真武汤君药探析

An Analysis of Sovereign Drug in Zhenwu Decoction

真武汤出自《伤寒论》,由茯苓、芍药、生姜、白术、炮附子五味药物组成,被国家中医药管理局列入《古代经典名方目录(第一批)》,是100首经典方剂中的佼佼者。此方配伍精当,疗效显著,历代医家均有应用,然对其君药之归属,历代医家均有不同观点,或以单味药为君,或以多位药为君。文章从《伤寒论》源流出发,以张仲景相近时代的古籍为主要参考,以《伤寒论》条文为据,并结合现代药理研究,认为真武汤以茯苓为君药,对指导临床辨证和选方用药有重要意义。

Zhenwu Decoction comes from Shanghan Lun,which is composed of five drugs:poria cocos,peony,ginger,atractylodes macrocephala koidz and radix aconiti carmichaeli.It is listed in the Catalogue of Ancient Classical prescriptions(the First Batch)by the State Administration of Traditional Chinese Medicine.It is the best of the 100 classical prescriptions.This compatibility,the curative effect are remarkable,all previous dynasties doctors had applied,but the sovereign of drug,dynasties doctors have different point of view,this paper starts from the origin of theory on Shanghan Lun,close to the ancient books as the main reference,according to the Shanghan Lun article,and combines with modern pharmacological research,and holds that Zhenwu Decoction takes poria cocos as the sovereign drug,which is of great significance for guiding clinical syndrome differentiation and prescription selection.