现代中医临床2024，Vol.31Issue(5)：77-81,96,6.DOI:10.3969/j.issn.2095-6606.2024.05.018
基于组方结构探讨《金匮要略》分层次补中寓通论治虚劳
Study of the hierarchical treatment of consumptive diseases with the method of supplementing the center and unblocking in Jingui Yaolue based on the structure of prescription composition
摘要
Abstract
The concept of xulao (consumptive diseases) outlined in the Jingui Yaolue (Essentials from the Golden Cabinet) encapsulates a spectrum of intricate chronic deficiency ailments,where Guizhi Decoction (Cinnamon Twig Decoction) plays an pivotal role in their treatment. The myriad manifestations of consumptive diseases share a commonality of deficiency and damage,yet exhibit distinct characteristics in the pathogenesis. Although various prescriptions are tailored to diverse pathogenesis,they all trace their roots back to Guizhi Decoction and retaining a unified structural basis. The precursor state of imbalance in consumptive diseases signifies a vulnerability due to disharmony between ying qi and wei qi. Proactive intervention with Guizhi Decoction in the early stages can forestall the progression of the ailment. The imbalance and deficiency damage state of consumptive diseases marks a state of imbalance or mild deficiency between qi and blood,warranting treatments like Guizhi Jia Longgu Muli Decoction (Cinnamon Twig Decoction Plus Os Draconis and Oyster Shell),Xiao Jianzhong Decoction (Minor Center-Fortifying Decoction ) and Huangqi Jianzhong Decoction (Astragalus Center-Fortifying Decoction). The state of yang qi deficiency in consumptive diseases may arise from the prolonged separation of yin qi and yang qi,causing the dissipation of yang qi. Another possibility is that the continuous consumption of yang qi leads to a depletion. These can be addressed through remedies such as Tianxiong Powder (Aconite Root Powder),Shenqi Pill (Kidney Qi Pill),and Shuyu Pill (Dioscoreae Root Pill). The conditions marked by yin qi and blood deficiency of consumptive diseases stem from weakness leading to blood stasis,which can be treated with Suanzaoren Decoction (Sour Jujube Decoction) and Dahuang Zhechong Pill (Rhubarb and Ground Beetle Pill). The critical state of concurrent yin qi and yang qi deficiency in consumptive diseases is a severe stage and the use of Zhigancao Decoction (Honey-Fried Licorice Decoction) to supplement both yin qi and yang qi simultaneously proves beneficial. Tailoring treatments for the different levels of pathogenesis of consumptive disease emphasizes the integration of tonification and unblocking. This involves utilizing techniques such as dredging ying qi and wei qi,promoting yang qi circulation,nourishing yin qi and blood,and harmonizing yin qi and yang qi.关键词
金匮要略/虚劳/通法/层次/补中寓通Key words
Jingui Yaolve/consumptive diseases/obstruction-removing therapy/hierarchical treatment/combination therapy of tonifying the center and unblocking分类
医药卫生引用本文复制引用
刘骐瑞,李国祥,李新康,齐子熠,吴佳玥,邹源宜,安卓佳,李永浩,鲁艺..基于组方结构探讨《金匮要略》分层次补中寓通论治虚劳[J].现代中医临床,2024,31(5):77-81,96,6.基金项目
国家重点研发计划(No.2017YFC1700106) （No.2017YFC1700106）
第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号) （国中医药人教函[2022]76号）
北京中医药大学大学生创新创业训练计划项目(No.X202310026089) （No.X202310026089）
