王清任活血化瘀制方遣药特点分析

The Characteristic Analysis of WANG Qing-ren's Prescription Formulating of Promoting Blood Circulation and Removing Blood Stasis

通过剖析王清任代表作《医林改错》中的方剂特点,总结了王清任临证创新主要体现在:活血化瘀加部位行气药以行气化瘀主治气滞血瘀证、重用补气药加轻用活血药以补气化瘀主治气虚血瘀证以及活血化瘀药加清热解毒药以解毒化瘀主治温病等方面。可以看出,王清任活血化瘀制方遣药特点,体现了方从法出、法随证立的思路以及紧扣病机、兼顾病情的原则,为临床实践提供了有借鉴的启发和指导意义。

By analyzing the characteristics of the prescriptions in Yilin Gaicuo which is the masterpiece of WANG Qingren,thus summarizing that WANG Qing- ren’s clinical innovation is mainly reflected in these aspects： promoting blood circulation and removing blood stasis plus parts qiactivating drugs in order to attend qi stagnation and blood stasis syndrome by qi- activating and removing blood stasis; reusing qi- tonifying drugs plus promoting- circulation drugs in order to attend qi deficiency and blood stasis syndrome by enriching qi and melting blood stasis; drugs for promoting blood circulation and removing blood stasis plus heat- clearing and detoxicating drugs in order to attend warm disease by detoxicating and removing blood stasis,etc. It can be seen that the characteristics of WANG Qing- ren’s prescription formulating of promoting blood circulation and removing blood stasis reflects the ideas of prescriptions out of methods and methods established by confirming and the principles of keeping to pathogenesis and giving consideration to pathogenic conditions,thus providing inspirations of reference and guiding significance for clinical practice.