首页|基于运气格局解读苓术汤与敷和汤配伍原理

基于运气格局解读苓术汤与敷和汤配伍原理

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陈无择依据五运六气理论所设立的三因司天方是中医"运气方剂"的代表。本文以五味合化规律为切入点，结合运气格局和相关本草文献，探索六壬年苓术汤与巳亥之岁敷和汤的异同。两方均适用于木胜土虚的运气格局，可奏健脾除湿兼复气机升降之功。但其针对的病机偏重有所不同:苓术汤主要为木旺风动、土虚湿胜而设，治法为平肝祛风兼以补脾祛湿;敷和汤主要为风火相煽、土湿水亏而设，治法为敛降风火兼祛湿补肾。临证时应根据不同病机侧重而辨证选方。
Interpretation of Compatibility Principle of Lingzhu Decoction(苓术汤)and Fuhe Decoction(和汤)Based on Yun-Qi Configuration
Sanyin Sitian Formula,established by CHEN Wuze,is the representative of the"prescription of Yun-qi"in traditional Chinese medicine based on the theory of"five evolutive phases and six climatic factors".This article takes the rule of the compatibility of five flavors as the breakthrough point,combines Yun-qi configuration and related materia medica literature,and explores the similarities and differences between Lingzhu Decoction(苓术汤)in Liuren Year and Fuhe Decoction(敷和汤)in Sihai Year.It can be seen that both prescriptions are suitable for the Yun-qi configuration of wood hyperactivity and earth deficiency,and can achieve the effect of strengthening the spleen and dehumidifying and restoring the qi ascending and descending.However,the two prescriptions focus on different pathogenesis.Lingzhu Decoction is mainly designed forexcessive wood and flirting wind,deficient earth and predominant dampness,the treat-ment method is to calm the liver qi to prevent excessive liver wind and to invigorate the spleen and remove dampness.Fuhe Decoction is mainly designed for mutual fanning of wind and fire,earth dampness and water deficiency.The treatment method is to reduce wind and fire,remove dampness and invigorate the kidney.At the time of diagnosis,the prescription should be selected according to the different pathogenesis.

Huangdi's Canon of Internal Medicinefive evolutive phases and six climatic factorsSanyin Sitian Formulacompatibility of five flavorsLingzhu DecoctionFuhe Decoctionwood hyperactivity and earth deficiency

刘卫鲁、鲁明源

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山东中医药大学中医学院,山东济南 250355

《黄帝内经》 五运六气 三因司天方 五味合化 苓术汤 敷和汤 木胜土虚

国家中医药管理局全国名老中医药专家传承工作室

520786

2024

10.16295/j.cnki.0257-358x.2024.01.004

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子：0.431
ISSN：0257-358X
年,卷(期)：2024.43(1)
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