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1、探究《傷寒論》中芍藥的應(yīng)用規(guī)律中醫(yī)學(xué)專業(yè)［摘要］目的：本文旨在通過探究《傷寒論》中芍藥的應(yīng)用，并結(jié)合歷代醫(yī)家対芍藥的認(rèn)識，明確芍藥的功效、配伍應(yīng)用及劑量和禁忌等規(guī)律，以更好的應(yīng)用于臨床。方法:從《傷寒論》的學(xué)術(shù)淵源對芍藥進(jìn)行考證，以便辯證的應(yīng)用赤芍和白芍，從《傷寒論》的原文原方，分析芍藥的功效及配伍應(yīng)用；最后從應(yīng)用芍藥的劑量和禁忌中再分析。結(jié)果：《傷寒論》中對于芍藥的33次應(yīng)用中，通過辨證論治，靈活組方，如芍藥配伍桂枝、甘草、附子等可發(fā)揮不同的功效，在劑量上更是有嚴(yán)密的規(guī)律可循，禁忌證有中陽不足,中寒腹瀉等。
2、結(jié)論：芍藥的應(yīng)用遍及六經(jīng)各篇，配伍組方所治之病既冇外感也冇內(nèi)傷，在臨床中通過靈活配伍和加減作用十分廣泛。［關(guān)鍵詞］芍藥；張仲景；傷寒論ExploretheapplicationofthelawTreatiseonFebrileDiseasesinpeonyMajortraditionalChinesemedicineAbstract:Objective:ThispaperaimstoexplorethetheapplicationofpeonyinTreatiseonFebrileDiseases,andco
3、mbineswiththeancientphysiciansawarenessofpeony,makecleartheeffect,applicationcompatibility,dosageandcontraindications,withbetterclinicalapplication.Methods:FromTreatiseonFebrileDiseasesOriginofpeonyconductacademicresearchtotheapplicationofdialecticalpeonyan
4、dwhitepeonyroot,fromTreatiseonFebrileDiseasestheoriginalparty,theanalysisoftheeffectivenessandapplicationcompatibilitypeony;peonyfromtheapplicationofthelastdoseandreanalysisoftaboos.Results:"TreatiseonHintheapplicationfor33peony,theetiologyandpathogenesisth
5、roughdialectical,thencompatibilitypeonyandGuizhi,licorice5aconite5etc.canplayadifferenteffectonthedosemorestringentrequirements,inYangdeficiency,thecolddiarrheadisabled.Conclusion:Thepeonyofapplicationsthroughouteachchaptersixclassics^recipesofthetreatmento
6、fthediseasehavebothexogenousinternalinjuries,intheclinicaleffectthroughflexiblecompatibilityandawiderangeofplusorminus.Keywords:Peony;ZHANGZhong-jing;TreatiseonFebrileDiseases弓丨言1芍藥的考證31.1從《傷寒論》的學(xué)術(shù)淵源中對芍約進(jìn)行考證31.1.1本草類41.1.2醫(yī)經(jīng)類41.1.3方書類51.2《傷寒論》中芍約的考證52《傷寒論》中
7、芍藥的功效及配伍應(yīng)用62.1《傷寒論》中芍約的功效62.1.1益陰和營62.1.2養(yǎng)血調(diào)肝72.1.3通絡(luò)止痛72.1.4通利水飲72.2《傷寒論》中芍藥的配伍應(yīng)用72.2.1調(diào)和營衛(wèi)72.2.1緩急止痛82.2.3通絡(luò)解痙82.2.4養(yǎng)血益陰82.2.5通利水道92.2.6清腸止利92.2.7泄熱通便103《傷寒論》中芍藥的劑量與禁忌103.1劑量10123.2禁忌3.2.1太陽誤下胸陽不振證123.2.2心陽虛驚狂證123.2.3少陰陰盛格陽兼咽痛證123.2.4少陰陽虛水泛兼下利證124討論12結(jié)論13
8、參考文獻(xiàn)13致謝14引言《傷寒論》是一部集理、法、方、藥為一體的醫(yī)學(xué)著作，芍藥在這部著作的應(yīng)用有33次Z多，涉及59條原文，雖其在《傷寒論》各方中的應(yīng)用，不及甘草、大棗、桂枝等應(yīng)用廣泛。但論其所治，卻遍及三陰三陽、表里、寒熱、虛實(shí)諸證?？凇对娊?jīng)》有關(guān)芍一藥的記載到《神農(nóng)木草經(jīng)》中明確記載芍藥的功效，到梁?陶弘景才有將芍藥分為赤芍、白芍的明確記載，后世臨床醫(yī)家雖對其性能、功用有所發(fā)揮，但因?qū)Τ嗌帧咨?/p>
