基于“推陈致新”理论探讨仲景补泻法度及其临床应用

Exploration on Zhang Zhongjing's reinforcing and reducing methods and their clinical application based on the"Tuichen Zhixin"theory

推陈致新思想指在权衡患者身体状况后,利用药物偏性使机体生理功能得以恢复,自发祛邪生新。推陈致新思想贯穿整个《伤寒论》体系。推陈致新时机与方法的把握要“以症为度”“因势利导”“助阳化气”。本文以《神农本草经》《内经》“推陈致新”理论为指导,立足于《伤寒论》原文,结合后世医家及现代医学研究,从多个角度探讨伤寒论补泻思想,以期揣测其补泻法度,为《伤寒论》学习及临床遣方用药提供新的思路与方法。

The idea of"Tuichen Zhixin"refers to the spontaneous restoration of physiological function of the body by helping the organism to remove pathological substances through drugs,after weighing the patient's physical conditions.This idea runs through the entire system of Shanghan Lun(Treatise on Cold Pathogenic Diseases).It is believed that its timing and methods should be based on symptoms,guided by specific conditions,and aimed at promoting the transformation of yang into qi.Guided by the theory of"Tuichen Zhixin"in Shennong Bencao Jing(Shennong's Classic of Materia Medica)and Huangdi Neijing(Inner Canon of Huangdi),based on the original text of Shanghan Lun,combined with the research of later physicians and modern medicine,this paper discusses the reinforcing and reducing thought from multiple perspectives,with a view tofiguring out its reinforcing and reducing methods and providing new ideas and ways for the study of Shanghan Lun and its clinical application.