首页|桂枝汤方义与"啜热稀粥"作用

桂枝汤方义与"啜热稀粥"作用

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《黄帝内经》中"食入于阴,长气于阳"的本意为:水谷进入人体,转化成人体所需的营养物质,一方面供养体内脏腑,另一方面也输送至体表形骸,周营遍身,使人体各部分发挥正常功能."营者,水谷之精气""卫者,水谷之悍气",营卫之气均由水谷转化而来,又周营于皮肤腠理之间,当营卫之气转化为津液发散于体表时,即形成了发泄于外的汗液,此即"汗生于谷"的内涵.桂枝汤别名为阳旦汤,其作用本质并非仅仅发散祛邪,而是"助阳以为表",使体表的营卫之气充盈,汗而邪退.故方后"啜热稀粥"的作用为生长营卫之气,使汗发有源,从而达到"助药力"的效果.
The Explanation of Cinnamon Twig Decoction and the Function of"Slurping Warm Thin Porridge"
The original meaning of the statement that"Food enters the stomach and can nourish yang qi in the body"from Huangdi's Internal Classic implies that when grains and water enter the human body,they are transformed into the necessary nutrients.On one hand,they nourish the internal organs,and on the other hand,they are transported to the body surface,limbs,and skeleton,etc.circulat-ing throughout the body,enabling each part of the body to function normally."Nutrient qi is the essence of grains and water,"and"De-fense qi is the swift qi of grains and water,"both of which are transformed from grains and water,and circulate between the skin and striae.When the nutrient and defense qi are transformed into body fluids and dispersed on the body surface,sweat is formed externally,which is the connotation of"sweat originating from grains."The alternate name for Cinnamon Twig Decoction is Yangdan Decoction.Its function is not merely to dispel pathogenic factors but fundamentally to"assist yang to reach the surface,"ensuring that the nutrient and defense qi on the body surface are abundant,promoting sweat production,and expelling pathogenic factors.Therefore,the addition of warm thin porridge aims to promote the growth of nutrient and defense qi,ensuring the source of sweat production,thus achieving the effect of"assisting the efficacy of the medicines."

"Food enters the stomach and can nourish yang qi in the body""Sweat originates from grains"Cinnamon Twig Decoc-tion"Slurping Warm Thin Porridge"Treatise on Cold Damage DiseasesZhang Zhongjing

曾楚倩、王华宇、贺华怡、贺琪珺、蔡虎志、陈新宇

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湖南中医药大学第一附属医院,湖南 长沙 410007

"食入于阴,长气于阳" "汗生于谷" 桂枝汤 "啜热稀粥" 《伤寒论》 张仲景

国家自然科学基金项目国家自然科学基金项目湖南省科学技术厅重点领域研发计划项目湖南省发展和改革委员会创新引导专项项目全国名老中医药专家陈新宇传承工作室建设项目心病"四时调阳"重点研究室建设专项项目"四时调阳"治未病湖南省工程研究中心项目

81704061811732132019SK2321湘发改投资2019-412号国中医药人教函[2022]75号湘中医药函[2020]51号湘发改高技[2020]1006号

2024

10.16367/j.issn.1003-5028.2024.04.0091

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(4)
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