摘要
目的:探讨张仲景论桃仁功效、应用及用药特色。方法:基于张仲景论述桃仁的十三条条文及《伤寒杂病论》中含有桃仁的九首方剂(大黄牡丹汤、桃核承气汤、抵当汤、抵当丸、下瘀血汤、鳖甲煎丸、桂枝茯苓丸、大黄䗪虫丸、治马坠及一切筋骨损方),归纳总结桃仁功效与应用。结果与结论:桃仁能肃肺通腑、入血达瘀、缓攻破瘀、通脉活络以治肠痈、蓄血、筋骨损伤等内科急危重症,能逐瘀调经、消癥止血以治产后腹痛、产后恶露不尽、月经不利、闭经、妇女癥瘕等妇科疾患,能调和气血、养血补虚以治癥瘕、虚劳干血等疑难杂病。内科急危重症大剂猛攻,妇科疾患和疑难杂病小剂缓通,汤丸并举,长期治疗。另外活血通瘀剂量宜大,多煎汤酒服;润燥行滞剂量稍小,多炼蜜为丸服。
Objective:To explore Zhang Zhongjing's understanding of the efficacy and indications of Semen Persicae(Taoren)and his medication characteristics.Methods:Based on the 13 clauses where Zhang Zhongjing applied Semen Persicae and the nine formulas containing Semen Persicae in Treatise on Cold Damage and Miscellaneous Diseases and Synopsis of the Golden Chamber—Dahuang Mudan Tang(Rhubarb and Moutan Decoction),Taobe Chengqi Tang(Peach Kernel Purgative Decoction),Didang Tang(Resistance Decoction),Didang Wan(Resistance Pill),Xiayuxue Tang(Stasis Expelling Decoction),Biejiajian Wan(Turtle Shell Decoction Pill),Guizhi Fuling Wan(Cinnamon and Poria Pill),Dahuang Zhechong Wan(Rhubarb and Ground Beetle Pill),treatment of horse falls,and all formulus for treating tendon and bone injuries—the efficacy and indications of Semen Persicae were summarized.Results and Conclusion:Semen Persicae can purify the lung and unblock the fu organs,enter the blood and remove stasis,gradually attack and break stasis,and unblock the vessels and activate collaterals to treat acute critical conditions such as intestinal abscess,blood stasis,and tendon and bone injuries.It can regulate qi and blood,nourish blood and supplement deficiency to treat difficult and complicated diseases such as abdominal masses and consumptive blood dryness.It can also expel stasis and regulate menstruation,eliminate masses and stop bleeding to treat gynecological disorders such as postpartum abdominal pain,persistent lochia,unfavorable menstruation,amenorrhea,and female abdominal masses.For acute critical conditions,large doses and aggressive attacking methods are used;for difficult and complicated diseases and chronic conditions,small doses and gradual unblocking methods are applied.Both decoctions and pills are used for long term treatment.For activating blood and removing stasis,the dosage should be large,mostly decocted and taken with wine;for moistening dryness and moving stagnation,the dosage is slightly smaller,mostly prepared into honeyed pills.
作者
景鸣
李成文
张喜莲
JING Ming;LI Chengwen;ZHANG Xilian(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300193,China;School of Basic Medical Sciences,Yunnan University of Chinese Medicine,Kunming 65O500,China)
出处
《中医药学报》
2026年第2期1-5,共5页
Acta Chinese Medicine and Pharmacology
基金
国家中医药管理局联合项目:张仲景医药文化的传承保护与特色应用推广(GZY-KJS-2022-043-1)。
关键词
张仲景
伤寒论
金匮要略
中药
桃仁
经方
功效
临床运用
Zhang Zhongjing
Treatise on Cold Damage
Synopsis of the Golden Chamber
Chinese herbal medicine
Semen Persicae(Taoren)
Classical formulas
Efficacy
Clinical application
