白芍治疗阴虚水肿探析

Exploring Baishao(Paeoniae Radix Alba)in Treating Edema Caused by Yin Deficiency

白芍为补虚药,养血补虚之作用应用广泛,然对于白芍治疗水肿的研究甚少。为探明白芍疗水肿之功效,通过考查白芍利水源流,结合张锡纯及历代其他医家运用白芍治疗水肿的经验,阐明阴虚与水肿的内在联系,提出白芍功效以滋阴为主、利水为辅,通过滋补脾阴、养血柔肝、凉降泄热3个方面治疗水肿,为阴虚水肿的首选药物,并总结白芍配伍茯苓、阿胶、熟地黄、山药等药物作为常用药对,扩展了白芍的临床应用范围。

Baishao(Paeoniae Radix Alba),classified as a tonifying medicinal,is widely used for nourishing blood and tonifying deficiency.However,research on its efficacy in treating edema is rare.To explore the effect on edema,this paper reviews the historical development of Baishao in treating edema,along with the experiences of ZHANG Xichun and other medical practitioners throughout history in using it to treat edema.It elucidates the intrinsic relationship between yin deficiency and edema,suggesting that Baishao primarily functions by nourishing yin,with a secondary effect for draining water.It treats edema through three mechanisms:nourishing spleen yin,enriching blood and softening the liver,and cooling and descending to dispel heat.Therefore,it is considered the first-choice medicinal for treating edema due to yin deficiency.Additionally,its combination with herbs such as Fuling(Poria),Ejiao(Asini Colla Corii),Shudihuang(Rehmanniae Praeparata Radix),and Shanyao(Dioscoreae Rhizoma)is summarized,extending its clinical applications.