文章摘要
邵牛,包素珍.《景岳全书》虚损学术思想及其方药特色探讨[J].浙江中医药大学学报,2021,(1):42-45, 50.
《景岳全书》虚损学术思想及其方药特色探讨
Discussion on the Academic Thoughts of Treating Asthenic Diseases in “Jingyue’s Complete Works” and Its Characteristics of Prescriptions and Medicines
投稿时间:2020-05-29  
DOI:10.16466/j.issn1005-5509.2021.01.008
中文关键词: 景岳全书  张景岳  虚损  温补  阴阳  辨证论治  用药特色  学术思想
英文关键词: Jingyue's Complete Works  ZHANG Jingyue  asthenic diseases  warming and tonification  Yin and Yang  syndrome differentiation and treatment  medication characteristics  academic thoughts
基金项目:
作者单位E-mail
邵牛 浙江中医药大学基础医学院 杭州 310053  
包素珍 浙江中医药大学基础医学院 杭州 310053 b_s_z@163.com 
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中文摘要:
      [目的]研究《景岳全书·杂证谟》治疗虚损的学术思想及方药应用特色。[方法]运用统计学方法对《景岳全书·杂证谟·虚损》记载的方药进行归纳,分析所用药物的药性、药味、归经、功效,结合其对于虚损病因病机及临证思维的相关阐述,总结张景岳治疗虚损的学术思想及方药特色。[结果]《景岳全书·杂证谟》中治疗虚损的方剂共55首,其中补阵方使用频次最多,其次为热阵和寒阵;治疗虚损的药物共计95味,性味上以甘温、甘平为主;归经上,以归肾经和脾经居多;功效上,以补虚药为主,清热药和温里药次之。张景岳治疗虚损以阴阳为纲,谨守病机,辨证施药;遣方用药精专严谨,畅行温补,不废寒凉;重视培补五脏,脾肾并重,精气并调;尊阴阳互根之理,育阴涵阳,补阳配阴。[结论]作为温补学派的代表人物,张景岳治疗虚损遵循倡用温补、五脏为本、脾肾并重、精气并补、阴阳互济的辨证思想和用药思路,其学术思想对临床辨治虚损具有重要的参考价值。
英文摘要:
      [Objective]To discuss the academic thoughts and the application characteristics of prescription and medicines in the treatment of asthenic diseases in“Jingyue's Complete Works·Schema of Miscellaneous Patterns”.[Methods] Using statistical methods, the prescriptions recorded in “Jingyue's Complete Works·Schema of Miscellaneous Patterns·Asthenic Disease” were summarized, and the properties, taste, meridian tropism and efficacy of the drugs used were analyzed. Combined with the related elaboration on the etiology, pathogenesis and clinical thinking of asthenic diseases, ZHANG Jingyue's academic throughts and characteristics of prescriptions and medicines were summarized.[Results]There were 55 prescriptions in “Jingyue's Complete Works·Schema of Miscellaneous Patterns”for asthenic diseases, of which supplementing array was used most frequently,followed by heat array and cold array. A total of 95 traditional Chinese medicines were used to treat asthenic diseases,mainly sweet-warm, sweet-neutral in properties of medicinals,and most of them belonged to kidney meridian and spleen meridian. In terms of efficacy,deficiency tonifying drugs were the most,followed by heat clearing and warming interior drugs.In treatment of asthenic diseases, ZHANG Jingyue took Yin and Yang as the principle,adhered to the pathogenesis,applied drugs according to syndrome differentiation,and used the prescription carefully and strictly, took note of warming and tonification without ignoring of cold drugs.He paid attention to nourishing the viscera,attached equal importance to the spleen and kidney,improved Qi and regulated Qi,respected the principle of mutual root between Yin and Yang,cultivating Yin and culling Yang,and supplementing Yang and complementing Yin.[Conclusion]As a representative of warm and tonification school, ZHANG Jingyue's treatment of asthenia diseases followed the syndrome differentiation thinking and medication ideas of advocating warm tonification, taking five viscera as the foundation, regarding both the spleen and kidney as equally important, replenshing essence and Qi, reinforcing Yin and Yang mutually. His academic thoughts have important reference value for clinical differentiation and treatment of asthenic diseases.
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