摘要
结合历代治痰名方的用药配伍特点,对祛痰方剂的组方配伍进行分析,认为祛痰方剂的组成具有以下用药配伍规律:治痰以祛痰药为主,辅以理气药,使气行则湿化,痰浊不生;配以健脾补肾之品,恢复脾肾运化津液功能;痰与津液同源,佐以利水渗湿之药以助祛痰;痰郁易化火生热,配伍清热泻火之品,使痰随热去;痰为阴邪,易伤阳气,参以温里通阳方药,振奋阳气,宣化痰浊;痰瘀常互为因果,配伍活血祛瘀药使痰瘀并治。由于痰浊致病广泛、变幻多端,故治痰方常由多类药物配伍而成,临床应结合具体病证,随症加减,以期取得满意疗效。
To analyze the medication rule of phlegm-expelling formula by combining with the characteristics of phlegm- expelling formula in past dynasties. The medication rule could be attributed as follows: the formula gave priority to expectorants, accompanied with carminative drugs to activate qi flowing for expelling phlegm; combined with drugs of invigorating the spleen and kidney to restore the function of transportation and transformation of fluid; because of the homology of phlegm and fluid, drugs for diuresis and diffusing dampness were usually used for expelling phlegm; phlegm stagnation always produced fire and heat, the compatibility of drugs for clearing heat-fire could clear phlegm-heat; because phlegm damaged the yang qi, warming interior and activating yang formula could elevate yang qi for dissipating phlegm; phlegm and blood stasis always interacted as both cause and effect, so the compatibility of blood-activating and stasis-dispelling drugs was necessary. Due to the complicated and changeable of phlegm-turbidity, the phlegm-expelling formula often composed by many drugs, in order to obtain satisfactory curative effect in clinical practice, drugs should be flexible application combined with specific symptoms.
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2018年第1期127-129,共3页
China Journal of Traditional Chinese Medicine and Pharmacy
关键词
祛痰剂
组方配伍
用药规律
Phlegm-expelling formula
Compatibility of drugs
Medication rule