解肌法探析

Analysis on the relieving fleshy exterior therapy

解肌法长期与解表法等同混用,其内涵与证治特点尚缺乏辨析。文章通过分析肌肉的生理特点,认为肌肉与皮毛虽同属于表,但所处较深,且其生理功能有赖于脾胃化生营血资助,而肌层受病则会扰及营血乃至脾胃。总结桂枝汤"暖营补虚"与芍药四物解肌汤"清营透散"的解肌治法内涵,归纳解肌法核心的方药特点为用辛透之品由内达于肌层及用芍药入营血,并对解肌法具体的临床证治进行阐述。

The relieving fleshy exterior therapy is always confused with the therapy of relieving superficies method,whose basic intension and application characteristic are still indeterminate.In this article,we thought the physiological characteristics of fleshy exterior include the following aspects.First,fleshy exterior is at a deeper level than skin exterior.Second,fleshy exterior is nourished by nutrient-blood originating from spleen and stomach.Third,pathogenic factor can get thought the fleshy exterior to influence spleen,stomach and nutrient-blood.To sum up the connotation of‘warming nutrient for tonifying deficiency’in Guizhi Decoction and‘clearing nutrient and dispersing’in Shaoyao Siwu Jieji Decoction.Meanwhile,we summarize the application characteristic of relieving fleshy prescription.Finally,we offer some suggestions about how to use this therapeutic method to resolve clinical problems.