分析芍药甘草汤的临床应用及方剂研究进展

Analysis of the clinical application of Shaoyao Gancao Decoction and the research progress of prescriptions

芍药甘草汤在《伤寒论》中属于著名的方剂,其主要由芍药、甘草等构成,功能主治津液受损,阴血不足,筋脉失濡所致诸证.在《伤寒论》中,有113方,其中有31方利用芍药,有70方利用甘草,24方利用芍药与甘草的配用,组方中芍药酸寒,养血敛阴,柔肝止痛.甘草甘温,能够健脾益气,缓解疼痛感受.多药联合可酸甘化阴,改善患者肝脾功能状态,有柔筋止痛的作用.下文针对芍药甘草汤临床应用情况进行深入分析,探究芍药甘草汤治疗皮肤瘙痒、肌肉痉挛的作用价值.结合芍药甘草汤的组方、使用效果等,对其方剂构成、使用剂量进行探究,在明确芍药甘草汤药物性质的基础上,合理添加桂枝、当归及白芍等药物辨证施治,发挥中医学随症加减治疗的价值,有效改善患者的临床症状,使患者的临床症状得以缓解.加强芍药甘草汤的临床使用效果、方剂研究,能够更好地发挥芍药甘草汤使用价值,为患者实施对症有效治疗,缓解患者的临床症状,避免患者症状的进一步发展,也能够真正发挥中医学研究的意义.

Shaoyao Gancao Decoction(芍药甘草汤)is a famous prescription in Treatise on Febrile Diseases.It is mainly composed of peony and Licorice.Its function is mainly to treat body fluid damage,Yin and blood deficiency,and various syndromes caused by loss of tendons and veins.There are 113 prescriptions in Treatise on Febrile Diseases,among which 31 prescriptions use peony,70 prescriptions use licorice,24 prescriptions use the combination of peony and licorice.The peony in the prescription is cold and sour in nature,it nourishes blood and astringes yin,softens liver and relieves pain.Licorice is warm in nature,it can invigorate the spleen and invigorate qi,alleviate pain feeling.The combination of sour-sweet herbs can astringes yin,improve the liver and spleen function of patients,and has the effect of tendon softening and pain relief.Following is an in-depth analysis of the clinical application of Shaoyao Gancao Decoction,to explore the role of Shaoyao Gancao Decoction in the treatment of skin pruritus and muscle spasm.Combining with the prescription and effect of Shaoyao Gancao Decoction,the composition and dosage of Shaoyao Gancao Decoction are explored.On the basis of defining the nature of Shaoyao Gancao Decoction,Guizhi,Angelica sinensis and Paeonia lactiflora are added reasonably to give full play to the value of the treatment,and effectively alleviate the clinical symptoms.Strengthening the research on the clinical effect and prescription of Shaoyao Gancao Decoction can give better play to the application value of Shaoyao Gancao Decoction,it can implement symptomatic and effective treatment for patients,alleviate the clinical symptoms of patients,avoid the further development of symptoms of patients,and can really demonstrate the significance of TCM research.