从“方-证要素对应”探讨栀子豉汤及其衍化方的演化规律

Exploration on Zhizichi Decoction and Its Derived Formulas’ Evolutionary Rule in the Way of “Formula-pattern Element Correspondence”

栀子豉汤在《伤寒论》中为治疗心中懊恼、烦、热和不得眠等症的主方,后世对其发展应用治疗诸多病症,且疗效颇佳。“方-证要素对应”是在“方证相应”理论的基础上发展起来,用于探究证候要素与方剂要素之间相互对应的关系,属于临证组方的一种基本思维模式,同时更加强调“理、法、方、药”之间的逻辑关系,从而使配伍组方药物的靶向更加明确。用“方-证要素对应”理论对栀子豉汤及其衍化方进行剖析,探究其演化规律,以扩大栀子豉汤及其衍化方在临床中的应用,拓展用药思路。

Zhizichi Decoction is the main formula for the treatment of annoyance in the heart,vexation,fever and insomnia in the Treatise on Cold-induced and Miscellaneous Diseases.Later generations expand and apply it to treat diverse diseases and its curative effect is quite good.“Formula-pattern element correspondence” is developed on the basis of the theory of “correspondence between formula and pattern” and is used to explore the relationship between the pattern elements and the formula elements.It is a basic mode of thinking which belongs to formula construction in clinical practice and emphasizes the logical relationship between “theory,method,formula and medicine” at the same time,so that the target of medicinal combination is more clear.In order to expand the application of Zhizichi Decoction and its derived formulas in clinical practice as well as expanding the thinking of medication,the theory of “formula-pattern element correspondence” was used to analyze the Zhizichi Decoction and its derived formulas,and explore its evolutionary rule.