世界中医药2024,Vol.19Issue(13) :1974-1978.DOI:10.3969/j.issn.1673-7202.2024.13.016

桂枝附子汤的临床应用和作用机制研究

Clinical Application and Mechanism of Action of Guizhi Fuzi Decoction

姜玉华 张冰晗 雷晶晶 荆业腾 刘继法 杨金生
世界中医药2024,Vol.19Issue(13) :1974-1978.DOI:10.3969/j.issn.1673-7202.2024.13.016

桂枝附子汤的临床应用和作用机制研究

Clinical Application and Mechanism of Action of Guizhi Fuzi Decoction

姜玉华 1张冰晗 1雷晶晶 1荆业腾 1刘继法 1杨金生1
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作者信息

  • 1. 中国中医科学院中医基础理论研究所,北京,100700
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摘要

桂枝附子汤出自《伤寒论》和《金匮要略》原文,桂枝附子汤证的核心病机是风湿搏结、正虚邪壅,其主要临床症状为身体烦疼、活动障碍,而祛风散寒、除湿止痛是桂枝附子汤的主要治疗方义.桂枝附子汤具祛风除湿、温阳散寒、通痹止痛之效,是中医治疗痹病的经典方剂,现代临床广泛应用于类风湿关节炎、痛风性关节炎、坐骨神经痛、肩周炎、神经根型颈椎病等疾病的治疗,疗效确切.桂枝附子汤的现代药理学作用机制可能与抗炎镇痛、调节免疫、改善关节症状等密切相关.

Abstract

Guizhi Fuzi Decoction,derived from Treatise on Cold Damage(Shang Han Lun)and Synopsis of the Golden Chamber(Jin Gui Yao Lue),addresses the syndromes with core pathogenesis of wind-dampness obstruction and healthy qi deficiency with pathogen retention.The main indicated clinical symptoms include generalized pain and restricted movement.The primary therapeu-tic principles of Guizhi Fuzi Decoction are to dispel wind,dissipate cold,eliminate dampness,and relieve pain.Guizhi Fuzi Decoc-tion,known for its effects of expelling wind,eliminating dampness,warming yang,dissipating cold,and unblocking obstructions to alleviate pain,is a classic prescription in traditional Chinese medicine(TCM)for treating impediment diseases.In modern clinical practice,Guizhi Fuzi Decoction is widely used to treat conditions such as rheumatoid arthritis,gouty arthritis,sciatica,frozen shoul-der,and radicular cervical spondylosis,with definite efficacy.The pharmacological mechanisms underlying the therapeutic effects of Guizhi Fuzi Decoction may be closely related to its anti-inflammatory and analgesic properties,immune regulation,and improvement of joint symptoms.

关键词

桂枝附子汤/《伤寒论》/痹病/核心病机/临床症状/治疗方义/临床应用/作用机制

Key words

Guizhi Fuzi Decoction/Treatise on Cold Damage/Impediment diseases/Core pathogenesis/Clinical symptom/Treat-ment principles/Clinical application/Mechanism of action

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基金项目

国家自然科学基金项目(82074563)

中国中医科学院科技创新工程项目(CI2021A00104)

中国中医科学院中医基础理论研究所自主选题项目(YZX-202247)

出版年

2024
世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子:1.266
ISSN:1673-7202
参考文献量35
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