《傷寒論》溫陽法中“角藥”配伍特點(diǎn)

李小會(huì)　屈云　屈杰　陳麗名

摘要：扶陽氣是《傷寒論》重要學(xué)術(shù)思想之一，《傷寒論》還建立了角藥的雛形。本文通過分析《傷寒論》溫陽法中角藥配伍特點(diǎn)，發(fā)現(xiàn)《傷寒論》蘊(yùn)含著豐富的溫陽法角藥配伍應(yīng)用規(guī)律，其中獨(dú)立成方角藥有4組，作為方劑核心配伍者有5組，其配伍精妙，用藥靈活，對啟迪后學(xué)及提高臨床療效具有重要指導(dǎo)意義。

關(guān)鍵詞：傷寒論;角藥;溫陽法

中圖分類號(hào)：R249.7 ???文獻(xiàn)標(biāo)識(shí)碼：A??? 文章編號(hào)：1005-5304（2020）01-0120-03

DOI：10.3969/j.issn.1005-5304.201810091

Compatibility Characteristics of Triple-medicinal Combinations in Tonifying Yang Treatment in Shang Han Lun

LI Xiaohui¹， QU Yun²， QU Jie¹， CHEN Liming¹

1. Shaanxi University of Chinese Medicine， Xianyang 712046， China;2. Affiliated Hospital of Shaanxi University of Chinese Medicine， Xianyang 712000， China

Abstract： Tonifying yang is one of the most important academic ideas of Shang Han Lun. The pattern of? triple-medicinal combinations was established in this book. In this article， it was found that this book contains rich compatibility rules in using triple-medicinal combinations by analyzing the compatibility characteristics of triple-medicinal combinations in tonifying yang treatment， among which 4 groups of independent triple-medicinal combinations were obtained and 5 groups of core compatibility were acquired. All compatibility was exquisite and medication was flexible， which had important guiding significance for enlightenment and improving clinical efficacy.

Keywords： Shang Han Lun; triple-medicinal combinations; tonifying yang treatment

扶陽氣、存陰津、護(hù)胃氣是《傷寒論》重要學(xué)術(shù)思想，其諸多條文及方劑詮釋了扶陽氣的治則治法及處方用藥。角藥是臨床組方配伍用藥的特殊形式，是

以中醫(yī)基本理論為指導(dǎo)，以辨證論治為前提，根據(jù)中藥性味歸經(jīng)、升降浮沉、七情和合等原則，將3味中藥進(jìn)行有機(jī)配伍，針對一定的病因、病機(jī)，達(dá)到提高臨床療效的目的^[1]。角藥具有“三足鼎立”特點(diǎn)，通過3味藥的相互促進(jìn)或相反相成，達(dá)到協(xié)同增效、減毒增效之功，并擴(kuò)大藥物治療范圍^[2]?！秱摗方?/p>

了角藥的雛形^[3]。溫陽法是運(yùn)用溫?zé)崴幹委熽柼摾锖C之法，具有溫補(bǔ)陽氣、祛除寒邪、溫經(jīng)通絡(luò)等作用。《傷寒論》將角藥靈活配伍用于溫陽法中，或獨(dú)立成方，或作為方劑的重要組成部分，以達(dá)到溫腎陽、暖脾陽、溫振心陽、溫肺散寒化飲等作用?，F(xiàn)將《傷寒論》溫陽法中角藥的配伍運(yùn)用特點(diǎn)進(jìn)行分析總結(jié)，為臨床提供思路與方法。

1? 獨(dú)立成方之角藥

四逆湯類方主要功效為溫陽散寒、回陽救逆，其配伍特點(diǎn)及組成形式與角藥一致?！?br>