基于"破阴结"探讨经方中芍药配伍规律OA
TCM Medicine Compatibility law of Shaoyao(Paeonia Lactiflora)in Classical Prescription Based on"Breaking Yin Knot"
清代名医邹澍在《本经疏证》中提出芍药具有"破阴结"之功效.探讨芍药在桂枝汤、黄芩汤、四逆散、当归四逆汤、真武汤等经方中的配伍意义可知,桂枝汤中桂枝-芍药配伍能调和营卫以破外感风寒之阴结;黄芩汤中黄芩-芍药配伍能清气调血以破风寒化热之阴结;四逆散中柴胡-芍药配伍能破气郁之阴结轻者兼能调和肝脾,枳实-芍药配伍能破气郁之阴结重者兼能清热通壅,甘草-芍药配伍能和肝缓急;当归四逆汤中当归-芍药配伍能破血虚之阴结;真武汤中附子-芍药配伍能破里寒之阴结.
Zou Shu,famous doctor in the Qing Dynasty,proposed in Ben Jing Shu Zheng that Shaoyao(Paeonia lactiflora)has the clini-cal effect of"breaking Yin knots".Exploring the medicine compatibility significance of Shaoyao in Guizhi Decoction,Huangqin Decoc-tion,Sini Powder,Danggui Sini Decoction,Zhenwu Decoction and other prescriptions,the following can be seen:The medicine compati-bility of Guizhi(Cassia twig)and Shaoyao(Paeonia lactiflora)in Guizhi Decoction can harmonize the Ying and Wei to break the Yin knot induced by external Wind and Cold evil factors;the combination of Huangqin(Scutellaria)and Shaoyao(Paeonia lactiflora)in Huangqin Decoction can clear Qi and regulate blood to break the Yin knots with Heat caused by Wind and Cold evil factors;in Sini Powder,Chaihu(Bupleurum)and Shaoyao(Paeonia lactiflora)are compatible in breaking the Yin knots induced by Qi stagnation,and in harmonizing the Liver and Spleen with mild Qi stagnation syndrome;the combination of Zhishi(Fructus aurantii immaturus)and Shaoyao(Paeonia lactiflora)can break the Yin knots caused by Qi stagnation,and clear Heat and remove blockage in case of heavy syndrome;Gancao(Licorice)and Shaoyao(Paeonia lactiflora)can be compatible to harmonize Liver Qi in dealing with case of emer-gency;Danggui(Angelica)and Shaoyao(Paeonia lactiflora)are used together in Danggui Sini Decoction can break the Yin knot with blood deficiency syndrome;the compatibility of Fuzi(Aconite)and Shaoyao(Paeonia lactiflora)in Zhenwu Decoction can break the Yin knots with internal Cold syndrome.
代金成;付强;王天浩;李冀
黑龙江中医药大学,黑龙江 哈尔滨 150040黑龙江中医药大学,黑龙江 哈尔滨 150040黑龙江中医药大学,黑龙江 哈尔滨 150040黑龙江中医药大学,黑龙江 哈尔滨 150040||教育部北药基础与应用研究重点实验室,黑龙江 哈尔滨 150040
医药卫生
芍药"破阴结"配伍桂枝汤黄芩汤四逆散当归四逆汤真武汤经方
Shaoyao(Paeonia lactiflora)"breaking Yin knot"TCM medicine compatibilityGuizhi DecoctionHuangqin DecoctionSini PowderDanggui Sini DecoctionZhenwu Decoctionclassical prescription
《中医学报》 2026 (2)
276-280,5
国家中医药管理局全国名老中医药专家传承工作室建设项目——李冀全国名老中医药专家传承工作室{国中医人发[2014]20号}中医药传承与创新"百千万"人才工程(岐黄工程)岐黄学者项目{国中医药人教函[2018]284号}
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