首页|从空间层次角度探讨经方"角药"的配伍规律

从空间层次角度探讨经方"角药"的配伍规律

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空间层次是通过一些光线、色彩或外物(如装饰物等)在空间上的运用,使空间富有层次性,从而达到各种视觉效果.而张仲景在治疗疾病的过程中,其角药配伍亦呈现出显著的空间层次特征.如纵向结构中治疗上、中、下三焦水湿的麻黄、甘草、附子;横向结构中治疗表、半表半里、里少阳枢机不利,太阴寒饮不化证的桂枝、柴胡、干姜;升降结构中治疗伤寒少阳证的柴胡、黄芩、半夏;内外结构中治疗外寒里饮证的干姜、细辛、五味子等角药,均是从宏观、整体出发,巧妙运用药物的性能,错落有致,深入浅出地到达病所,发挥治疗疾病的作用.因此,通过研究经方中角药的空间层次配伍规律,可为临床提供借鉴,提高临床疗效.
Exploration on the compatibility law of'horn medicine'in classic prescriptions from the perspective of spatial hierarchy
Spatial hierarchy is the use of light,color,or external objects such as decorations in space to create a rich sense of hierarchy and achieve various visual effects.In the process of treating diseases,ZHANG Zhongjing's compatibility of horn medicine also exhibits significant spatial hierarchical characteristics.In the longitudinal structure,ephedra,licorice,and aconite are used to treat water dampness in the upper,middle,and lower three jiao;The horizontal structure of Guizhi,Chaihu,and Ganjiang is unfavorable for the treatment of superficial,semi superficial,semi internal,and internal Shaoyang pivot syndrome,as well as the inability of Taiyin cold drink to transform syndrome;Chaihu,Scutellaria baicalensis,and Pinellia temata used in the treatment of typhoid fever and Shaoyang syndrome in the ascending and descending structure;The internal and external structures of medicinal herbs such as dried ginger,Asarum,and Schisandra in the syndrome of internal and external cold and internal drink are all based on a macro and holistic approach,cleverly utilizing the properties of the drugs to reach the site of the disease in a staggered and easy to understand manner,and exerting therapeutic effects.Therefore,by studying the spatial and hierarchical compatibility rules of horn medicine in traditional Chinese medicine prescriptions,it can provide reference for clinical practice and improve clinical efficacy.

Spatial hierarchyClassic prescriptionsHorn medicineCompatibility

廖华君、文小敏

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南方医科大学中医药学院,广州 510515

空间层次 经方 角药 配伍

国家自然科学基金广东省自然科学基金纵向协同项目

821743232018030310451

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(4)
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