人参-远志配伍理论及证治规律探析OA
Analysis of the compatibility theory and the law of treatment based on syndrome differentiation of Ginseng-Polygala tenuifolia
人参大补元气、健脾益肺,远志安神益智、交通心肾,二者配伍是益气安神、开窍益智的经典药对,是临床治疗心气亏虚、痰浊蒙窍、心肾不交所致神志病的经典组合.人参-远志药对除发挥益气安神、开窍益智之功外,兼具健脾宁心、交通心肾、益气豁痰之效,体现出相须为用、补通相济、扶正祛邪的配伍理念.治法上,补气固本与开窍益智相辅相成,扶正与祛邪、养神与醒神协调统一.该药对可灵活配伍养血、温阳、养阴、理气、化痰、活血类药物,广泛应用于神志、心血管、消化、内分泌等多系统疾病.本文通过梳理该药对的历史源流、配伍规律、临床应用,结合现代药理研究,旨在为临床用药及深入研究提供理论支撑.
Ginseng can vigorously replenish primordial qi,invigorate the spleen and tonify the lung.Polygala tenuifolia exerts the effects of tranquilizing the mind,improving intelligence,and coordinating the heart and kidney.The combination of two herbs forms a classic herb pair for replenishing qi to tranquilize the mind and resuscitating orifices to improve intelligence,which is a classical compatibility widely used in clinical practice for mental disorders caused by heart qi deficiency,phlegm-turbidity obscuring the orifices,and disharmony between the heart and the kidney.The ginseng-polygala herb pair not only exerts effects of benefiting qi to calm the mind,opening the orifices and improving intelligence,but also demonstrates supplementary effects of invigorating the spleen and tranquilizing the heart,coordinating heart-kidney interaction,and benefiting qi and resolving phlegm;It embodies the compatibility concepts of mutual reinforcement,complementation of tonification and unblocking,and strengthening vital qi and eliminating pathogenic factors.In terms of treatment methods,tonifying qi to consolidate the root and opening the orifices to improve intelligence complement each other,while strengthening vital qi and eliminating pathogenic factors,as well as nourishing the spirit and awakening the mind,are harmoniously unified.This herb pair can be flexibly combined with blood-nourishing,yang-warming,yin-nourishing,qi-regulating,phlegm-resolving,and blood-activating herbs,and is widely used to treat disorders of mental and neurological,cardiovascular,digestive,and endocrine systems.This paper sorts out its historical origins,compatibility rules and application methods,and combines modern research,aiming to provide theoretical support for clinical medication and in-depth research.
张文风;李洺杭
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-远志药对配伍规律临床应用
Ginseng-Polygala tenuifoliaherb paircombination rulesclinical application
《长春中医药大学学报》 2026 (9)
1040-1044,5
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(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)
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