黄芪人参汤的临床应用进展

Progress in clinical application of Astragalus ginseng decoction

黄芪人参汤出自金代李东垣所著的《脾胃论》。该方是李东垣对脾胃虚弱类疾病“因病制宜、因时制宜”所制之方,具有补肺健脾、调和阴阳、补气生血、甘温除热等功效,诸多因脾胃虚弱所导致的疾病均可用本方加减治疗。因本方有随证加减的特点,故现代医学也将其应用于多领域疾病的治疗中,如消化系统疾病、发热类疾病、精神疾病、病毒性心肌炎(VMC)、中风后遗症、重症肌无力等。文中简述历年黄芪人参汤的临床应用,从剖析本方及其临床应用两方面着手,以期为本方的临床应用及深入挖掘提供经验参考。

Astragalus ginseng decoction was written by Li Dongyuan in Jin Dynasty in Treatise on Spleen and Stomach.This prescription is made by Li Dongyuan for diseases of spleen and stomach weakness.It has the functions of invigorating the lung and spleen,reconciling Yin and Yang,invigorating qi and generating blood,and removing heat.Many diseases caused by spleen and stomach weakness can be treated with this prescription.Due to its characteristic of increasing and decreasing with syndrome,modern medicine has also applied it in the treatment of many diseases,such as digestive system diseases,febrile diseases,mental diseases,viral myocarditis(VMC),apoplexy sequelae,myasthenia gravis,etc.This paper briefly describes the clinical application of Astragalus ginseng decoction over the years,starting from the analysis of the decoction and its clinical application,in order to provide experience reference for the clinical application and in-depth research of the decoc tion.