从“枢”病探析“和法”

Analysis of the TCM Harmonization Treatment Method Based on Theory of "Pivot" Disease

"和法"即用升、降、收、散的药物,调节少阳或厥阴阴阳交接的枢转作用,使机体脏腑关系协调,气血流畅,达到阴阳平衡的一种治疗方法,包括"和少阳法"及"和厥阴法",其实质是针对枢机为病而设的一种治法,故在临床上不能不辨病机随意运用。和解剂的代表方剂有和少阳之小柴胡汤、和厥阴之乌梅丸、和少阳厥阴之四逆散,此三方枢机病位特殊,用药多寒热并用、攻补兼施,但寒热并用或攻补兼施并不等于"和法"。"和法"的临床应用一定要符合枢机为病的病机特点,和而有据,勿使之过泛,以免贻误病情。

TCM Harmonization treatment method is to regulate the pivot function of Shaoyang or Jueyin by using Chinese medicine which is ascending,descending,floating or sinking in character. The treatment can coordinate the movement of Qi and blood as well as keeping a harmonious relationship between human＇s Yin and Yang. Harmonization method is aimed at treating for pivot disease and it should be used properly based on syndrome differentiation. The representative prescriptions are Xiao Chaihu Decoction,Wumei pills and Si ni Powder. The prescriptions above use drugs of being cold and hot in characters and all of the drugs may function either in tonification huaman Qi or in dispelling Evil factors or the combination of the both. However,all prescriptions which are composed of drugs of being cold and hot in characters and drugs may function either in tonification huaman Qi or in dispelling Evil factors or the combination of the both are not harmonization treatment method. Therefore,the application of harmonization treatment method should be in accordance with pathogenesis characteristics of being ＂ pivot＂ disease in clinical practices in order to make correct decision in treatment activities.