摘要
“汤液经法图”理论体系重视中药的五味对其脏腑补泻功效的决定性作用。其中,五味与脏腑的相关性,不是一对一的关系,而是分别作为3个不同脏腑的补味、泻味和化味出现3次。也即,同1个药味可以有作用于3个不同脏腑的功效可能性,2个及以上的药味组合就具有作用于全部五脏(3×2=6>5)的功效可能性。于是,根据排列组合理论,5个药味可形成31种配伍形式,并依据锚定不同的脏腑表现出145种功效可能性,包括由1个药味组成的方剂5种(分别是辛、咸、甘、酸、苦,并可表现出15种功效可能性)、由2个药味组成的方剂10种(分别是辛咸、辛甘、辛酸、辛苦、咸甘、咸酸、咸苦、甘酸、甘苦、酸苦,并可表现出50种功效可能性)、由3个药味组成的方剂10种(分别是辛咸甘、辛咸酸、辛咸苦、辛甘酸、辛甘苦、辛酸苦、咸甘酸、咸甘苦、咸酸苦、甘酸苦,并可表现出50种功效可能性)、由4个药味组成的方剂5种(分别是辛咸甘酸,辛咸甘苦、辛咸酸苦、辛甘酸苦、咸甘酸苦,并可表现出25种功效可能性)、由5个药味组成的方剂1种(即辛咸甘酸苦,并可表现出5种功效可能性)。同时,在古代经方验方中寻找到满足这些组合145种功效可能性的真实临床方剂196个,并论述了这些方剂的来源、药味组成和功效特点。
The theoretical system of "Tangye JingfA Map" attaches importance to the decisive role of Five flavors of Traditional Chinese Medicine in the tonifying and purging effect of Zang Fu.Among them,the correlation between five flavors and Zang Fu is not a one-to-one relationship,but appears three times as tonifying,purging and adjusting flavors of three different Zang organs.That is,the same herbal flavor can have the possibility of acting on three different Zang organs,and two or more herbal flavor combinations can act on all five Zang organs(3×2=65).Therefore,according to the permutation and combination theory,the five herbal flavors can form 31 compatibility types,and show 145 efficacy possibilities according to anchoring different Zang organs,including 5 kinds of prescriptions composed of one flavor(pungent,salty,sweet,sour and bitter,and can show 15 efficacy possibilities),10 kinds of prescriptions composed of two flavors(pungent-salty,pungent-sweet,pungent-sour,pungent-bitter,salty-sweet,salty-sour,salty-bitter,sweet-sour,sweet-bitter,sour-bitter,and can show 50 efficacy possibilities),10 kinds of prescriptions composed of three flavors(pungent-salty-sweet,pungent-salty-sour,pungent-salty-bitter,pungent-sweet-sour,pungent-sweet-bitter,pungentsour-bitter,salty-sweet-sour,salty-sweet-bitter,salty-sour-bitter,sweet-sour-bitter,and can show 50 efficacy possibilities),5 kinds of prescriptions composed of four flavors(pungent-salty-sweet-sour,pungent-salty-sweet-bitter,pungent-salty-sour-bitter,pungent-sweet-sour-bitter,salty-sweet-sour-bitter,and can show 25 efficacy possibilities),and one kind of prescription composed of five flavors(pungent-salty-sweet-sour-bitter,and can show 5 efficacy possibilities).At the same time,196 real clinical prescriptions satisfying 145 efficacy possibilities of these combinations were found in the ancient empirical books,and the source,flavor composition and efficacy characteristics of these prescriptions were discussed.
作者
金锐
王宇光
Jin Rui;Wang Yuguang(Xiyuan Hospital,China Academy of Chinese Medical Science,Bejing 100091,China;Beijing Jiaotong University Community Health Center,Bejing 100044,China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2023年第1期63-73,共11页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
中国中医科学院科技创新工程重大攻关项目(CI2021A03805):“汤液经法图”五味配伍成方理论内涵及其优化临床复方用药的科学研究,负责人:金锐。
关键词
汤液经法图
功效
五味
方剂
配伍
排列组合理论
Tangye Jingfa Map
Efficacy
Flve flavors
Chinese medicicnal formula
Compatibility
Permutation and combination theory