摘要
由生姜泻心汤方后注可知,理中人参黄芩汤的药物组成为生姜、甘草、人参、干姜、黄芩、半夏、大枣、桂枝、白术,为三泻心汤底方。三泻心汤均是治疗寒热错杂心下痞之方,半夏泻心汤以半夏为君,偏于止呕降逆;生姜泻心汤以生姜为君,偏于消中焦水饮;甘草泻心汤以甘草为君,偏于补中止泻。理中人参黄芩汤方中白术健脾益气,生姜发散水气,半夏降逆止呕,集三泻心汤功用为一体。因此,三泻心汤可以看作是由理中人参黄芩汤化裁而来。《伤寒论》中,理中丸体现了仲景的温中思想;三泻心汤体现了仲景温、清并用的理中思想;小建中汤体现了仲景的补中思想;调胃承气汤体现了仲景的泻中思想;小柴胡汤体现了仲景的和中思想;竹叶石膏汤体现了仲景的清中思想。张仲景通过温中、清中、补中、泻中、和中等治疗方法使人体处于中和状态,故而理中也可理解为调和人体之阴阳。张仲景之理中当解读为和中与致中和,而理中人参黄芩汤温、补、清、和兼具,最能体现理中之内涵。
According to the afternotes of Fresh Ginger Heart-Draining Decoction,the medicinal composition of Center-Regulating Ginseng and Scutellaria Decoction includes Shengjiang(Rhizoma Zingiveris Recens),Gancao(Radix Glycyrrhizae),Renshen(Radix Ginseng),Ganjiang(Rhizoma Zingiberis),Huangqin(Radix Scutellariae),Banxia(Rhizoma Pinelliae),Dazao(Fructus Jujubae),Guizhi(Ramulus Cinnamomi),Baizhu(Rhizoma Atractylodis Macrocephalae),which is the base formula of Three Heart-Draining Decoctions.Three Heart-Draining Decoctions are all used to treat epigastric stuffiness with cold and heat in complexity:Pinellia Heart-Draining Decoction with Banxia(Rhizoma Pinelliae)as the sovereign medicinal is used to stop vomiting and suppress upward perversion of qi;Fresh Ginger Heart-Draining Decoction with Shengjiang(Rhizoma Zingiveris Recens)as the sovereign medicinal is used to treat fluid retention in the middle energizer;Licorice Heart-Draining Decoction with Gancao(Radix Glycyrrhizae)as the sovereign medicinal is used to tonify the middle energizer and stop diarrhea.In Center-Regulating Ginseng and Scutellaria Decoction,Baizhu(Rhizoma Atractylodis Macrocephalae)can activate the spleen and tonify qi;Shengjiang(Rhizoma Zingiveris Recens)can disperse fluid retention;Banxia(Rhizoma Pinelliae)can suppress upward perversion of qi to stop vomiting.These medicinals integrate the functions of Three Heart-Draining Decoctions.Therefore,Three Heart-Draining Decoctions can be seen as modified versions of Center-Regulating Ginseng and Scutellaria Decoction.In Treatise on Cold Damage Diseases,Center-Regulating Pill reflects Zhang Zhong-jing's middle-warming thought;Three Heart-Draining Decoctions reflect Zhang Zhong-jing's both warming and clearing thought;Minor Center-Fortifying Decoction reflects Zhang Zhong-jing's middle-tonifying thought;Stomach-Regulating and Purgative Decoction reflects Zhang Zhong-jing's middle-purging thought;Minor Bupleurum Decoction reflects Zhang Zhong-jing's middle-harmonizing thought;Lophatherum and Gypsum Decoction reflects Zhang Zhong-jing's middle-clearing thought.Zhang Zhong-jing achieved a state of neutralization through the methods of warming the middle,clearing the middle,tonifying the middle,purging the middle,and harmonizing the middle.Therefore,in theory,regulating the middle can also be understood as harmonizing the yin and yang of the human body.Zhang Zhonjing's regulating the middle should be interpreted as"harmonizing the middle"and"reaching neutralization",while Center-Regulating Ginseng and Scutellaria Decoction combines warming,tonifying,clearing,and harmonizing,which best reflects the connotation of harmonizing the middle.
作者
张李香
史光伟
张禄璐
芦文娟
梁永林
ZHANG Li-xiang;SHI Guang-wei;ZHANG Lu-lu;LU Wen-juan;LIANG Yong-lin(Gansu University of Chinese Medicine,Lanzhou,Gansu,China,730000;Jiuquan Hospital of Traditional Chinese Medicine,Jiuquan,Gansu,China,735000;Key Laboratory of Dunhuang Medicine and Transformation,Ministry of Education,Lanzhou,Gansu,China,730000)
出处
《河南中医》
2023年第5期656-659,共4页
Henan Traditional Chinese Medicine
关键词
理中法
理中人参黄芩汤
半夏泻心汤
甘草泻心汤
生姜泻心汤
《伤寒论》
张仲景
method of regulating the middle
Center-Regulating Ginseng and Scutellaria Decoction
Pineilia Heart-Draining Decoction
Licorice Heart-Draining Decoction
Fresh Ginger Heart-Draining Decoction
Treatise on Cold Damage Diseases
Zhang Zhong-jing
