天津中医药大学学报2026，Vol.45Issue(6)：650-654,5.DOI:10.11656/j.issn.1673-9043.2026.06.03
温经汤"下利"原意考辨及临证应用拓展
Textual investigation into the original meaning of"Xiali"in Wenjing Decoction and expansion of its clinical applications
摘要
Abstract
Wenjing decoction,recorded in Jin Gui Yao Lüe,is a commonly used formula for regulating menstruation in gynecology and is known for its effects of warming the meridians,dispelling cold,nourishing blood,and removing blood stasis.ZHANG Zhongjing described its indication as"xiali persisting for dozens of days".However,the meaning of"xiali"has been interpreted differently by later physicians and can generally be categorized into three types:"bleeding from the anterior yin","diarrhea from the posterior yin"and"a general term for pathological discharges from the lower orifices."By examining the historical evolution of the term"xiali",together with later physicians'discussions on its pathogenesis,formula indications,as well as modern clinical applications and mechanistic studies of Wenjing decoction,this article aims to clarify the original meaning of the term in the source text and further expand the application of this formula in perimenopausal syndrome and internal miscellaneous diseases,thereby providing a reference for the clinical practice of traditional Chinese medicine.关键词
金匮要略/下利/温经汤/原意考证/应用拓展Key words
Jin Gui Yao Lüe/xiali/Wenjing Decoction/investigation of original meaning/expansion of clinical applications分类
医药卫生引用本文复制引用
李雯,赵子剑,林姗姗,毕颖斐,钟相根,张静,张永波,田亚南..温经汤"下利"原意考辨及临证应用拓展[J].天津中医药大学学报,2026,45(6):650-654,5.基金项目
天津市第二批卫生健康行业高层次人才选拔培养工程项目(TJSQNYXXR-D2-083). （TJSQNYXXR-D2-083）
