中医杂志2024,Vol.65Issue(7) :760-762.DOI:10.13288/j.11-2166/r.2024.07.017

基于《临证指南医案》探析叶天士对生姜汁的应用

Analysis of Usage of Ginger Juice by YE Tianshi:Based on"A Clinical Guide with Case Histories"

孔金莉 范艺龄 曹胜 杨子 苗青
中医杂志2024,Vol.65Issue(7) :760-762.DOI:10.13288/j.11-2166/r.2024.07.017

基于《临证指南医案》探析叶天士对生姜汁的应用

Analysis of Usage of Ginger Juice by YE Tianshi:Based on"A Clinical Guide with Case Histories"

孔金莉 1范艺龄 2曹胜 1杨子 1苗青2
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作者信息

  • 1. 北京中医药大学,北京市朝阳区北三环东路11号,100029
  • 2. 中国中医科学院西苑医院
  • 折叠

摘要

通过整理《临证指南医案》中有关生姜汁的医案,发现叶天士以生姜汁入药主要取其温胃止呕、辛润通络、化痰逐饮功效.常与干姜、附子等温热之品相伍以温通阳气;与半夏、黄连等苦辛之品相伍以清利湿热;与竹沥、橘红等化痰之品相伍以清利痰浊.与生姜相比,生姜汁药性柔润,更易于吸收;辛润通络,走窜之力更强.同时可增强化痰逐饮之效.以生姜汁入药既可提高药物疗效,又可拓宽生姜的药用范围.

Abstract

Based on medical cases about ginger juice in A Clinical Guide with Case Histories《临证指南医案》),we found that YE Tianshi apply ginger juice into the medicine mainly take its function of warming stomach to stop nausea,acrid-moist to unblock the collaterals,dissolving phlegm to expel fluid retention.It is often used with Ganjiang(Zingiber officinale),Fuzi(Cyperus rotundus)and other warm medicinals to warm the yang qi;with Banxia(Pinellia ternata),Huanglian(Picrorhiza kurroa)and other bitter-acrid medicinals to clear dampness and heat;with Zhuli(Arundo donax),Juhong(Citrus reticulata)and other phlegm-resolving medicinals to clear turbid phlegm.Com-pared with the whole ginger,ginger juice is soft and easy to be absorbed;it is acrid-moist and can unblock the collaterals with stronger power.At the same time,it can enhance the effect of dissolving phlegm to expel fluid retention.Ginger juice can improve the efficacy of the medicinals and broaden the scope of ginger's medicinal use.

关键词

生姜汁/叶天士/《临证指南医案》

Key words

ginger juice/YE Tianshi/A Clinical Guide with Case Histories(《临证指南医案》)

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基金项目

中国中医科学院科技创新工程(CI2021A01101)

中国中医科学院科技创新工程(CI2021A01103)

出版年

2024
中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCDCSCD北大核心
影响因子:1.464
ISSN:1001-1668
参考文献量9
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