运用证素辨证分析三泻心汤的异同

The Similarities and Differences of Three Xiexin Tang Based on Syndrome Factors Differentiation and Analysis

目的 :运用证素辨证分析半夏泻心汤、生姜泻心汤、甘草泻心汤的异同,明确三者的作用方向。方法 :收集前人对三泻心汤的论述,筛选相关症状,通过计算各症状对证素的贡献度的和,确定三者的病位证素和病性证素,得出证名。结果:半夏泻心汤的病位证素是脾、胃,病性证素是湿、气虚、气滞,生姜泻心汤病位证素是肝、脾、胃,病性证素是饮、气滞,甘草泻心汤的病位证素是胃、心神,病性证素是湿、热、气滞、阴虚。结论:三泻心汤病机不离气滞,但各有侧重,半夏泻心汤为基本方,生姜泻心汤最重气滞兼肝胃不和,甘草泻心汤侧重湿与虚热上扰。

Objective：Apply syndrome factors to analyze similarities and differences on the Pinellia Xiexin Tang,Ginger Xiexin Tang and Liquorice Xiexin Tang. Methods：To collect previous analysis of three Xiexin Tang and screen related symptoms,then calculate the contribution of symptoms and syndrome factors,finally,determine disease-bit elements and nature syndrome elements,and rename new syndromes. Results：Disease-bit elements of Pinellia Xiexin Tang are spleen and stomach,and nature syndrome elements are wet,Qi deficiency and Qi stagnation. Disease-bit elements of Ginger Xiexin Tang are liver,spleen and stomach,and nature syndrome elements are retained fluid and Qi stagnation. Disease-bit elements of Liquorice Xiexin Tang are stomach and mind,and nature syndrome elements are wet,heat,Qi stagnation and Yin deficiency. Conclusion：Pathogenesis of three Xiexin Tang is Qi stagnation,but they have different emphases. Pinellia Xiexin Tang is basic prescription. Ginger Xiexin Tang attaches importance to Qi stagnation and liver-stomach disharmony.Liquorice Xiexin Tang focuses on wet and virtual thermal disturbance.