摘要
考据《伤寒杂病论》原文,从用量用法、主治证候、配伍应用3个方面,考查相关经方中黄芩的运用规律。黄芩共出现于25首不同的经方中,有20首汤剂,3首散剂,2首丸剂。①在黄芩的用量和用法方面,最大量为一斤,常用量为三两,最小量为十八铢,用法上分别为麻沸汤泡服,去滓再煎和丸剂。②在主治证候上以烦热、痞满、下利、出血为主,多用于清少阳胆经郁热和治胃热痞证。③在主治证候与配伍用药用量关系方面,用来治疗热痢和止血时,黄芩与黄连配伍其用量关系1∶1;用来治疗胃热痞证时,其用量关系为1∶3。在药物配伍上黄芩多配伍柴胡,柴胡内可领黄芩入少阳,外可祛邪热外达;配伍黄连可增强清中焦湿热和消痞满之功。张仲景用黄芩下血闭,多入丸剂,如大黄■虫丸、鳖甲煎丸。探析黄芩在经方中治疗疾病的规律和策略,临床用药时以便更准确地选择用药、指导临床。
Based on the original text of Treatise on Cold Damage and Miscellaneous Diseases,the application regularity of Huangqin(Scutellariae Radix)in relevant classical prescriptions was investigated from three aspects of dosage and usage,indication and syndrome,and compatibility and application.There are total twenty-five different prescriptions with Huangqin,including twenty decoctions,three powders and two pills.①In terms of dosage and usage of Huangqin,the maximum amount is 1 Jin(斤),the commonly used amount is 3 Liang(两),and the minimum amount is 18 Zhu(铢),taken after being infused in Mafei Decoction(麻沸汤),eliminating the sediment and decocting again.②In terms of indications,it is mainly manifested as vexing heat,stuffiness and fullness,diarrhea,bleeding,and used in clearing heat stagnated in gallbladder of shaoyang meridian and treating fullness syndrome of stomach heat.③In terms of the relationship between indication and dosage of compatible herbs,when it is used for treating dysentery and bleeding,the ratio between dosage of Huangqin and Huanglian(Coptidis Rhizoma)is 1∶1.When used to treat fullness syndrome of stomach heat,the dosage ratio is 1∶3.In addition,Huangqin is mostly mixed with Chaihu(Bupleuri Radix).Chaihu can bring Huangqin into shaoyang meridian internally,and eliminate pathogenic heat externally.Compatibility with Huanglian can enhance the function of clearing damp-heat in middle energizer and eliminating stuffiness and fullness.ZHANG Zhongjing applied Huangqin mainly in pills to treat blood stasis,such as Dahuang Zhechong Pill(大黄虫丸),Biejiajian Pill(鳖甲煎丸).This paper analyzed the regularity and strategies of Huangqin in the treatment of diseases in the classic prescriptions,so as to select the medicine more accurately and guide the clinic in medication.
作者
卢成远
徐捷
张沁园
LU Chengyuan;XU Jie;ZHANG Qinyuan(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Jinan High-tech Zone Hospital,Qilu Hospital of Shandong University,Jinan 250011,China)
出处
《山东中医药大学学报》
2021年第1期99-104,共6页
Journal of Shandong University of Traditional Chinese Medicine
基金
国家中医药管理局齐鲁伤寒流派传承工作室建设项目(编号:LPGZS2012-34)
山东省齐鲁医派中医学术流派齐鲁长清段氏易医针推传承工作室建设项目(编号:2020-07)。
关键词
黄芩
经方
烦热
下利
出血
少阳胆经郁热
胃热痞证
大黄■虫丸
鳖甲煎丸
Huangqin(Scutellariae Radix)
classic prescriptions
vexing heat
diarrhea
bleeding
heat stagnated in gallbladder of shaoyang meridian
fullness syndrome of stomach heat
Dahuang Zhechong Pill
Biejiajian Pill
