《伤寒论》桃花汤赤石脂"半全半末"配伍理论发微OA
Elucidation of half-whole and half-powder compatibility theory of Halloysitum Rubrum in Taohua Decoction(桃花汤)from the Treatise on Febrile Diseases(伤寒论)
桃花汤作为仲景治疗少阴虚寒下利脓血的经典方剂,组成中赤石脂"半全半末"的配伍体现了其独到的组方智慧.文章通过溯源《伤寒论》306-307条,解析赤石脂"一斤分用"的配伍机制,从历代医家对病机的学术争鸣看"半全半末"的配伍法度,系统梳理古今医家"升降截断""气血分层""形气分治""标本同治"四大理论体系,并剖析赤石脂"半全半末"的现代临床应用与转化价值.该研究旨在推动仲景制方智慧的传承与创新,为经方现代化研究提供范式.
Documented by ZHANG Zhongjing as a classical formula for treating yin-cold diarrhea with purulent-bloody stool in Shaoyin Syndrome,Taohua Decoction(桃花汤)embodies unique formulation wisdom through Halloysitum Rubrum's divided preparation(half whole,half powdered).This study traces the textual origins in Sections 306-307 of the Treatise on Febrile Diseases(伤寒论)to analyze the compatibility mechanism of"dividing one jin(≈500 g)for dual application"of Halloysitum Rubrum.It examines the methodological principles through historical debates on pathomechanism interpretation,while systematically organizing four theoretical frameworks from ancient and modern physicians:Ascend-Descend Regulation and Pathogen Interception,Qi-Blood Layer Differentiation,Bodily Form and Functional Qi Management,and Concurrent Management of Root and Manifestation.Furthermore,it investigates contemporary clini-cal applications and translational values of this preparation approach,aiming to promote the inheritance and innovation of ZHANG Zhongjing's formulation wisdom while establishing a methodological paradigm for contemporary transformation of classical formulas.
郭妹冉;梁绿圆;由笑蕊;丁雪颖;马丙祥
河北中医药大学,河北 石家庄 050091河南中医药大学第一附属医院儿科医院,河南 郑州 450099||河南中医药大学儿科医学院,河南 郑州 450046河南中医药大学儿科医学院,河南 郑州 450046河南中医药大学儿科医学院,河南 郑州 450046河南中医药大学第一附属医院儿科医院,河南 郑州 450099||河南中医药大学儿科医学院,河南 郑州 450046
医药卫生
《伤寒论》桃花汤赤石脂半全半末
Treatise on Febrile Diseases(伤寒论)Taohua Decoction(桃花汤)Halloysitum RubrumHalf-whole,half powder
《时珍国医国药》 2026 (10)
1928-1933,6
国家自然科学基金(81973904)河南省特色骨干学科中医学学科建设项目(STG-ZYX06-202144,STG-ZYXKY-2020023)2023年度河南省中医学"双一流"创建科学研究专项课题(HSRP-DFCTCM-2023-3-06,HSRP-DFCTCM-2023-2-08)
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