首页|从《辅行诀》所载"汤液经法图"角度论证半夏泻心汤类方的泻脾功效

从《辅行诀》所载"汤液经法图"角度论证半夏泻心汤类方的泻脾功效

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半夏泻心汤类方是张仲景《伤寒论》中治疗心下痞的经典名方,临床上主要用于心下痞、恶心呕吐、肠鸣下利等脾胃病症,疗效显著并沿用至今。从"汤液经法图"角度看,该类方虽名为"泻心汤",但其功效却非泻心而是泻脾为主,本文对此进行论证。首先,从组方配伍看,半夏泻心汤类方以辛味药、甘味药和苦味药组方,符合"汤液经法图"辛味泻脾、甘味补脾和苦味燥脾的药物定位原则,且其适应证属于脾实证范畴,即为入脾泻脾之方。其次,历代医家多将"心"解读为"心下"病位,多将其用于心下痞。无论古今临床应用,半夏泻心汤类方多用于脾胃疾病。最后,通过对半夏泻心汤类方的组方量化分析,再次明确其对于脾胃疾病的补泻兼施功效,分析其加减配伍原则,旨在为半夏泻心汤类方的配伍实质研究和临床合理使用提供学术支持。
Effect of Banxia Xiexin decoction on spleen purging based on"Tang-ye-jing-fa map"in Fuxingjue
Banxia Xiexin decoction is a classic formula in Zhang Zhongjing's"Shanghanlun"for epigastric fullness.It is mainly used in clinical practice for spleen and stomach diseases such as epigastric fullness,nausea and vomiting,and diarrhea.The therapy is effective and still in use today.In"Tang-ye-jing-fa map",although this type of formula is called Xiexin decoction,its efficacy is not to purge the heart fire,but mainly the spleen,which was discussed in this paper.In terms of compatibility,Banxia Xiexin decoction consists of pungent,sweet,and bitter herbs,which conforms to the drug use principles in"Tang-ye-jing-fa map"for pungent flavor purging the spleen,sweet flavor tonifying the spleen,and bitter flavor drying the spleen.Its indications belonged to the category of spleen syndrome.Throughout history,many doctors often interpreted'heart'as below the heart in terms of disease location and used it for epigastric fullness.In both ancient and modern clinical applications,Banxia Xiexin decoction and other formulas are mostly used for the spleen and stomach diseases.Finally,through quantitative analysis of the formula,we once again clarified its tonifying and reducing effects on the spleen and stomach diseases,analyzed the principles of its addition and subtraction compatibility,aiming to provide academic support for the substantive research and clinical rational use of Banxia Xiexin decoction.

Banxia Xiexin decoctionShanghanlunTang-ye-jing-fa mapFuxingjuepurging spleen

张爽、郭红叶、金锐

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中国中医科学院西苑医院药学部,北京 100091

半夏泻心汤 伤寒论 汤液经法图 辅行诀 泻脾

中国中医科学院科技创新工程重大攻关项目中国中医科学院科技创新工程重大攻关项目

CI2021A03805CI2021A00101

2024

中南药学
湖南省药学会

中南药学

CSTPCD
影响因子:0.736
ISSN:1672-2981
年,卷(期):2024.22(3)
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