【摘要】：《傷寒雜病論》是東漢醫(yī)家張仲景所著的一部臨床經(jīng)典著作,傳承中遭受散佚,幸由晉代王叔和輯成《傷寒論》單行,北宋校正醫(yī)書局林憶等校翰林學(xué)士王洙偶然所得《金匱玉函要略方》而成《金匱要略方論》,得以傳世。經(jīng)千年歷代諸家臨證校驗,尊《傷寒雜病論》為集古方之大成,仲景亦為后世諸家尊稱為“醫(yī)圣”。后世得以存經(jīng)方一脈興盛至今。姜為仲景常用之藥,隨著姜生與干的選用、配伍、劑量及煎煮的不同,其功效也相應(yīng)的發(fā)生了變化。雖然本草僅以姜的鮮與干進行分辨,但其功效隨配伍等原因所表現(xiàn)出的差別也是非常大的。加之現(xiàn)代煎藥機的廣泛使用,生姜常為醫(yī)患所輕視。晚生遵“勤求古訓(xùn),博采眾方”之旨,揣度仲景所思,探究姜的應(yīng)用規(guī)律。1功效生姜,取其溫性與散性;干姜,用其溫性與存性。生姜的散性有三:其一,解表散寒,如桂枝、新加湯;其二,溫中散水止嘔,如旋覆代赭、小半夏湯;其三,散水(濕),如防己黃芪、黃芪桂枝五物湯。干姜的溫性有三:一者,溫肺化飲,如小青龍、苓甘五味姜辛湯;二者,溫中散寒,如甘草干姜、大建中湯;三者,回陽救逆,如干姜附子、四逆湯。2配伍、劑量及煎煮配伍之說源于《神農(nóng)本草經(jīng)》,諸藥共用,或擴大其應(yīng)用范圍,或增強其療效,或消除其毒副作用。經(jīng)方以短小精悍見長,諸藥配伍拿捏至極,常一劑而知,二劑而已。用姜之時,雖用量大小與病的輕重,素體的強弱有關(guān),但諸醫(yī)“不思求經(jīng)旨,以演其所知”,大多隨喜而用,事倍功半。晚生尋《傷寒雜病論》,以及歷代經(jīng)方諸家共識姜的配伍,探究其理、法、方、藥,以揣度仲景用姜思路。如:干姜與炙甘草、干姜與附子、干姜合細(xì)辛與五味子、干姜與半夏、生姜與大棗、生姜與半夏。煎煮之法,亦應(yīng)予以重視。煎煮法多為古今醫(yī)家所輕視,經(jīng)方僅一煮之法,變作數(shù)次,使煎藥變得更加繁雜,甚至?xí)尰颊邊拹簻�。尤其�?dāng)今社會追求簡單易行,若依照時方的煎藥法,恐難興經(jīng)方之學(xué)。3姜的棄用與禁忌經(jīng)方極盡工巧,依辨證而定度藥的選用。禁棄之因可為沒有相應(yīng)癥狀,或用后加重病情,或用后有礙病情恢復(fù)。如小青龍不用生姜,因為生姜會加重咳嗽。本文揣度仲景的思想,探究姜的取用、配伍、劑量及煎煮,以便臨證。
[Abstract]:The theory of typhoid fever and miscellaneous diseases is a classic clinical work written by Zhang Zhongjing, a doctor of the Eastern Han Dynasty. It was lost in the course of inheritance and was fortunately compiled by Wang Shuhe of the Jin Dynasty into a single line of the Treatise of febrile Diseases. In the Northern Song Dynasty, Lin Yi and other schools, such as Hanlin, Wang Su, accidentally obtained "Jinkui Jade letter" and become "synopsis of the Golden Chamber", which can be handed down to the world. After a thousand years of clinical verification of the families, respect for the "typhoid miscellaneous diseases" for the collection of the great square, Zhongjing is also known as the later generations as "medical saint." Later generations have been able to preserve the one pulse of the prosperity of the Sutra to this day. Ginger is commonly used medicine, with the selection of ginger and dry, compatibility, dosage and decoction of different, its efficacy has changed accordingly. Although this herb can only be distinguished by fresh and dry ginger, its efficacy varies greatly with compatibility and other reasons. In addition to the extensive use of modern decoction machine, ginger is often despised by doctors and patients. According to the aim of "asking for the ancient admonition and collecting many prescriptions", this paper explores the application law of ginger, takes its warmth and dispersal, and uses it to warm and keep. There are three scattered properties of ginger: first, release the table to disperse cold, such as Guizhi, new add soup; second, warm in the water to stop vomiting, such as rotations, ochre, small Pinellia decoction; third, water (wet), such as Fangji Astragalus, Huangqi Guizhi Wu Wu Tang. There are three warmness of dried ginger: one is to warm the lung, such as small Azure Dragon, Linggan Wuwei Jiang Xin Tang; the two, warm and cold dispersing, such as liquorice ginger, Dajianzhong decoction; three, back yang to save the inverse, such as dried ginger aconite, Sini decoction .2 compatibility, The theory of dosage and decoction compatibility comes from "Shennong Herbal Medicine", the use of various drugs, or expand its application scope, or enhance its efficacy, or eliminate its toxic side effects. The prescriptions are short and tough, the combination of the drugs to the extreme, often one dose and know, only two. When using ginger, although the dosage is related to the severity of the disease and the strength of the body, but the doctors "do not think about the Sutra, in order to act as they know," most of the use with joy, half the result. The late birth search "typhoid miscellaneous disease", as well as the past dynasties of traditional prescriptions of the common understanding of the compatibility of ginger, to explore its theory, law, prescription, medicine, to estimate Zhongjing with ginger ideas. Such as: dried ginger and grilled licorice, dried ginger and aconite, dried ginger and Schisandra, ginger and Pinellia, ginger and jujube, ginger and Pinellia ternata. The method of decoction should also be taken seriously. Most of the decoction method is despised by the ancient and modern doctors, the prescription only one boil method, change several times, make the decoction more complicated, even make patients hate soup medicine. Especially in today's society, the pursuit of simple and easy, if according to the prescription of the decoction method, I am afraid that difficult to promote the prescription of the abandonment of ginger and contraindications Jingfang extremely skillful, according to syndrome differentiation and according to the choice of medicine. Forbidding can be caused by no corresponding symptoms, or aggravated after use, or hinder the recovery of the disease. For example, little Azure Dragon does not need ginger, because ginger will aggravate the cough. In this paper, Zhongjing's idea of taking, compatibility, dosage and decoction of ginger is explored.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R222

