益黄散中丁香与木香应用考证

Textual Research on Application of Dingxiang and Muxiang in Yellow-Transforming Powder

历代医书对益黄散中丁香与木香的用药选择有争论。通过整理关于记载益黄散的古籍发现,古人在应用益黄散时主流选丁香,虽然钱乙在《小儿药证直诀》中标注:"一方用木香",但后世医家还是多以丁香入药。现代大多医者在应用益黄散时选择辨证施药,脾肺气虚、寒证、肾病等证多选丁香;脾胃失和、气逆等证多选木香,甚至根据病症的不同选择二者同用并加减其他药味。丁香与木香性味归经及功效有所不同,在方中配伍各有所长,在临床应用益黄散时具体如何选择,仍需进一步探讨。

There are disputes on the choice of medicine for Dingxiang(Flos Caryophylli) and Muxiang(Radix Aucklandiae) in Yellow-Transforming Powder in medical books of all dynasties.Through sorting out the ancient books recording Yellow-Transforming Powder,it is found that in ancient times,when Yellow-Transforming Powder was used,Dingxiang were mainly selected.Although QIAN Yi once noted in Key to Diagnosis and Treatment of Children′s Diseases that "Muxiang was used in a formula",later generations of doctors still often use Dingxiang.Most modern doctors choose to use Yellow-Transforming Powder based on syndrome differentiation.For spleen and lung qi deficiency,cold syndrome,kidney disease and so on,Dingxiang is often adopted.For spleen and stomach disharmony,qi counter-flow,etc,Muxiang is often adopted.They even choose to use them together according to different disease syndromes and add or subtract other medicines.There are differences in natures and flavors,channel entry,and efficacy between them.In the formula compatibility each has its own advantages,so how to choose Dingxiang or Muxiang in using Yellow-Transforming in clinical application still needs further discussion.