摘要
基于形气神三位一体生命观,柴胡加龙骨牡蛎汤通过对患者形、气、神3个层面的整体治疗和综合调理,不仅治疗患者的形体症状,也改善了患者的气机失调和神志异常,在现代临床中得到了广泛的应用与疗效认可。从形气神三位一体生命观剖析柴胡加龙骨牡蛎汤的治疗机制,发现其主要针对气虚患者受寒,导致少阳三焦气滞水停、阳明胃肠火热,同时伴有营血不调与进而引发的神魂不安。通过准确判断患者形、气、神的失调状态,选用合适的药物进行配伍以实现三者的平衡而达到最佳疗效,柴胡加龙骨牡蛎汤的治疗策略包括针对气机不利,如正气不足、少阳气滞和胃肠火热,选用人参、柴胡-黄芩、大黄配伍治疗;针对形体失调,如水饮停聚和营血不调,选用茯苓-半夏-生姜、桂枝-大枣配伍;最后,通过龙骨-牡蛎-铅丹以调神安魂。综合现有研究报道,柴胡加龙骨牡蛎汤对临床复杂多样的疾病显示出较好的疗效。该文从形气神三位一体生命观角度对柴胡加龙骨牡蛎汤进行全面解读,为临床辨证施治、遣方用药提供新思路。
Based on the trinity life view of''physique,Qi,and spirit'',Chaihu Jia Longgu Mulitang treats the patient's physical symptoms,disorders of Qi movement,and disorders of consciousness,covering the overall treatment and comprehensive nursing of physique,Qi,and spirit.It is widely applied and recognized for its efficacy in modern clinical practice.This paper explored the treatment effect of Chaihu Jia Longgu Mulitang from the trinity life view of''physique,Qi,and spirit''.This formula mainly targeted patients with Qi deficiency caused by cold,leading to a syndrome of Qi stagnation and water retention in the Triple Energizer Meridian of Hand Lesser Yang(TE),as well as fire-heat syndrome in the Large Intestine Meridian of Hand Yang Brightness(LI)and Stomach Meridian of Foot Yang Brightness(ST),accompanied by disorder of nutrient-blood and subsequent spirit and soul unrest.Accurately judging the imbalance of the patient's physique,Qi,and spirit and using an appropriate combination of medicinals can achieve balance among the three to achieve the best effect.The treatment strategy of Chaihu Jia Longgu Mulitang is as follows:For disorders of Qi movement,such as Qi deficiency,Qi stagnation,and gastrointestinal fire-heat,Ginseng Radix et Rhizoma and Bupleuri Radix-Scutellariae Radix,and Rhei Radix et Rhizoma are used in combination.For physical symptoms such as water retention and disorder of nutrient-blood,Poria-Pinelliae Rhizoma-Zingiberis Rhizoma Recens,as well as Cinnamomi Ramulus-Jujubae Fructus are used in combination.Finally,Os Draconis-Ostreae Concha-Plumbum Rubrum is used to calm the spirit and soothe the soul.According to existing research,Chaihu Jia Longgu Mulitang has shown good efficacy in treating a variety of complex clinical diseases.This article provides a comprehensive interpretation of Chaihu Jia Longgu Mulitang from the perspective of the trinity life view of''physique,Qi,and spirit'',offering new insights for clinical syndrome differentiation,treatment,and prescription.
作者
周佳新
胡建平
刘争强
刘喜洋
张丁丁
党亚雅
章文春
ZHOU Jiaxin;HU Jianping;LIU Zhengqiang;LIU Xiyang;ZHANG Dingding;DANG Yaya;ZHANG Wenchun(Clinical Medical College of Jiangxi University of Chinese Medicine,Nanchang 330001,China;Academician Workstation of Jiangxi University of Chinese Medicine,Nanchang 330025,China;Life Science College of Jiangxi University of Chinese Medicine,Nanchang 330001,China;Qihuang Chinese Medicine Academy,Jiangxi University of Chinese Medicine,Nanchang 330025,China)
出处
《中国实验方剂学杂志》
北大核心
2025年第16期225-234,共10页
Chinese Journal of Experimental Traditional Medical Formulae
基金
国家自然科学基金项目(82360893)
江西省2024年研究生创新专项(YC2024-S739)。
关键词
形气神三位一体生命观
柴胡加龙骨牡蛎汤
组方思路
主治范围
trinity life view of''physique,Qi,and spirit''
Chaihu Jia Longgu Mulitang
composition thinking
therapeutic range
