摘要
本文详细剖析了补母泻子法在中医处方遣药中的运用,指出在五行学说指导下确立的五脏母子关系是补母泻子法产生的理论基础。同时母子关系的简单化又把这一原则限制在狭小的范围中,使其丧失了普遍指导意义。经络与脏腑在五行归类上的总体同一性,为补母泻子法从针刺范围引入药治提供了依据,但其差异性又使这一法则在运用中似是而非。脾肾的特殊地位和药物的多脏腑作用为该法则提供了立足之地,同时也引出“虚者补其子,实者泻其母”的悖论,使其失去了存在的意义。因此,笔者认为,在中医立法处方中,切忌机械地看待五脏母子关系,盲目推崇运用“虚者补其母,实者泻其子”这一治疗原则。
The writer makes a detailed analysis of the application of the methou of 'reinforcing the mother-organ' and 'reducing the son-organ' and indicates that the method was formed on the theoretic basis of the mother-son relationship under the guidance of the ancient theory of 'Five Elements'. But due to the oversimplification of the mother-son relationship the theory has been limited to a small range, so it has lost its universal significance. The identity of channels and collaterals and viscera in the classification of the five elements provides a basis for the method of 'reinforcing the mother-organ' and 'reducing the sonorgan'used from acupuncture to herbal treatment. However the discrepancy between them shows that the method is difficult to explain in use. The particularity of the spleen and kidney and the action of the herbs to several viscera give the method a footing and meantime produce the opposite theory of 'reinforcing the son-organ when treating cases of deficiency, and treating the excess syndrome by reducing the mother-organ'. The writer considers that when making TCM prescriptions it is essential not to mechanically deal with the mother-son relationship in viscera.
出处
《中国医药学报》
CSCD
北大核心
1989年第5期3-7,共5页
China Journal of Traditional Chinese Medicine and Pharmacy