风引汤方证解析与临床应用

Analysis and Clinical Application of Fengyin Tang

风引汤载于《金匮要略·中风历节病脉证并治》,由于该方条文简单,体例独特,后世医家对该方重视不够,对风引汤方证解析尚不明确。现结合《诸病源候论》《备急千金要方》《圣济总录》等关于风引汤论述的条文考释风引汤源流及证治,分析风引汤的方证配伍,认为风引汤中诸药合用,有寒凉潜镇、引风下行、温中固摄、平冲降逆之效。病机为里热结实,热极生风的中风、癫痫、惊悸、震颤、狂证等,均可以风引汤化裁治疗,有风引汤治验医案为证。

Fengyin tang was recorded in the fifth chapter of Jingui Yaolve.Due to its simple provisions and unique style,Chinese medicine practitioners of later generations did not pay enough attention to this prescription,and the interpretation of it was still not clear.This paper analyzes the origin and treatment of Fengyin tang in combination with the articles on Zhubing Yuanhou Lun,Beiji Qianjin Yaofang and Shengji Zonglu,and analyzes the compatibility of Fengyin tang.It is believed that all herbs in Fengyin tang are functioned together to subdue and suppress the cold and cool,guide the wind flow downward,warm the center to astringe and control,calm surging and direct counterflow downward.The diseases whose pathogenesis is interior heat and excessive accumulation and diseases like stroke,epilepsy,palpitation,tremor,mania due to extreme heat producing wind can be treated with Fengyin tang,and the medical cases of Fengyin tang are the proof.