Classic of Materia Medica that Qianhu has the effect of weeding through the old to bring forth the new,which not only works on the invisible pathogens but also on the tangible pathological products.Qianhu can eliminate fluid retention and release pathogens in the exterior,so as to achieve the effect of"weeding through the old"'.Its flavor is sweet,which can strengthen the middle energizer and nourish stomach qi.That's why it has the effect of tonifying be-sides removing pathological products.Both Chaihu(Radix Bupleuri)and Qianhu can treat typhoid fever and cold,release the exterior and disperse wind,weed through the old to bring forth the new,clear the interior and disperse pathogenic accumulation,while Qianhu is more inclined to remove phlegm retention and edema inside the body,disperse wind and pathogens on the surface.Combined with Banx-ia(Rhizoma Pinelliae),Qianhu can eliminate phlegm retention and stuffy accumulation,descend counterflow of qi and resolve turbidity.Combined with Huangqin(Radix Scutellariae),it can purge latent fire in the reverting yin meridian.Combined with Shengjiang(Rhizo-ma Zingiveris Recens),it can warm the stomach and resolve retention.The new function of Qianhu is not only reflected in the level of qi,which can regulate qi and disperse qi,and is effective for different degrees of qi stagnation and qi movement condensation,but also in the aspect of activating blood circulation,which can dredge blood vessels and eliminate blood stasis on the basis of regulating qi.Disper-sing qi and activating blood circulation are the embodiment of"weeding through the old",including the pathological products of the body such as phlegm turbidity,fluid retention,blood stasis,stagnation of qi,dryness,etc.Pushing out the old metabolic waste in the body and promoting the production of new things is to make the body reach the state of smooth qi and blood and the harmony of the five zang organs.

Qianhu(Radix Peucedani)weeding through the old to bring forth the newstrengthening the middle energizer and resolving phlegm retentionharmonizing lesser yang and reducing fire and heatreleasing exterior pathogens and eliminating fluid retentiondisper-

王珏、王星栋、薛佳怡

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陕西中医药大学,陕西 咸阳 712046

前胡 推陈致新 健中焦,化痰滞 和少阳,降火热 解表邪,祛水饮 散气结,祛瘀血

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(3)
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