《伤寒论》中粳米及其制品功效与应用OA
Efficacy and Applications of Japonica Rice and its Products in Treatise on Cold Damage Diseases
在《伤寒论》中,粳米及其制品为经方的重要组成部分,其功效可归纳为五类:一是补益脾胃、益气生津,如白虎汤、竹叶石膏汤、白虎加人参汤、理中丸、猪肤汤、乌梅丸;二是缓和药性、减毒护胃,如十枣汤、半夏散及汤;三是助运止泻、资助汗源,如桃花汤、桂枝汤;四是调和散剂、便于服用,如五苓散、四逆散、白散方;五是增稠提效、诱蛔等特殊用途,如白虎汤、桃花汤、乌梅丸.粳米在各种方剂中均可以通过补中益气、健脾和胃、生津润燥来扶助正气,调和药性,体现了张仲景"保胃气、存津液"的学术理念,也为后世经方应用提供了参考.
In Treatise on Cold Damage Diseases,japonica rice and its products are frequently used as components of classical formulas.Their efficacies can be summarized into five categories.First,tonifying the spleen and stomach,replenishing qi and engendering fluid,re-presented by White Tiger Decoction,Lophatherum and Gypsum Decoction,White Tiger Decoction plus Ginseng,Center-Regulating Pill,Zhufu Decoction and Mume Pill.Second,moderating medicinal properties,reducing toxicity and protecting the stomach,as seen in Ten Jujubes Decoction,Pinellia Powder and Decoction.Third,assisting transportation to arrest diarrhea and generating sources for sweating,exemplified by Peach Blossom Decoction and Cinnamon Twig Decoction.Fourth,harmonizing powder formulas to facilitate administra-tion,such as Five Substances Powder with Poria,Frigid Extremities Powder,White-Powder formulas,Fifth,special applications including thickening preparations to enhance therapeutic effects and inducing ascaris,represented by White Tiger,Peach Blossom Decoction and Mume Pill.In various formulas,japonica rice can tonify the middle energizer and replenish qi,invigorat the spleen and harmonize the stomach,as well as engender fluids and moisten dryness.It embodies Zhang Zhongjing's academic thought of"protecting stomach qi and preserving body fluids",and provides references for the clinical application of classical formulas in later generations.
高飞;庞悦;方夏红;于钦明
中国中医科学院针灸研究所,北京 100700长春中医药大学,吉林 长春 130117江西中医药大学,江西 南昌 330004黑龙江中医药大学,黑龙江 哈尔滨 150040
医药卫生
粳米药食同源粥白饮白粉饭丸《伤寒论》张仲景
japonica ricemedicine-food homologyporridgerice waterwhite powderrice bolusTreatise on Cold Damage DiseasesZhang Zhongjing
《河南中医》 2026 (10)
1459-1465,7
国家社会科学基金项目(21BKS058)
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