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从《金匮要略》探赜当归、芍药法象之机OA

Exploring the Mechanism of Angelica Sinensis and Paeonia Lactiflora in Synopsis of the Golden Chamber from the Perspective of Imagery Thinking Method

中文摘要英文摘要

从法象思维角度重新理解当归、芍药药对在《金匮要略》中的配伍运用可知,当归、芍药是治疗妇人病常用之药对,不仅具有补血功效,而且在补血之余,补而不滞,有助气机升降复常之功,动静相宜,升降相合,补消相宜.该药对不仅可用于治疗血虚之证,对于瘀滞之证,亦是可化可通,通消结合.从法象思维角度再度审视当归、芍药之药性可知,二者功效不仅是当归补血、芍药柔肝,而是当归能补能通,虽气味辛冲却又油润相伴,故行气活血且能补血,药性虽升又不过太燥;芍药酸敛阴柔,虽性有微寒之偏,但柔可通经脉止痛,其气虽有下行内敛之势,但又使肝气升发,自可助肝疏泄以助气血相通而化瘀.当归、芍药之药性与配伍,不限于偏颇某味药的功效,而是气血同调,升降相依,如环无端,周流不息.

Reinterpreting the compatibility application of the couplet herb Angelica sinesis(Danggui)and Paeonia lactiflora(Shaoyao)in Synopsis of the Golden Chamber from the perspective of imagery thinking method,it can be seen that Angelica and Paeonia are not on-ly commonly used herb pairs for treating gynecological diseases,nor merely possess the effect of nourishing blood.Beyond nourishing blood,they supplement without causing stagnation,assisting in restoring the normal ascending-descending of qi movement.They coordi-nate movement and stillness,integrate ascending and descending,and balance supplementation with elimination.This herb pair is appli-cable not only for treating blood deficiency patterns but also for resolving stagnation and obstruction,combining dredging with elimina-tion.Re-examining the medicinal properties of Angelica and Paeonia through imagery thinking method reveals more than just Angelica nourishing blood and Paeonia soothing the liver.From the imagery of their growth,flavor,and property:Angelica can both supplement and dredge-despite its pungent aroma,it is accompanied by oiliness,thus promoting qi circulation and blood activation while nouris-hing blood,with a medicinal property that ascends without excessive dryness;Paeonia is sour,astringent,and yin-nourishing-though slightly cold in property,its softness can dredge meridians and relieve pain,and while its qi tends to descend and inward,it also soothes liver qi to promote its ascending,thereby assisting the liver in free flow to facilitate qi-blood communication and resolve stasis.The me-dicinal properties and compatibility of Angelica and Paeonia are not limited to the efficacy of a single herb but coordinate qi and blood,interdependently ascending and descending like an endless cycle,circulating continuously.

许韵;陈兴娟;肖璐;冯玲

中国中医科学院广安门医院,北京 100053中国中医科学院广安门医院,北京 100053中国中医科学院广安门医院,北京 100053中国中医科学院广安门医院,北京 100053

医药卫生

当归芍药法象思维《金匮要略》张仲景

Angelica(Danggui)Paeonia(Shaoyao)imagery thinking methodSynopsis of the Golden ChamberZhang Zhongjing

《中医学报》 2026 (2)

286-290,5

国家重点研发计划项目(2019YFC1708404)中国中医科学院科技创新工程项目(CI2021A03001)

10.16368/j.issn.1674-8999.2026.02.041

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