摘要
仲景之方配伍精当、结构严谨,麻黄、石膏是常用的配伍药对,后世在其基础上进行了发挥。选取麻黄石膏配伍的6张经方和2张后世发展方为研究对象,应用几何图形展现方药的性味合化、归经、功效、君臣佐使等组方规律。麻黄石膏配伍诸方以辛温之麻黄宣畅气机和辛凉之石膏清热为主,二者通过调整配伍比例,与苦温之杏仁相配形成宣、清、降三法具备的三角形结构以恢复肺主气司呼吸、通调水道的功能。临床上可根据宣畅气机和清热的偏重来决定麻黄与石膏的配伍比例,根据兼夹证在已有的几何结构上添加点、线、面,灵活运用经方。
Zhang Zhongjing’s formulae have been complimented for its rigorous ingredient combination and structure. Ephedra and gypsum, used by Zhongjing as one main paired herbs, have been widely used by later generations. In this study, six classic formulae and another two extended prescriptions containing both ephedra and gypsum have been selected. Graphics were used to interpret the compatibility by visualizing the nature, flavor, meridian tropism, action, and the principles of the composition of prescriptions, etc. The fundamental structure is mainly composed of pungent-warm ephedra to regulate qi and pungent-cool gypsum to clear heat. Different compatibility proportion of ephedra and gypsum match with bitter-warm almond, developing a triangle fundamental structure to present clearing, dispersing and descending to balance the circulation of the lung qi, thus to restore the functions of the respiratory and regulating the respiratoy metaboism. Proportion of ephedra and gypsumcan be determined by weighing the balance of clearing heat and regulating qi movement. In addition, points, lines and surfaces would be used to modify the structures of the prescriptions according to the complicated pathogenesis to make flexible use of the prescriptions.
作者
胡紫馨
余芙欢
于河
Hu Zixin;Yu Fuhuan;Yu He(School of Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2020年第4期275-279,共5页
Journal of Beijing University of Traditional Chinese Medicine
基金
国家自然科学基金青年科学基金项目(No.81704121)
北京中医药大学师承博士后项目(No.1000062620141)
2019国家级大学生创新创业训练项目(No.201910026016)。
关键词
经方
几何图形
麻黄
石膏
配伍规律
classical prescription
geometric structure
ephedra
gypsum
compatibility laws