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 孫為剛;;大姜小考[J];走向世界;2016年27期

2 何平平;鐘凌云;;干姜、生姜及其炮制輔料姜汁的研究進展[J];中國實驗方劑學(xué)雜志;2016年06期

3 高潔;李浩;;《金匱要略》中生姜、干姜與半夏的配伍運用[J];中醫(yī)雜志;2015年07期

4 崔文臣;徐f ;;《傷寒論》運用生姜與干姜探析[J];國醫(yī)論壇;2014年04期

5 衣偉;劉勇;魏維;;淺談在《傷寒論》中用一味“生姜”的含義[J];中國醫(yī)藥指南;2014年11期

6 劉振啟;劉杰;;中藥“干姜”的傳說與鑒別[J];首都醫(yī)藥;2013年07期

7 師慶彬;呂興樂;;生姜在《傷寒論》經(jīng)方組方配伍中的作用[J];中國社區(qū)醫(yī)師(醫(yī)學(xué)專業(yè));2012年21期

8 孫鵬;;淺談干姜在《傷寒論》中的應(yīng)用[J];中國民間療法;2009年08期

9 竺平暉;試述《傷寒論》中姜的應(yīng)用[J];實用中醫(yī)藥雜志;2003年10期

10 玄振玉 ,劉明嶺;干姜、生姜藥用源流考辨[J];上海中醫(yī)藥雜志;2003年02期

相關(guān)重要報紙文章 前1條

1 于峰;;生姜治病有禁忌[N];健康時報;2005年

，

本文編號：2217913