摘要
目的:探讨老官山汉墓天回医简《治六十病和齐汤法》含细辛方剂组方配伍规律。方法:运用文献学方法,对本书含细辛方组成药物进行考证、梳理;通过分类统计各药物使用频次、频率等,结合方剂主治,对含细辛方组方配伍规律进行总结、提炼。结果:本书15首含细辛方共配伍药物39味,累计运用92次;其中使用频次最多的三味药为蜀椒与桂各11次、姜9次。按功效分类,与细辛配伍使用最多的为温里药,其使用总频次为41次;使用频率排第二的药类为化痰药、补虚药和清热药,各使用7次。按药性分类,与细辛配伍使用药物药性以温热类药物为主,共使用63次。结论:本书含细辛方配伍规律是以同类药物相辅相成运用为主,异类药物相反相成运用为辅。“细辛-花椒-桂-姜”的配伍结构辛温散寒、通痹止痛,既切中病机,又针对症状,是本书细辛方以同类药物相辅相成运用为主的配伍规律的体现。
Objective:To explore the compatibility rules of prescriptions containing Xixin in Zhi Liu Shi Bing He Ji Tang Fa of Tianhui bamboo slip medical manuscripts in Lao Guanshan Han Tomb.Methods:Using the philological methods,the author researched and sorted out the composition of prescriptions containing Xixin in this book,and summarized the compatibility rules of prescriptions containing Xixin by classifying the use frequency and percentage of each medicine and by combining the indications of prescriptions.Results:39 traditional Chinese medicines were applied in 15 prescriptions compatibility with Xixin,which were used for 92 times.The most frequently used medicines were ShuJiao and Gui which used for 11 times.The third frequently used medicines were GanJiang which used for 9 times.According to the classification by efficacy,WenLi medicines were the most commonly used medicines with Xixin,which were used 41 times.The second most frequently used medicines were HuaTan medicine,BuXu medicine and QingRe medicine,which were used 7 times each.According to the classification of medicine properties,the warm medicines of compatibility with Xixin were mainly,which were used 63 times.Conclusion:The main compatibility rule of prescriptions containing Xixin in this book is that similar medicines synergistically increasing efficacy each other by similar properties.And the secondary compatibility rule is that different medicines increasing efficacy each other through different properties.The compatibility structure of“Xixin-ShuJiao-Gui-GanJiang”is not only relevant to the pathogenesis,but also targeted at the symptoms,which is the embodiment of the compatibility rule of prescriptions containing Xixin based on the complementary application of similar medicines in this book.
作者
刘兴隆
王一童
陈丽平
刘进
Liu Xinglong;Wang Yitong;Chen Liping;Liu Jin(Basic Medical College of Chengdu University of Traditional Chinese Medicine,Chengdu,610075,China;Chinese Culture College of Chengdu University of Traditional Chinese Medicine,Chengdu,611137,China;Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu,610072,China)
出处
《成都中医药大学学报》
2024年第4期68-72,共5页
Journal of Chengdu University of Traditional Chinese Medicine
基金
四川省高等学校人文社会科学重点研究基地--四川中医药文化协同发展研究中心基金项目(ZYYWH1803)
四川省哲学社会科学重点基地——中国出土医学文献与文物研究中心项目(CTYX19)
成都中医药大学“杏林学者”学科人才科研提升计划传承创新专项(CCYB2022006)。
关键词
天回医简
《治六十病和齐汤法》
细辛方
细辛-花椒-桂-姜
组方配伍规律
Tianhui bamboo slip medical manuscripts
Zhi Liu Shi Bing He Ji Tang Fa
Xixin prescriptions
Xixin-ShuJiao-Gui-GanJiang
Compatibility rules