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人参-三七药对配伍理论及应用探析OA

Analysis of the compatibility theory and application of Ginseng and Notoginseng herb pair

中文摘要英文摘要

人参功擅大补元气、复脉固脱、补脾益肺,为"补气第一要药";三七长于散瘀止血、消肿定痛,乃"血家圣药".二者配伍,一补气一活血,一扶正一祛瘀,构成益气活血、通络定痛、化瘀生新的经典药对结构,深刻体现了中医学"气为血帅,血为气母""气血互生互用"的核心理论.人参-三七药对不仅协同发挥益气摄血、活血定痛的核心功效,更蕴含"气行则血行,血畅则气达""通补兼施,标本同治""化瘀不伤正气,止血不留瘀滞"的配伍精髓.在治法层面,该配伍实现了益气扶正与活血祛瘀的有机统一与动态平衡;在治则层面,则达成了"急则治标"与"缓则治本""扶正固本"与"祛邪通络"的协调与统筹.基于气虚血瘀这一核心病机,本药对可通过灵活配伍补气、养血、凉血、理气、化痰、通络、补肾等类药物,广泛应用于内科、外科、妇科、骨伤科、五官科等多科疾病,主治范畴涵盖胸痹心痛、中风恢复期、各类气虚不摄或瘀阻脉络之出血证、跌打损伤、筋骨折伤、虚劳羸瘦、癥积痞块以及糖尿病血管并发症、肿瘤放射治疗与化学治疗后气虚血瘀证等.

Ginseng excels at greatly tonifying primordial qi,recovering the pulse to prevent collapse,and fortifying the spleen to benefit the lungs,earning its reputation as the"foremost herb for replenishing qi."Panax notoginseng excels at dissipating stasis,stopping bleeding,reducing swelling,and relieving pain,earning its reputation as the"sage herb for blood disorders."The combination of these two herbs,one tonifying qi and the other promoting blood circulation,one supporting healthy qi and the other dispelling stasis,forms a classic herb pair structure for replenishing qi and activating blood,unblocking collaterals and alleviating pain,and resolving blood stasis to promote tissue regeneration.This pairing profoundly embodies the core theories of traditional Chinese medicine(TCM)regarding"qi as the commander of blood,blood as the mother of qi"and the"mutual generation and interaction between qi and blood."Ginseng and Notoginseng herb pair not only synergistically exerts the core effects of replenishing qi to control blood and activating blood to relieve pain,but also embodies the essence of compatibility principles such as"qi movement promoting blood circulation,and free blood flow facilitating qi flow,""simultaneously applying unblocking and tonifying methods to treat both manifestation and root cause of disease,"and"resolving stasis without damaging healthy qi,stopping bleeding without retaining stasis."Therapeutically,this pairing achieves an organic unity and dynamic balance between tonifying qi to support vital energy and activating blood circulation to remove stasis.In terms of treatment principles,it accomplishes the coordination and integration of"treating the manifestation in acute cases"and"treating the fundamental root cause in chronic cases,"as well as"supporting the healthy qi to consolidate the foundation"and"eliminating pathogenic factors to unblock the collaterals."Based on the core pathogenesis of qi deficiency and blood stasis,this herb pair can be widely used in many diseases such as internal medicine,surgery,gynecology,orthopedics,ophthalmology,and otorhinolaryngology through flexible compatibility of herbs such as tonifying qi,nourishing blood,cooling blood,regulating qi,resolving phlegm,unblocking collaterals,and tonifying the kidney.Its main indications encompass chest impediment and heart pain,the recovery stage of stroke,various bleeding syndromes due to qi deficiency failing to contain blood or blood stasis obstructing the collaterals,traumatic injuries,fractures and tendon damage,consumptive fatigue and emaciation,abdominal masses and lumps,as well as diabetic vascular complications,and qi deficiency and blood stasis patterns following tumor radiotherapy and chemotherapy.

张文风;高婉宁;魏岩

长春中医药大学基础医学院,长春 130117长春中医药大学基础医学院,长春 130117长春中医药大学基础医学院,长春 130117

医药卫生

人参-三七药对配伍规律益气活血化瘀生新气虚血瘀

Ginseng-Notoginsengherb paircompatibility rulereplenishing qi and activating bloodresolving stasis and promoting regenerationqi deficiency and blood stasis

《长春中医药大学学报》 2026 (6)

672-676,5

吉林省中医药管理局项目-张文风名老中医专家传承工作室项目(吉中医药发[2023]56号)长春市科学技术局高校院所中试遴选项目(24GXYSZZ16)

10.13463/j.cnki.cczyy.2026.06.009

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