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浅析《温病条辨》对栀子豉汤的继承与发挥OA

Inheritance and Development of Zhizi Chi Decoction in Wen Bing Tiao Bian

中文摘要英文摘要

吴鞠通论治疾病,力倡"各救其偏,以抵平和""岂可各立门户,专主于寒热温凉一家之论而已哉",对仲景学术思想的继承,亦是不囿于《伤寒论》的一方一法.虽然温病与伤寒在辨证论治模式上有所差异,但是对于疾病的治疗均是针对核心病机,有是证则用是方.栀子豉汤是《伤寒论》中用于清宣胸膈郁热的基础方,吴鞠通谨守仲景原方方义,兼采叶桂的性味配伍之法,化裁出桑杏汤、翘荷汤、三香汤、连翘赤豆饮、上焦宣痹汤等新方,使栀子豉汤的临床适用范围扩展到秋燥犯肺、燥气化火、湿温呃逆、湿热黄疸等诸疾.此种基于性味配伍的经方化裁之法,为后世医者创新应用经方立下了典范.

Wu Jutong's discussion on disease treatment strongly advocated for"each treating its imbalance to restore harmony"and he argued as follows:"How can one establish a sect and only focus on one of the theories of Cold,Heat,Warmth,or Coolness?"Besides,his inheritance of Zhang Zhongjing's academic thought was not limited to any single prescription or method proposed in Shang Han Lun.Although there are differences between warm diseases and typhoid fever in terms of syndrome identification and treatment,both approa-ches focus on the core pathomechanism,applying the appropriate prescriptions according to the specific syndrome.Zhizi Chi Decoction is a fundamental formula in Shang Han Lun,which is used for clearing and diffusing constrained Heat in the chest and diaphragm.Wu Ju-tong,carefully adhered to Zhongjing's original formula while also applying Ye Gui's method of combining herbs according to their prop-erties and flavors,resulting in new formulas such as Sangxing Decoction,Qiaohe Decoction,Sanxiang Decoction,Lianqiao Chidou Drink,and Shangjiao Xuanbi Decoction,expanding the clinical application of Zhizi Chi Decoction to diseases such as autumn Dryness affecting the Lung,Dryness transforming into Fire,Damp-Warm typed hiccup,and Damp-Heat typed jaundice.This method of deriving new formulas based on the combination of herbal properties and flavors set a model for future physicians to innovate and apply classical pre-scriptions.

付静思;马晓北;晏蔓柔

中国中医科学院中医基础理论研究所,北京 100700中国中医科学院研究生院,北京 100700中国中医科学院中医基础理论研究所,北京 100700

医药卫生

栀子豉汤桑杏汤翘荷汤三香汤连翘赤豆饮上焦宣痹汤《温病条辨》吴鞠通《伤寒论》张仲景

Zhizi Chi DecoctionSangxing DecoctionQiaohe DecoctionSanxiang DecoctionLianqiao Chidou DrinkShangjiao Xuanbi DecoctionWen Bing Tiao BianWu JutongShang Han LunZhang Zhongjing

《中医学报》 2026 (4)

752-755,4

北京中医药薪火传承"新3+3"工程项目(2023-SZ-E-01)国家中医药管理局《中华医藏》编纂项目(GZY-KJS-2021-066)

10.16368/j.issn.1674-8999.2026.04.110

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