文章摘要
史欣德.仲景苓术剂探讨[J].南京中医药大学学报,2018,34(5):433-435.
仲景苓术剂探讨
Exploration of ZHANG Zhongjing's Lingzhu Formula
投稿时间:2018-07-15  
DOI:
中文关键词: 关键词:苓术剂  张仲景  经方  水饮
英文关键词: Lingzhu Formula  ZHANG Zhongjing  classical formula  fluid retention
基金项目:
作者单位
史欣德 中国中医科学院研究生院北京 
100700 
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中文摘要:
      从药物组成、主治病证、病因病机、作用部位等方面对《伤寒论》和《金匮要略》中含有茯苓和白术的方剂(简称为苓术剂)进行了对比和梳理,认为苓术剂主要治疗的是水液代谢异常的一类病证。根据水饮内停的病位不同,苓术剂的组成也相应不同,如:停在头项,则用桂枝去桂加茯苓白术汤;停在心下、胸胁,则用苓桂术甘汤、茯苓泽泻汤;停在膈上,则用猪苓散;停在腰腹,则用甘姜苓术汤;停在表里上下,则用五苓散。另外,兼阳虚寒甚者,用真武汤、附子汤;兼气虚者,用理中加茯苓汤;兼血瘀者,用当归芍药散。
英文摘要:
      From the aspects of drug composition, disease syndrome, etiology, pathogenesis and action sites, the prescriptions of Fuling (Poria<\i>) and Baizhu (Rhizoma atractylodis macrocephalae<\i>) (referred to as Lingzhu Formula) in Treatise on Cold Damage<\i> and Essentials from the Golden Cabinet<\i> were compared and combed. It is believed that the main treatment of Lingzhu Formula is a type of disease syndrome with abnormal water and liquid metabolism. According to the different positions of fluid retention, the composition of Lingzhu Formula is also different: If the fluid retention accumulated in the head, use Guizhi (Ramulus cinnamomi<\i>) Decoction removes Guizhi and add Fuling Baizhu Decoction. If the fluid retention accumulated in the epigastic, chest and rib-side, then use Linggui Zhugan Decotion, Fuling Zexie Decoction. If the fluid retention accumulated in the diaphragm, use Zhuling Powder; in the waist and abdomen, use Ganjiang Lingzhu Decoction; in the exterior and interior, use Wuling Powder. In addition, if the patient with yang deficiency and cold syndrome, it can use Zhenwu Decoction, Fuzi Decoction; with qi deficiency, use Lizhong and Fuling Decoction; with blood stasis, use Danggui Shaoyao Powder.
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