摘要
[目的]探析孟河医家费伯雄对当归的认识,并深入考证当归"和中"之功效。[方法]通过翻阅历代本草文献,考证远自医圣张仲景,迨至清代医家费伯雄对当归功效的认识和临证应用。[结果]仅用当归补血说,难以解释当归在其和中方中之作用。当归"温中"之作用不限于脾胃中焦,"温中"的"中"字,应理解为"内",为"里"。当归能温煦体内之脏腑经络,散寒以止寒性疼痛,故仲景常以当归治疗腹痛。在适当的配伍下,费伯雄常用当归以调和中焦之气。当归不仅具有补血之功,亦有温中散寒、理气止痛、润肠下气等功效。[结论]探析当归"和中"功效,有助于全面理解当归之效,扩大其临床使用范围,具有重要的理论和实践意义。
[Objective] To investigate the functions of Angelicae sinensis Radix（Dang gui） according to its usage by the Qing dynasty physician Fei Boxiong and to define its role within his method of“harmonizing the middle”.[Method]Extensive reading of works of Chinese materia medica from different eras and clinical works by Zhang Zhongjing and Fei Boxiong, analyzing the functions ascribed to Angelicae sinensis Radix（Dang gui） and its clinical usage. [Outcome] Many of Zhang Zhongjing’s classical formulas containing Dang gui focus on the treatment of abdominal pain, especial y cold-type abdominal pain, for example Dang gui Sheng Jiang Yang Rou Tang, Wen Jing Tang, etc. Dang gui is said to“warm the middle”in early works of materia medica, but its warming and regulating effect is not limited to the middle burner, i.e. to spleen and stomach. The word“middle”in the term“warm the middle”must be understood here as interor, i.e. the inside of the body. Dang gui can also warm the other viscera and bowels as wel as the channels and col aterals. That’s why Zhang Zhongjing frequently using Dang gui to treat abdominal pain. Fei Boxiong used Dang gui in suitable combinations with other herbs to regulate qi and blood and thus harmonize the middle. Dang gui does not only nourish the blood; it can also warm the middle, disperse cold, regulate the qi, al eviate pain, moisten the intestines, direct the qi downwards, etc. [Conclusion] Nowadays the blood-nourishing fuction of Dang gui is overly emphasized. Using the perspective of Dang gui supplementing the blood, it is hard to understand its functions in formulas that al eviate abdominal pain or harmonize the middle. But if one, on the basis of descriptions in historical works on materia medica and its clinical usage in classical formulas, perceives Dang gui as an herb that warms the middle and regulates the qi, its function of harmonizing the middle can be understood much better.
出处
《浙江中医药大学学报》
CAS
2014年第3期258-260,共3页
Journal of Zhejiang Chinese Medical University
关键词
当归
和中
温中
陶弘景
张仲景
费伯雄
医醇賸义
功效
Angelicae sinensis Radix（Dang gui）
harmonizing the middle
wanning the middle
Tao Hongjing
Zhang Zhongjing
Fei Boxiong
The Refined in Medicine Remembered
function
