| 719 | 13 | 136 |
| 下载次数 | 被引频次 | 阅读次数 |
《神农本草经》载知母性味苦寒为中品“,主消渴热中,除邪气,肢体浮肿,下水,补不足,益气”。以《神农本草经》中知母功效为纲,对其在《伤寒杂病论》经方中的配伍规律进行归类分析,发现知母“主消渴热中,除邪气”主要配伍石膏等,代表方剂白虎汤;“肢体浮肿,下水”主要配伍白芍、桂枝等,代表方剂桂枝芍药知母汤;“补不足”主要配伍酸枣仁等,代表方剂酸枣仁汤;“益气”主要配伍人参等,代表方剂白虎加人参汤。除《神农本草经》所载功效外,张仲景运用知母经方还有新的发展,如知母配伍麻黄、升麻、黄芩等组成麻黄升麻汤“除咽喉不利、唾脓血”。
Abstract:The Shennong's Classic of Materia Medica records that Zhimu(Anemarrhenae Rhizoma),bitter in taste and cold in property in the medium-grade,“is mainly used to treat wasting-thirst and heat attack,to eliminate pathogenic factors,to relieve dropsy of limbs,to promote urination,to improve insufficiency and to replenish qi.” Based on the efficacy of Zhimu in Shennong's Classic of Materia Medica,this paper classified and analyzed the compatibility regularities in the classic formulas of Treatise on Cold Pathogenic and Miscellaneous Diseases. It was found that Zhimu is mainly combined with Shigao(Gypsum) to “treat wasting-thirst and heat attack,to eliminate pathogenic factors”,represented by Baihu Decoction(白虎汤).Zhimu should be combined with Baishao(Paeoniae Radix Alba) and Guizhi(Cinnamomi Ramulus) “to relieve dropsy of limbs and to promote urination”,represented by Guizhi Shaoyao Zhimu Decoction(桂枝芍药知母汤 ). It can be combined with Suanzaoren(Ziziphi Spinosae Semen) “to improve insufficiency”,represented by Suanzaoren Decoction(酸枣仁汤). It is mainly combined with Renshen(Ginseng Radix et Rhizoma) “to replenish qi”,represented by Baihu Jia Renshen Decoction(白虎加人参汤). In addition to the efficacy contained in Shennong's Classic of Materia Medica,ZHANG Zhongjing also has new development in the use of Zhimu. For example,Zhimu combined with Mahuang(Ephedrae Herba),Shengma(Cimicifugae Rhizama),Huangqin(Scutellariae Radix),etc. to constitute Mahuang Shengma Decoction(麻黄升麻汤),which be used to treat “sore-throat,difficulty in swallowing,coughing of pus and blood”.
[1]陈士铎.本草新编[M].太原:山西科学技术出版社,2011:1.
[2]陶弘景.本草经集注[M].影印本.上海:群联出版社,1955:21-22.
[3]连建伟.论《神农本草经》与仲景方的关系[J].浙江中医学院学报,1986,10(5):14-16.
[4]张苇航,何新慧.试论《伤寒论》对《神农本草经》药物学的继承和发展[J].时珍国医国药,2006,17(7):1149-1151.
[5]黄雄杰.基于《神农本草经》探讨经方方证对应下对症用药[D].北京:北京中医药大学,2011.
[6]袁红霞,詹观生.《神农本草经》与经方应用之桂枝篇[J].山东中医药大学学报,2022,46(5):549-553,558.
[7]唐尊昊,王一迪,曲夷.经方中的知母配伍应用探析[J].中国中医基础医学杂志,2022,28(6):952-954.
[8]李宇航.《伤寒论》方药剂量与配伍比例研究[M].北京:人民卫生出版社,2015:58.
[9]张介宾.景岳全书[M].上海:上海科学技术出版社,1961:334.
[10]张耀夫,赵进喜,朱荔炜,等.论消渴病火热病机[J].中华中医药杂志,2023,38(7):3198-3202.
[11]李时珍.本草纲目[M].朱斐,译注.南昌:二十一世纪出版社,2014:36.
[12]缪希雍.神农本草经疏[M].张淑祥,于新丽,于静,等校注.太原:山西科学技术出版社,2012.
[13]张爽,高雁,王晓婷,等.知母盐炙前后体外降血糖作用的研究[J].现代药物与临床,2016,31(12):1883-1886.
[14]许慎.说文解字今释[M].汤可敬,撰.长沙:岳麓书社,2001:571.
[15]石少华,许宗颖,于瀚,等.桂枝芍药知母汤方证解析[J].中医药学报,2019,47(3):27-28.
[16]陶弘景.名医别录[M].尚志军,辑校.北京:中国中医药出版社,2013:117.
[17]曾凤珊,许珊华,彭柏钊,等.基于“气血水”学说探讨陈宝田教授运用桂枝芍药知母汤的合方思路[J].湖南中医药大学学报,2021,41(4):612-615.
[18]王菁,何灿封,陈汉锐,等.神农本草经论知母下水的本草溯源及证药浅析[J].长春中医药大学学报,2019,35(1):178-181.
[19]甄权.药性论[M].尚志钧,辑校.安徽:皖南医学院科研科,1983:24.
[20]叶天士.本草经解[M].上海:上海科学技术出版社,1958:20.
[21]毛佳斌,王真.《金匮要略》中知母的运用浅析[J].浙江中医药大学学报,2010,34(5):640-641.
[22]续冠胜,庄子凡,王诗源.唐容川应用经方论治心烦[J].山东中医药大学学报,2022,46(5):568-572.
[23]唐容川.血证论[M].金香兰,校注.北京:中国中医药出版社,1996:11.
[24]张锡纯.医学衷中参西录[M].袁林,黎周,校注.河南:河南科学技术出版社,2017:60.
[25]张志聪.本草崇原[M].刘小平,点校.北京:中国中医药出版社,1992:73.
[26]张雨涵,袁欣,张瑞华,等.人参、知母调控NR2B-CaMKⅡ-AMPAR1通路防治糖尿病认知功能障碍作用研究[J].辽宁中医药大学学报,2024,26(4):43-48.
[27]李赛美,李宇航.伤寒论讲义[M]. 2版.北京:人民卫生出版社,2012:231.
[28]李玉国,崔渺,张文风.基于“寒闭阳郁”探讨麻黄升麻汤论治高血压病[J].中国中医基础医学杂志,2022,28(3):475-477,485.
[29]周晓玲,韦宛华,陈峭,等.麻黄升麻汤对肝硬化腹水并感染大鼠血清炎性因子的干预作用[J].中华中医药杂志,2019,34(4):1409-1414.
基本信息:
DOI:10.16294/j.cnki.1007-659x.2025.01.010
中图分类号:R289
引用信息:
[1]景燕燕,尤旭颖,王坤宁,等.《神农本草经》与经方应用之知母篇[J].山东中医药大学学报,2025,49(01):46-50+56.DOI:10.16294/j.cnki.1007-659x.2025.01.010.
基金信息:
天津市教学成果奖重点培育项目(编号:PGYJ-032); 天津市研究生科研创新项目(编号:YJSKC-20231014); 天津多元投入基金项目重点项目(编号:21JCZDJC01150)
2023-12-30
2023
2024-01-30
2024
2
2025-01-20
2025-01-20