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黄芪茯神汤为陈无择《三因极一病证方论》中针对六癸年火运不及所设方剂。六癸年火运不及,产生阳气虚乏、升散不足、寒水郁痹以及湿土淫盛的运气格局。针对此运气格局,黄芪茯神汤以升阳补火为整体治疗思路,并兼顾健脾利湿、宣阳开郁、补精助阳等法,如此通过甘温之药振奋人体阳气,令阳气布达,以发挥温煦推动功能,从而恢复阴阳气血的有序运行。由黄芪茯神汤推及其他运气方的组方思路与配伍法度,有助于提高临床运用运气方的针对性和有效性。
Abstract:The Huangqi Fushen Decoction(黄芪茯神汤) was a prescription designed by CHEN Wuze in Treatise on Diseases,Patterns,and Prescriptions Related to Unification of the Three Etiologies,which is for disease caused by insufficient fire element in Six Gui years. In the Six Gui years,the fire element is insufficient,resulting in a Yunqi configuration of deficiency of yang qi,insufficient ascending and scattering,depression and obstruction of cold water,and excessive dampness and earth. For this Yunqi configuration,the Huangqi Fushen Decoction takes elevating yang and tonifying fire as the overall treatment approach,while also taking into account methods such as strengthening the spleen and eliminating dampness,promoting yang and relieving depression,and tonifying essence and assisting yang. In this way,by using sweet and warm medicinal herbs to invigorate the yang qi,make the yang qi spread and reach everywhere,exert the warming and promoting functions,and thereby restore the orderly movement of yin,yang,qi,and blood. The exploration of the formulation ideas and compatibility principle of other Yunqi formulas based on the Huangqi Fushen Decoction is conducive to improving the pertinence and effectiveness of the clinical application of Yunqi formulas.
[1]陆曙,陶国水,顾植山.基于《黄帝内经》五运六气理论的临证处方策略[J].中华中医药杂志,2020,35(2):565-568.
[2]陶国水,张阳,陆曙.从《临证指南医案》管窥叶天士五运六气证治思路[J].天津中医药大学学报,2020,39(5):508-512.
[3]贺娟,苏颖.内经选读[M].北京:人民卫生出版社,2014:215.
[4]王莹,鲁明源.基于六庚年运气格局解读牛膝木瓜汤配伍原理[J].山东中医杂志,2023,42(2):113-117.
[5]何圣,廖常英,黎昕.论《黄帝内经》五运六气光变时空结构[J].辽宁中医药大学学报,2022,24(7):9-13.
[6]沈娟娟,张文风,魏岩,等.中医运气学与疫病临证辨析[J].长春中医药大学学报,2022,38(6):595-597.
[7]杨楠.类风湿关节炎患者易患因素运气规律探讨[D].沈阳:辽宁中医药大学,2021.
[8]刘妮,鲁明源.辛丑年三因司天方配伍应用探析[J].山东中医杂志,2023,42(1):1-5,14.
[9]陈无择.三因司天方[M].陶国水,整理.北京:中国医药科技出版社,2019:12.
[10]李东垣.脾胃论[M].侯坤,校注.北京:中国科学技术出版社,2024.
[11]张谨枫,赵新鲜,刘新学,等.“因势利导”思想在中医学中的体现[J].成都中医药大学学报,2014,37(3):94-96.
[12]朱震亨.丹溪心法[M].彭建中,点校.沈阳:辽宁科学技术出版社,1997:13.
[13]李东垣.珍珠囊补遗药性赋白话解[M].胡锡琴,主编.西安:三秦出版社,2000:124.
[14]姚球.本草经解要[M].卞雅莉,校注.北京:中国中医药出版社,2016:4.
[15]杨艳,刘丹,邓春海,等.基于网络药理学和分子对接技术研究四物汤配伍黄芪提高免疫力的作用机制[J].川北医学院学报,2023,38(5):584-589.
[16]张介宾.景岳全书[M].北京:中国中医药出版社,1994:630.
[17]杨时泰.本草述钩元[M].上海:上海科技出版社,1958.
[18]李时珍.本草纲目〈金陵本〉[M].北京:中国医药科技出版社,2016.
[19]倪朱谟.本草汇言[M].戴慎,陈仁寿,虞舜,点校.上海:上海科学技术出版社,2005.
[20]张山雷.本草正义[M].程东旗,点校.福州:福建科学技术出版社,2006.
[21]陈士铎.陈士铎医学全书[M].太原:山西科学技术出版社,2012:36.
[22]缪希雍.神农本草经疏[M].台北:文丰出版公司,1987:102.
[23]王好古.王好古医学全书[M].盛增秀,主编.北京:中国中医药出版社,2004:29.
[24]贾所学.药品化义[M].北京:中国中医药出版社,2012:56.
[25]神农本草经[M].支晓娟,整理.广州:广东科学技术出版社,2021:31.
[26]叶桂.本草再新[M].上海:上海群学书社,1936:44.
[27]黄宫绣.本草求真[M].王淑民,校注.北京:中国中医药出版社,1997:200.
[28]马艳春,范楚晨,冯天甜,等.茯苓的化学成分和药理作用研究进展[J].中医药学报,2021,49(12):108-111.
[29]兰茂.滇南本草[M].陆拯,包来发,陈明显,校点.北京:中国中医药出版社,2013:25.
[30]周岩编.本草思辨录[M].太原:山西科学技术出版社,2015:28.
[31]林妮,潘竞锵,官娜.黄芪对小鼠利尿作用机制及其物质基础的研究[J].今日药学,2014,24(7):481-483,488.
[32] SORIANO J B,MURTHY S,MARSHALL J C,et al.WHO clinical case definition working group on postCOVID-19 condition. A clinical case definition of post-COVID-19 condition by a Delphi consensus[J].Lancet Infect Dis,2022,22(4):e102-e107.
[33]顾植山.疫病钩沉:从运气学说论疾病的发生规律[M].北京:中国医药科技出版社,2015:8.
[34]林颖敏,宾炜,吴新明,等.五运六气学说指导下的痤疮临证思路[J].长春中医药大学学报,2015,31(3):501-504.
基本信息:
DOI:10.16295/j.cnki.0257-358x.2025.05.005
中图分类号:R289.5
引用信息:
[1]许睿,鲁明源.从六癸年运气格局解读黄芪茯神汤配伍原理[J].山东中医杂志,2025,44(05):510-515.DOI:10.16295/j.cnki.0257-358x.2025.05.005.
基金信息:
国家中医药管理局全国名老中医药专家传承工作室项目(编号:520786)
2025-05-05
2025-05-05