浙江中医药大学学报2025，Vol.49Issue(4)：433-437,5.DOI:10.16466/j.issn1005-5509.2025.04.006
何若苹教授运用逍遥散临证思路探析
Study of Professor HE Ruoping's Thoughts in Application of Xiaoyao Powder
摘要
Abstract
[Objective]To analyze the thought of Professor HE Ruoping in applying Xiaoyao Powder,in order to expand the clinical application of Xiaoyao Powder,and improve the ability of clinical syndrome differentiation and prescription selection.[Methods]Through daily consultations with teachers,collecting medical cases and literature retrieval,this paper discusses the new interpretation of the modification of Xiaoyao Powder.It also presents typical medical cases treated with this formula for conditions such as menstrual disorders,anxiety disorders,ovarian cysts and human papillomavirus(HPV)infection.Furthermore,it summarizes Professor HE's clinical experience in applying Xiaoyao Powder.[Results]Professor HE suggests modifying the original Xiaoyao Powder by removing Mentha haplocalyx Briq.,replacing Zingiber officinale Rosc.with Zingiber officinale Rosc.(dried)to enhance the formula's ability to warm the middle and disperse cold.Additionally,she adds Paeonia suffruticosa Andr.to invigorate blood and dispel blood stasis,thus strengthening the formula's overall effect of promoting blood circulation and tonifying the spleen.Cases treated with Xiaoyao Powder as the base formula such as menstrual disorders,anxiety,ovarian cysts and HPV infections shared the common pathogenesis of liver Qi stagnation and spleen deficiency.By combining differentiation of syndromes with appropriate treatment methods,including regulating and harmonizing Qi and blood,clearing and draining heat and blood stasis,resolving masses and transforming blood stasis,and clearing heat and draining dampness,good therapeutic results were achieved.[Conclusion]Professor HE's clinical application of Xiaoyao Powder often removes Mentha haplocalyx Briq.,and uses Zingiber officinale Rosc.(dried)instead of Zingiber officinale Rosc.added with Paeonia suffruticosa Andr.She believes that this formula can be used for gynecological,psychiatric and other diseases that belong to liver depression and spleen deficiency.Different diseases can be treated with the same formula,expanding the scope of treatment and fully reflecting the role of syndrome differentiation and treatment.It is worth promoting and learning from.关键词
逍遥散/月经病/焦虑症/卵巢囊肿/HPV感染/医案/何若苹Key words
Xiaoyao Powder/menstrual disease/anxiety/ovarian cyst/HPV infection/medical records/HE Ruoping分类
医药卫生引用本文复制引用
赖芊,赵洁,陈旖雯,邓泽欣,何若苹..何若苹教授运用逍遥散临证思路探析[J].浙江中医药大学学报,2025,49(4):433-437,5.基金项目
何若苹全国老中医药专家传承工作室建设项目(国中医药人教发[2016]42号) （国中医药人教发[2016]42号）
浙江省中医药管理局项目(2020ZB134)HE Ruoping National Old TCM Experts Inheritance Studio Construction Project(G.TCM.R.J.F.[2016]42) （2020ZB134）
Traditional Chinese Medicine Administration Project in Zhejiang Province(2020ZB134) （2020ZB134）
