加减五参汤培调元气临证经验撷要

Clinical experience of using modified Wushen Decoction to regulate and replenish primordial qi

元气为正气的基础,其盛衰变化影响人体健康状态及疾病发展转归。王平教授博采古方并结合多年临证经验总结出了培调元气的代表性方剂--加减五参汤。此方以生晒参、太子参、玄参、沙参、丹参五药为核心,具有益气养阴、活血散瘀的功效,并可以此为基础灵活加减化裁,用于治疗元气亏虚类疾病。该验方经过多年临证实践,确有良效。文章选取了以加减五参汤为主方治疗郁证虚劳、胸痹心痛、崩漏验案3则,结合具体案例分析其培调元气的临证经验。

Primordial qi is the basis of vital qi,and its rise and fall affect the state of human health and the development and outcome of diseases.Professor WANG Ping extensively collectes ancient prescriptions and combines with years of clinical experience,summarizes modified Wushen Decoction as a representative prescription of regulating and replenishing primordial qi.Modified Wushen Decoction is based on the five drugs of raw sun-dried Ginseng,Radix Pseudostellariae,scrophulariae,Radix Glehnia litoralis,Salvia miltiorrhiza,with the effect of replenishing qi and nourishing yin,activating blood circulation and dispersing blood stasis,and could be flexibly added and reduced on this basis to treat diseases such as deficiency of primordial qi.After many years of clinical practice,the prescription has a good effect.This paper selected three cases of modified Wushen Decoction as the main prescription for the treatment of melancholia and consumptive diseases,pectoral stuffiness pain,uterine bleeding,and analyzed its clinical experience of regulating and replenishing primordial qi with specific cases.