首页|"轻苦微辛"治法在外感病治疗中的价值

"轻苦微辛"治法在外感病治疗中的价值

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叶桂提出"轻苦微辛"治法,意指味微苦、微辛,性质轻清药物配伍,可入上焦、中焦调节气机,即强调秉持方药作用的"流动"之性.常用药物如杏仁、白蔻、橘红、桔梗、郁金、枳壳、栀子、淡豆豉等,方剂如栀子豉汤及其变方、三仁汤等.临床可用于温热、湿热类邪气郁痹上焦所致中焦乃至三焦气机不利之外感病,且无伤正之痹,为外感病辨治开拓了思路,有一定的应用价值.
Value of"Mild Bitter and Slightly Pungent"in the Therapy of External Contraction Diseases
Ye Gui proposed the"mild bitter and slightly pungent"treatment principle,which indicates that the combination of drugs that are mild bitter and slightly pungent in flavor and light and plain in nature can regulate the qi movement in the upper and middle energizers,emphasizing the"flowing"nature of the medicinal effects.Commonly used drugs include Armeniacae Semen Amarum,Amomi Fructus Rotundus,Citri Exocarpium Rubrum,Platycodonis Radix,Curcumae Radix,Aurantii Fructus,Gardeniae Fructus,and Sojae Semen Praeparatum.Formulas such as Zhizichi Decoction and its modifications,and Sanren Decoction,are often used.Clinically,this method can be applied to external contraction diseases caused by warm and dampness-heat pathogens obstruc-ting the upper energizer,which lead to impaired qi movement in the middle energizer and even the triple energizers.This approach does not harm the body's righteous qi and provides a new perspective for diagnosing and treating external contraction diseases,showing significant application value.

Mild bitter and slightly pungentExternal contraction diseaseWarm diseaseZhizichi DecoctionSanren DecoctionQiaohe DecoctionSanxiang DecoctionShangjiao Xuanbi Decoction

赵一霖、陈宣妤、刘绍媛、侯雪雍、王翰飞、赵岩松

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北京中医药大学中医学院,北京,102488

轻苦微辛 外感病 温病 栀子豉汤 三仁汤 翘荷汤 三香汤 上焦宣痹汤

国家社会科学基金项目国家中医药管理局中医药创新团队及人才支持计划项目

22BZS077ZYYCXTD-C-202006

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
年,卷(期):2024.19(15)