钱乙“肾主虚,无实也”观与六味地黄丸

Point of 'none kidney excess syndrome' of QIAN Yi and Liu Wei Di Huang Wan

《小儿药证直诀》是我国现存最早的一部儿科专著,其中钱乙阐发了"肾主虚,无实也"的观点,其本意是肾脏病证和其他四脏一样有虚、实之分,肾脏病证以虚证多见,但也有肾实证。地黄丸正是针对小儿肾虚而设,肾主一身之阴液,补肾阴以补五脏之阴。此方得到后世的广泛认可与应用,方名、使用范围都有发展,薛己将其更名为六味地黄丸,应用范围亦扩展到肾阴不足导致的各种病证。

Xiaoer Yaozheng Zhijue was an earliest pediatric monograph existing.The point ＇none kidney excess syndrome＇ proposed by QIAN Yi meaned,like other four organs,kidney diseases also had excess and deficient syndromes,and deficient syndromes were the most.Dihuang pill was created to deal with pediatric kidney deficiency.Kidney governed Yin fluid of whole body,so nourishing kidney Yin also could supplement Yin of five organs.The prescription was approved and abroad used by latter generation,and its name and indications were developed further.XUE Ji renamed it Liu Wei Di Huang Wan,and it had been applied all kinds of diseases induced by kidney Yin deficiency.