经方药对浅析
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摘要
药对首见于《黄帝内经》半夏秫米汤,首创于《伤寒杂病论》,据统计共有147对药对。研究与应用经方药对,既要重视常用药对,又要重视不常用药对。既要重视研究药对之间的基本性能及其相互关系,又要重视研究药对之间的剂量调配,尤其是药对量变决定主治病证。经方常用药对有:麻黄、桂枝;栀子、淡豆豉;石膏、知母;桂枝、白芍;柴胡、黄芩;黄芩、半夏;黄芩、黄连;干姜、黄连;大黄、附子;黄连、阿胶;龙骨、牡蛎;附子、干姜。
Drug pairs first appeared in Pinellia and Husked Sorghum Decoction of Huangdi's Internal Classic,and were found in Treatise on Cold Damage and Miscellaneous Diseases. According to statistics,there are 147 pairs of drug pairs. In the research and application of classical drug pairs,attention should be paid not only to the commonly used drug pairs,but also to the infrequently used drug pairs. Attention should be paid not only to the basic properties of drug pairs and their relationship,but also to the dosage allocation between drug pairs,especially to the quantitative variation of drug pairs,which determines the main indications. The commonly used drug pairs are as follows: Mahuang( Herba Ephedrae) and Guizhi( Ramulus Cinnamomi); Zhizi( Fructus Gardeniae) and Dandouchi( Semen Sojae Praeparatum); Shigao( Gypsum Fibrosum) and Zhimu( Rhizoma Anemarrhenae); Guizhi( Ramulus Cinnamomi) and Baishao( Radix Paeoniae Alba); Chaihu( Radix Bupleuri) and Huangqin( Radix Scutellariae);Huangqin( Radix Scutellariae) and Banxia( Rhizoma Pinelliae); Huangqin( Radix Scutellariae) and Huanglian( Rhizoma Coptidis); Ganjiang( Rhizoma Zingiberis) and Huanglian( Rhizoma Coptidis); Daihuang( Radix et Rhizoma Rhei) and Fuzi( Radix Aconiti Lateralis Praeparata); Huanglian( Rhizoma Coptidis) and Ejiao( Colla Corii Asini); Longgu( Os Draconis) and Muli( Concha Ostreae); Fuzi( Radix Aconiti Lateralis Praeparata) and Ganjiang( Rhizoma Zingiberis).
Drug pairs first appeared in Pinellia and Husked Sorghum Decoction of Huangdi's Internal Classic,and were found in Treatise on Cold Damage and Miscellaneous Diseases. According to statistics,there are 147 pairs of drug pairs. In the research and application of classical drug pairs,attention should be paid not only to the commonly used drug pairs,but also to the infrequently used drug pairs. Attention should be paid not only to the basic properties of drug pairs and their relationship,but also to the dosage allocation between drug pairs,especially to the quantitative variation of drug pairs,which determines the main indications. The commonly used drug pairs are as follows: Mahuang( Herba Ephedrae) and Guizhi( Ramulus Cinnamomi); Zhizi( Fructus Gardeniae) and Dandouchi( Semen Sojae Praeparatum); Shigao( Gypsum Fibrosum) and Zhimu( Rhizoma Anemarrhenae); Guizhi( Ramulus Cinnamomi) and Baishao( Radix Paeoniae Alba); Chaihu( Radix Bupleuri) and Huangqin( Radix Scutellariae);Huangqin( Radix Scutellariae) and Banxia( Rhizoma Pinelliae); Huangqin( Radix Scutellariae) and Huanglian( Rhizoma Coptidis); Ganjiang( Rhizoma Zingiberis) and Huanglian( Rhizoma Coptidis); Daihuang( Radix et Rhizoma Rhei) and Fuzi( Radix Aconiti Lateralis Praeparata); Huanglian( Rhizoma Coptidis) and Ejiao( Colla Corii Asini); Longgu( Os Draconis) and Muli( Concha Ostreae); Fuzi( Radix Aconiti Lateralis Praeparata) and Ganjiang( Rhizoma Zingiberis).
引文
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[7]张支全.香砂平胃散联合半夏泻心汤治疗HP相关性慢性胃炎的临床疗效观察[J].中西医结合心血管病电子杂志,2018,6(32):149-151,153.
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[9]卫向龙,莫楠.《脾胃论》药物配对研究[J].河南中医,2010,30(2):195-196.
[10]张亮亮.黄煌教授对半夏泻心汤方证的认识与应用[J].中国医药指南,2008,6(23):374-375.
[11]杜潇.李永成治疗脾胃病常用药对[J].河南中医,2016,36(1):32-34.
[12]陈文明,彭圣荔.大黄附子汤在临床应用及药学分析[J].北方药学,2016,13(5):141.
[13]陈明.黄煌教授应用黄连阿胶汤的经验[J].南京中医药大学学报,1999,15(5):320.
[14]张晗,张磊,刘洋,等.龙骨、牡蛎化学成分、药理作用比较研究[J].中国中药杂志,2011,36(13):1839-1840.
[15]章浩军,范文东.《伤寒论》干姜附子汤方证的临床意义[J].中医药通报,2014,13(6):16-18.
[2]王安军,王兴华.栀子豉汤及其组成中药近5年研究进展[J].江西中医药大学学报,2013,25(5):97-100.
[3]王付.栀子豉汤方证及衍生方的思考[J].中医杂志,2015,56(7):626-627.
[4]许济群.方剂学[M].上海:上海科学技术出版社,1985:55.
[5]王东,梁宏.仲景方中芍药药对辨析[J].中华中医药学刊,2011,29(8):1896-1897.
[6]王付.经方柴胡药对探索与实践[J].中医药通报,2013,12(2):17-19.
[7]张支全.香砂平胃散联合半夏泻心汤治疗HP相关性慢性胃炎的临床疗效观察[J].中西医结合心血管病电子杂志,2018,6(32):149-151,153.
[8] SHIH Y T,WU D C,LIU C M,et al. San-Huang-Xie-XinTang inhibits Helicobacter pylori-induced inflammation in human gastric epithelial AGS cells[J]. J Ethnopharmacol,2007,112(3):537-544.
[9]卫向龙,莫楠.《脾胃论》药物配对研究[J].河南中医,2010,30(2):195-196.
[10]张亮亮.黄煌教授对半夏泻心汤方证的认识与应用[J].中国医药指南,2008,6(23):374-375.
[11]杜潇.李永成治疗脾胃病常用药对[J].河南中医,2016,36(1):32-34.
[12]陈文明,彭圣荔.大黄附子汤在临床应用及药学分析[J].北方药学,2016,13(5):141.
[13]陈明.黄煌教授应用黄连阿胶汤的经验[J].南京中医药大学学报,1999,15(5):320.
[14]张晗,张磊,刘洋,等.龙骨、牡蛎化学成分、药理作用比较研究[J].中国中药杂志,2011,36(13):1839-1840.
[15]章浩军,范文东.《伤寒论》干姜附子汤方证的临床意义[J].中医药通报,2014,13(6):16-18.