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《神农本草经》辛以止咳药在经方中的运用探析

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《神农本草经》中辛味且明确具有止咳作用的药物有12味,在《伤寒杂病论》中用到8味.通过分析这12种药物的功效及配伍成的13首止咳逆经方的应用,并结合《黄帝内经》五味用药理论,总结出辛以止咳的机制及组方用药特点:1)辛以止咳药在"主咳逆"的基础上,尚以主温中、主风寒、主化湿及特殊功效,如款冬花"主喉痹"、桂枝"主补中益气"、芫花"主下水"达到止咳逆;2)辛以止咳配伍规律有辛散酸收,基础药对为干姜-细辛-五味子,根据不同病因有所加减,如生姜-细辛-五味子、干姜-细辛-五味子-半夏和干姜-五味子;辛甘发散,药对为生姜-甘草或干姜-甘草;辛散苦降,药对为款冬花-紫菀、桂枝-麻黄、半夏-芍药或附子-芍药;3)辛以润之贯穿于辛以止咳的全过程,在此基础上当外邪袭表,辛以散之;阳虚津凝时,辛以温之;饮邪不化时,辛以和之.
Analysis on the Application of Acrid Cough Relieving Drugs in the Classic Formuls of Shennong's Classic of Materia Medica
In the Shennong's Classic of Materia Medica,there are 12 drugs that belong to acrid herbs and have cough relieving effects,and 8 drugs are used in the Treatise on Cold Pathogenic and Miscellaneous Diseases.By an-alyzing the efficacy of these 12 drugs and the application of the 13 cough relieving classic formulas,and combin-ing the five flavors theory in the Inner Canon of Huangdi,the mechanism and characteristics of using acrid herbs to relieve cough are explored.The paper suggests that:1)on the basis of"regulating cough and adverse reactions"by the acrid cough relieving drugs,other drugs with the special effects such as"regulating throat obstruction"by common coltsfoot flower,"invigorating spleen-stomach and replenishing qi"by cassia twig,and"regulating water flow"by lilac daphne flower bud should be added to achieve cough relieving.2)The compatibility rule of acrid to relieve cough includes"Xin San Suan Shou",and the basic drug pairs are Ganjiang-Xixin-Wuweizi,which can be adjusted according to different causes,such as Shengjiang-Xixin-Wuweizi,Ganjiang-Xixin-Wuweizi-Banxia,and Ganjiang-Wuweizi;"Xin Gan Fa San",and the basic drug pairs are Shengjiang-Gancao or Ganjiang-Gancao;"Xin San Ku Jiang",and the basic drug pairs are Kuandonghua-Ziyuan,Guizhi-Mahuang,Banxia-Shaoyao,or Fuzi-Shaoyao.3)The essence of acrid for moistening runs through the entire process of using acrid herbs to re-lieve cough,and on this basis,apply acrid herbs to also cure superficies attacked by exogenous pathogen;when yang deficiency leads to stagnation of the body,the acrid herbs are used to warm it up;when pathogenic fluid not transforming,one should reconcile it with acrid herbs.

Shennong's Classic of Materia MedicaAcrid herbsCoughing and dyspneaClassic formulaCompat-ibility rules

赵展、曲夷

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山东中医药大学,山东济南 250355

《神农本草经》 辛味 咳逆 经方 配伍规律

国家中医药局齐鲁伤寒流派传承工作室建设项目齐鲁医派中医药特色技术整理推广项目

国中医药人教函[2019]62号鲁卫函[2021]45号

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(3)
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