张锡纯对黄芪认识之探讨

Analysis of ZHANG Xi-chun's Understanding of Huang-qi

黄芪味甘微温,具有补气固表、利尿、托毒排脓以及敛疮生肌的作用,临床应用广泛,常被用于治疗表虚体弱所致的自汗、阳气不足所引起的虚性水肿,中气下陷而致的子宫脱垂、脱肛及疮疡溃破等诸证,具有极大的开发研究价值。历代医家对此多有阐述,且对黄芪的研究及应用也颇具特色。然而近代医学家张锡纯通过多年临床实践独辟新义,认为黄芪不仅能利尿、补升脾胃大气,辨证得当还能补肝气。不仅如此,黄芪在祛外风、息内风、治疗肢体痿废、开寒饮以及滋阴等方面也取得了显著疗效,这些独特的运药经验打破了惯有的思维,扩大了黄芪的临床运用范围。其著作《医学衷中参西录》对于黄芪独到的的功效、配伍以及用量作了详尽的阐述,在临床为后世医家提供了新的用药思路和理论依据,具有深远的指导和借鉴意义。

Huang-qi,sweet and tepid,has the function of tonifying qi and strengthening the exterior,inducing diuresis,expelling toxin and expelling pus,as well as the accumulation of sore. It was widely used in clinic and treat the symptoms caused by weak sweating,edema caused by deficiency of Yang deficiency,Qi sinking due to uterine prolapse and rectocele and sore ulceration and other disease,which has a great value of research and development. The past generations of doctors have described this much,and the research and application of Astragalus is also quite distinctive. However,ZHANG Xi-chun,a modern medical scientist,producing new meanings,thinks that not only can diuretic,but also improve the spleen and stomach,the syndrome differentiation is proper,and it can make up the liver qi. Not only that,in terms of Huang-qi in removing wind,wind and limb paralysis breath,cold drink and nourishing Yin has made significant effect.These unique experience of drug transport broke the habit of thinking,and expanded the scope of the clinical application of Astragalus. His book Yi Xue Zhong Zhong Can Xi Lu for the unique efficacy of Astragalus,compatibility and dosage to do a detailed exposition. In clinic,it provides a new way of thinking and theoretical basis for later generations of physicians,which has profound guiding significance.