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《伤寒论》中刚柔相济类角药的配伍运用举隅

Application of the Coordination between Unyielding and Soft Medicinals in Three-Herb Combination in Treatise on Febrile Disease (《伤寒论》)

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【作者】 李坤宁; 陈明;

【Author】 LI Kunning;CHEN Ming;Medical Experiment Center,China Academy of Chinese Medical Sciences;School of Traditional Chinese Medicine,Beijing University of Chinese Medicine;

【通讯作者】 陈明;

【机构】 中国中医科学院医学实验中心; 北京中医药大学中医学院;

【摘要】 通过对刚柔理论与角药配伍内涵进行梳理,选取《伤寒论》中五组代表性角药,深入挖掘刚柔相济类角药的配伍思路。细辛、干姜、五味子开阖肺气,以柔济刚;麻子仁、芍药、大黄刚柔并施,滋脾泻胃;附子、茯苓、芍药温肾柔肝,扶正利水;黄连、阿胶、鸡子黄清心滋肾,交通水火;乌梅、黄连、川椒以柔驭刚,和调厥阴。通过剖析角药间的配伍关系,阐明刚柔相济是经方配伍的重要原则之一,为经典方剂的解读与角药理论的临证运用提供借鉴。

【Abstract】 By reviewing the theory of the unyielding and the soft and analyzing the connotations of the three-her combination, this article has selected five representative three-herb combinations from Treatise on Febrile Disease (《伤寒论》) and deeply explored the combination rules of the medicinals with coordination between the unyielding and the soft. Xixin(Radix et Rhizoma Asari), Ganjiang(Rhizoma Zingiberis) and Wuweizi(Fructus Schisandrae Chinensis) can open and close the lung qi, using the soft to balance the unyielding. The combination of Maziren(Fructus Cannabis), Shaoyao(Radix Paeoniae Alba seu Rubra) and Dahuang(Radix et Rhizoma Rhei) embodies the principle of balancing the unyielding and the soft, enriching the spleen while draining the stomach. Fuzi(Radix Aconiti Lateralis Praeparata), Fuling(Poria) and Shaoyao can warm the kidneys and soften the liver, rectify the healthy qi and promote urination. Huanglian(Rhizoma Coptidis), Ejiao(Colla Corii Asini) and Jizihuang(Ovum Gallus) can clear the heart, enrich the kidneys, and restore the interaction between water and fire. Wumei(Fructus Mume), Huanglian and Chuanjiao(Zanthoxylum bungeanum) control the unyielding with the soft, harmonizing and regulating jueyin (厥阴). Through analyzing three-herb combinations, it is explained that the coordination between the unyielding and the soft is one of the key principles in the combination of medicinals of classical formulas, which offers insights into the interpretation of classic formulas and the clinical application of the theory of three-herb combination.

【基金】 北京中医药大学基本科研业务费项目(2020-JYBZDGG-002)
  • 【文献出处】 中医杂志 ,Journal of Traditional Chinese Medicine , 编辑部邮箱 ,2026年11期
  • 【分类号】R289.1
  • 【下载频次】50
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