从《神农本草经》谈张仲景运用桃仁的证治特色

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中文摘要：《伤寒杂病论》中所用药物大多本于《神农本草经》,二者一脉相承.《神农本草经》载桃仁主瘀血、血闭瘕、邪气,杀小虫.文章从《神农本草经》原文角度出发,梳理《伤寒杂病论》中所含桃仁的方剂,归纳总结张仲景运用桃仁的证治特色,发现张仲景运用桃仁在继承经典的基础上又有所开拓.此外,重点对桃仁主邪气这一功效进行论述,认为《神农本草经》所言邪气偏指"鬼邪"致病,以精神神志异常、癥瘕积聚等疑难病为主.这一认识对于更加全面掌握桃仁用药规律、提高临床疗效有所裨益.

外文标题：Discussion on the syndrome and treatment characteristics of ZHANG Zhongjing using Peach kernel based on Shennong's Classic of Materia Medica

外文摘要：Most of the drugs used in Treatise on Febrile and Miscellaneous Diseases were originally from Shennong's Classic of Materia Medica.Shennong's Classic of Materia Medica recorded that Peach kernel could cure blood stasis,lump of blood,evil qi and killing small insects.From the perspective of the original text of Shennong's Classic of Materia Medica,this paper sorted out the prescriptions of Peach kernel contained in Treatise on Febrile and Miscellaneous Diseases,and summarized the syndrome and treatment characteristics used by ZHANG Zhongjing,and found that ZHANG Zhongjing'use of Peach kernel developed on the basis of inheriting the classics.In addition,the article mainly analyzed the efficacy of Peach kernel's curing evil qi,believing that the evil qi described in Shennongs Classic of Materia Medica could refer to the pathogenic factors of'evil qi',mainly complicated diseases such as abnormal mental status and lump accumulation.This understanding was beneficial to grasp the application rules of Peach kernel more comprehensively and improve clinical efficacy.

外文关键词：

Peach kernelZHANG ZhongjingShennong's Classic of Materia MedicaEvil qiCharacteristics of syndrome and treatmentClinical application

作者：

李冉、李志鸣、张艺、李明、周冉冉、侯鉴宸、陶晓华

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作者单位：

北京中医药大学中医学院,北京 100029

北京中医药大学中医文献研究院,北京 100029

关键词：

桃仁张仲景《神农本草经》邪气证治特色临床应用

基金：

北京中医药大学2022年度基本科研业务费(揭榜挂帅)项目国家重点研发计划项目国家重点研发计划项目科技部重大新药创制

项目编号：

2022-JYB-JBZR-0102019YFC17092002019YFC17092012018ZX09721005-007-009

出版年：

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(8)