管窥黄元御运用柴胡经验

Discussion on the Experience from Huang Yuanyu in Using of Bupleurum

清代著名医家黄元御著有医书十一种,其中《四圣心源》乃扛鼎之作,黄氏遣方用药,精益求精,配伍合宜,辨证准确,多尊仲景,善于发挥,尊古不泥古。黄氏临床运用柴胡非常广泛,在《四圣心源》中包含柴胡方剂17首。柴胡行经于表里阴阳之间,奏效于寒热往来之会,入足少阳胆经,配伍精当,疗效卓著。黄氏运用柴胡与补虚、清热、滋阴等他药配伍,治疗各种疑难病症,如噎膈、颠狂、牝疟、瘰疬、月经病等。本文探讨黄元御运用柴胡的经验,为临床实践提供理论依据。

Qing Dynasty＇s famous medical master Huang Yuanyu wrote eleven kinds of books, the Sisheng Xinyuan was one of the great famous books, master Huang taked medication by selecting prescriptions and kept improving. The compatibility of medicines is proper and the differentiatioan of symptoms was accurate. He is not conservative though he respected Zhang Zhongjing, the emperor of medicine. Huang＇s clinical application of Bupleurum is very extensive, in the Sisheng Xinyuan including 17 kinds of Bupleurum prescriptions. Bupleurum pass between Yin and Yang, it worked by cold and heat exchailges, the foot Shaoyang meridians, precise matching, the curative effect is outstanding. Huangs using Bupleurum with other tonify deficiency coonlinate tonic, clearing heat and nourishing Yin medicines, it ean treat incurable diseases such as dysphagia, mania, female malaria, scrofula and menstrual disorders. This paper summarizes the experience from Huang Yuanyu using Bupleurum and provides a theoretical basis for clinical practice.