“去性存用”配伍内涵的探讨

Connotation of property-removed and action-reserved in medicinal combination

本文以中药性用和方证相关的理论为基础,对"去性存用"的配伍内涵进行了探讨。文中从中药性用理论和方剂配伍学理的角度阐述了对"去性存用"的认识,提出了其临床意义;同时通过区别"去性存用"与"寒热并用"和"反佐"的不同进一步就其内涵进行了探讨;最后通过方剂示例举隅,使其内涵更具体、更丰富。认为"去性存用"是根据治证的病机选择性使用药物的部分性能的一种用药技法,中药性能与效用的可分离性是其运用的逻辑基础。

The paper explored the connotation of property-removed and action-reserved in medicinal combination based on the theory of property and actions of Chinese medicinal and formula combination principles, and indicated the clinical significance. The connotation of property-removed and action- reserved was studied further through distinguishing the deference among property-removed and action- reserved, combined use of cold and heat herbs and using corrigent combination. Finally, the authors made the connotation more specific and richer through giving formula examples. The authors thought that property-removed and action-reserved is one of medicinal administration skills, which is based on the pathogenesis and selective usage of property of Chinese medicinal. The separability between property and actions of Chinese medicinal is the logical foundation of property-removed and action-reserved.