“衰其太半而止”探析

An Analysis of “Shuai Qi Tai Ban Er Zhi”

"衰其太半而止"出自于《黄帝内经·素问·六正纪元大论篇》,原意是论述治疗妇人妊娠有癥瘕积聚时使用攻逐消癥散积等药物治疗须秉持的原则,根据后世医家对"衰其太半而止"的理解,认为该治则亦可推广至处理临床各类疾病。基于原文含义提出,治疗过程中关键是把握正邪矛盾转移的时机,且根据后世临床实践,该理论的应用可体现在施治时中病即止、用药时权衡药性、治疗后平衡阴阳等方面。但该理论具体现实运用仍有难度,还应进一步研究分析。

“Shuai Qi Tai Ban Er Zhi”comes from the Huangdi Neijing,which discusses the principles to be adhered to in the treatment of women’s pregnancy with the accumulation of symptoms,such as attacking,removing,dispersing and accumulating.According to the understanding of“Shuai Qi Tai Ban Er Zhi”by later doctors,it is believed that the treatment can also be extended to the treatment of various clinical diseases.Based on the original meaning,this paper puts forward that the key to the treatment process is to grasp the opportunity of the transfer of the contradiction between“Zheng qi”and“Xie qi”.According to the clinical practice of later generations,the application of this theory can be reflected that“Zhong Bing Ji Zhi”in the treatment of the disease,the balance of drug properties,and the balance of Yin and Yang after treatment.However,it is still difficult to apply the theory in practice,and further research and case analysis are needed.