从三焦角度探析复脉汤加减方的应用

Application of Modified FuMai Decoction(复脉汤加减方)based on Sanjiao(三焦)Theory

通过对历代文献的梳理,发现对复脉汤加减方主治病位的认识经历了由上至中而下的三焦变化,即起于上焦,用于治疗上焦心肺阴虚之证;变于中焦,意在补胃生津;用于下焦,从护阴、清邪、收阴、潜阳固阴四个维度共奏存下焦真阴之功。认为复脉汤加减方不变之处为滋阴法,其变之处在于据三焦病位、兼夹病性、内伤外感、伤寒温病的不同,来确定对应的治法,以此选择对应加减药物,为拓展经方的临床应用范围提供借鉴。

Review of historical literature showed that the understanding of the indicated disease location of Modified FuMai Decoction(复脉汤加减方)has evolved from the upper jiao(焦)to the middle and lower jiao.Initially,it is used for the treatment of yin deficiency of both yin and yang in the upper jiao,changes to supplement stomach and pro⁃duce fluids in the middle jiao,and is used to protect yin,clear the pathogens,conslidate yin and subdue yang so as to store the true yin of lower jiao.The unchanging principle of Fumai Decoction modifications is nourishing yin,while the changing aspects are determining the secondary treatment methods based on disease location of sanjiao,concomi⁃tant disease natures,internal injury or external contraction,warm disease or cold damage,thereby choosing the corre⁃sponding added or subtracted herbs,and providing reference for the application of classical formulas.