《伤寒杂病论》散剂探微

Exploration of powder in Treatise on Febrile and Miscellaneous Diseases

《伤寒杂病论》详尽记载了张仲景运用散剂的规律和经验。散剂可据制作方式和使用途径而多样细致地分类,其所用溶媒灵活,作用可概括为护胃安中、解毒补虚与助行药力、因势利导;其剂量因人体质的羸壮、药性的峻缓、疾病的缓急各异;作用可根据治疗疾病的不同而分为散水排脓,调经安胎与通闭解结。《伤寒杂病论》散剂的使用经验对后世有极大的借鉴作用,掌握张仲景运用散剂的规律,对临床灵活地运用经方具有重要的意义。

Treatise on Febrile and Miscellaneous Disease records ZHANG Zhong-jing’s principles and experience in using powder in detail.Powders can be classified in various and detailed ways according to their production methods and ways of use.The solvents used are flexible,and their effects can be summarized as protecting the stomach and harmonizing the middle energizer,detoxifying and replenishing deficiency,assisting in the medicinal power and guiding according to the situation.The dosage varies according to whether the body is strong or not,the drug is severe or not and the disease is urgent or not;the effects can be divided into dispersing water and purging pus,regulating the menstruation and anti-fetus and removing the closing and mass.The idea of powder in Treatise on Febrile and Miscellaneous Disease is very mature,and it has a great reference for future generations.Mastering the rules of how ZHANG Zhong-jing uses powder is of great significance for the flexible use of classical prescription and guiding clinical treatment.