《金匮要略》瓜蒌薤白三方再辨析

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中文摘要：本文通过仲景《金匮要略·胸痹心痛短气篇》瓜蒌薤白三方来探讨胸痹心痛的证治，发现"阳微阴弦"为瓜蒌薤白三方主要的病机，即上焦阳虚故在下之阴邪伺机逆而上乘，闭塞胸中阳气，阻滞不通则胸痹心痛，其关键在于胸阳不足所致。后世医家在《伤寒杂病论》六经辨证指导下遣方用药，均是在此基础上应用发挥的。以此将通过探讨瓜蒌薤白白酒汤、瓜蒌薤白半夏汤、枳实薤白桂枝汤三方的病因病机、方药配伍、实验研究、临床应用等，挖掘其所蕴含的学术思想，以期更好的拓宽临证思路为临床所应用。

外文标题：Further Analysis of the Three Decoctions of Gualou Xiebai in Synopsis of Prescription of the Golden Chamber

外文摘要：This article explores the syndrome and treatment of chest pain and heartache through the three prescriptions of Gualou Xiebai in Zhongjing's"Synopsis of Prescription of the Golden Chamber-Chest Pain and Short Qi Chapter".It is found that the main pathogenesis of Gualou Xiebai is the"weak pulse at yang and wiry pulse at yin".Due to the deficiency of yang in the upper jiao,the yin evil in the lower jiao waits for the opportunity to reverse and become superior,blocking the yang qi in the chest,and blocking the obstruction leads to chest pain and heartache;The key is due to insufficient chest yang.Under the guid-ance of differentiation of symptoms and signs in the Six Meridians of the Treatise on Cold Damage and Miscellaneous Diseases,later medical practitioners used prescriptions and medicines based on this foundation.In this way,we will explore the etiology and pathogenesis,prescription compatibility,experimental research,clinical application,etc.of Gualou Xiebai Baijiu Decoction,Gualou Xiebai Banxia Decoction,Zhishi Xiebai Guizhi Decoction,excavate the academic ideas contained in them,so as to better broaden the clinical thinking for clinical application.

外文关键词：

weak pulse at yang and wiry pulse at yinGualou Xiebai Categorized Formula basedSynopsis of Prescription of the Golden Chamberthoracic obstructionprescription compatibilityclinical application

作者：

陈文豪、陈丽名、李小会、李红、田维维、王爽、谭颖颖

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作者单位：

陕西中医药大学,陕西咸阳 712046

关键词：

阳微阴弦瓜蒌薤白类方金匮要略胸痹方药配伍临床应用

基金：

国家自然科学基金陕西省中医药局伤寒学与经方辨治疑难病重点研究室项目陕西中医药大学学科创新团队项目

项目编号：

818732962019-QN04

出版年：

2024

四川中医

四川省中医药学会，四川省中西医结合学会，四川省针灸学会，四川省中医药科学院

四川中医

CSTPCD

影响因子：0.522

ISSN：1000-3649

年,卷(期)：2024.42(5)

参考文献量30