柴胡推陈致新功用探究

Research on the function of Radix Bupleuri in Tuichen Zhixin

柴胡在临床应用广泛,古代医家中善于运用柴胡者当首推汉代医圣张仲景,其所著《伤寒杂病论》中以柴胡为主药命名的方剂有10个,与柴胡有关的病机有22条。后世医家亦常以小柴胡汤为主方进行加减运用。柴胡在临床应用中主要以解表退热、和解少阳、疏肝解郁为主,而其推陈致新的功用却很少被医者提及和论述。笔者查阅历代医书和本草,认为柴胡推陈致新功用主要涉及通腑、散血等多个方面。文章主要就柴胡推陈致新在通腑、散血、消痰3个方面应用进行探究,以期引起临床重视,扩大柴胡应用范围。

Radix Bupleuri was widely used in clinical practice.Among the ancient doctors who were good at using Radix Bupleuri,the first one was ZHANG Zhong-jing,a medical saint in Han dynasty.In his book Shanghan Zabing Lun,there were 10 prescriptions named as the main medicine of Radix Bupleuri,and 22 pathogenesis related to Radix Bupleuri.Later doctors often used Xiaochaihu Decoction as the main prescription for addition and subtraction.In clinical application,Radix Bupleuri is mainly used for relieving superficial fever,reconciling shaoyang and soothing liver and relieving depression,but the function of is seldom mentioned and discussed by doctors.I reviewed the medical books and materia medica of the past dynasties and found that the functions of Radix Bupleuri were mainly related to tongfu and dispersing blood.This paper mainly explores the application of Radix Bupleuri Tuichen Zhixin in tongfu,dispersing blood and eliminating phlegm,in order to attract clinical attention and expand the application scope of Radix Bupleuri.