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1. 平度市中医院中医科(平度,266700
2. 云南中医药大学基础医学院,昆明,230038
纸质出版日期:2022,
网络出版日期:2022-3-20,
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张君合, 潘赐明, 荆玉斐. 《伤寒论》干姜、附子药对证治规律与量效关系[J]. 西南医科大学学报, 2022,45(2):146-150.
ZHANG Junhe, PAN Ciming, JING Yufei. Syndrome treatment and Dose-effect relationship of dried ginger and Radix Aconiti Lateralis Preparata drug combination in Treatise on Febrile Diseases[J]. Journal of Southwest Medical University, 2022,45(2):146-150.
张君合, 潘赐明, 荆玉斐. 《伤寒论》干姜、附子药对证治规律与量效关系[J]. 西南医科大学学报, 2022,45(2):146-150. DOI: 10.3969/j.issn.2096-3351.2022.02.012.
ZHANG Junhe, PAN Ciming, JING Yufei. Syndrome treatment and Dose-effect relationship of dried ginger and Radix Aconiti Lateralis Preparata drug combination in Treatise on Febrile Diseases[J]. Journal of Southwest Medical University, 2022,45(2):146-150. DOI: 10.3969/j.issn.2096-3351.2022.02.012.
背景干姜配附子是仲景经方的经典药对之一,临床使用极为广泛,特别是对于危重患者,常有回阳救逆之功效。目的探讨《伤寒论》对干姜、附子证治分布规律与量效关系。方法分析《伤寒论》中附子、干姜两味中药的气味及其在不同方剂中的证治规律、配伍特色和量效关系。结果治疗的前12 位(频次≥ 2)症状由多到少依次是:下利(8 次)、呕(7 次)、发热(4 次)、烦(4 次)、厥逆(4 次)、脉微(4 次)、腹痛(2 次)、脉沉(2 次)、小便不利(2 次)、咳(2 次)、头痛(2 次)、身疼痛(2 次)。在《伤寒论》中,干姜使用24 方(次),十两1 方;三两9 方;二两5 方;一两半3方;一两5 方;六铢1 方。附子23 方(次),其中六两1 方;一两1 方;三枚2 方;两枚2 方;一枚17 方。两者配伍使用12 方,用以温阳散寒、回阳救逆。结论干姜、附子的临床应用广泛,剂量不同,其作用亦不同。仲景在治疗疾病时,其方中干姜、附子的单用剂量、配伍关系、随证加减等,极重视人体阳气,值得临床治疗患者时借鉴。
Background Dried ginger with aconite is one of the classic antidote of Zhongjing Jingfang,which is widely used in clinical practice,especially for critically ill patients. Objective To investigate the distribution law and the dose-effect relationship of Ganjiang and Fuzi in Treatise on Febrile Diseases. Methods To analyze the odors of aconite and dried ginger in“Treatise on Febrile Dis-eases”and their syndrome and treatment laws,compatibility characteristics and dose-effect relationship in different prescriptions. Re-sults The top 12(frequency ≥ 2)symptoms in descending order were: Xia Li(8 times),vomiting(7 times),fever(4 times),annoy-ance(4 times),Jueni(4 times),weak pulse(4 times),abdominal pain(2 times),heavy pulse(2 times),dysuria(2 times),cough(2 times),headache(2 times),body pain(2 times). In Treatise on Febrile Diseases,dried ginger uses 24 squares(times),1 square for ten liang;9 squares for three liang;5 squares for two liang;3 squares;one or two 5 squares;six baht 1 square. Aconite has 23 squares (times),of which six taels are 1 square;one tael is 1 square;three pieces are 2 squares;two pieces are 2 squares;one piece is 17 squares. The combination of the two uses 12 prescriptions to warm the yang and dispel the cold,and to restore the yang to save the evil. Conclusion Dried ginger and aconite have a wide range of clinical applications. Different doses have different effects. When Zhongjing treats diseases,the single dosage of dried ginger and aconite in his prescription,the compatibility relationship,the addition and subtrac-tion according to the syndrome,etc.,attaches great importance to the yang qi of the human body,which is worth learning from.
《伤寒论》药对干姜附子证治规律量效关系
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