金水六君煎制方思想及证治特点探析

Analysis of the Formulation Idea and Main Treatment Characteristics of Jinshui Liujun Decoction

通过对金水六君煎的相关资料进行整理研究,发现该方以二陈汤、贞元饮为基础创制,尤其是在燥湿化痰时,增加熟地、当归温补真阴而治虚寒,突出反映调补元气,温脾固肾的制方思想。该方被张氏应用于19种病证,也被后世医家灵活加减,广泛使用。研究金水六君煎的配伍特点和制方思想,对后世理解张氏和法的含义,研究张氏温补真阴的学术思想,拓宽治疗痰喘的临床思路,有重要的实用价值和指导意义。

Through compiling and studying the related literature of Jinshui Liujun Decoction,we find that this formula is created based on Erchen Decoction and Zhenyuan Yin.Especially in drying dampness and dissolving phlegm aspects,rehmanniae radix praeparata and angelicae sinensis radix are added into it to warm and supplement genuine yin for treating deficiency-cold,highlighting the formulation idea of tonifying original qi,as well as warming the spleen and strengthening the kidney.In addition,this formula was used by Zhang Jingyue for treating 19 kinds of diseases and syndromes,and it was also widely used by later generations of physicians with flexible modifications.Therefore,the study on the medicine compatibility characteristics and the formulation idea of Jinshui Liujun Decoction is of great practical value and guidance for the later generations to understand Zhang Jingyue's harmonization treatment method,to study his academic idea of warming and supplementing genuine yin,and to broaden the clinical ideas of treating phlegm along with panting syndrome.