| 真武汤不用桂枝反用芍药探析 |
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| 引用本文： | 马家驹,冯世纶,李乐愚.真武汤不用桂枝反用芍药探析[J].河南中医,2019(6):811-813. |
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| 作者姓名： | 马家驹 冯世纶 李乐愚 |
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| 作者单位： | 广州中医药大学附属中山医院;首都医科大学附属北京中医医院;中日友好医院 |
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| 摘 要： | 真武汤证为水饮内停兼有表邪未解的外邪里饮证,其病性为阴证,为少阴、太阴合病。真武汤方中生姜一方面解少阴表证,一方面温化水饮;炮附子既可以助白术、茯苓化饮,也可助生姜解表,故真武汤不用桂枝而用生姜。真武汤证与桂枝去桂加茯苓白术汤证的病机均为外邪里饮,可以认为真武汤是桂枝去桂加茯苓白术汤去炙甘草、大枣、加炮附子而成。芍药主治邪气腹痛,利小便,真武汤方证的一个主症即是腹痛,白芍敛阴和营,缓急止痛,利小便,使水饮祛而不伤津,故真武汤不用桂枝反用芍药。
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| 关 键 词： | 真武汤 桂枝去桂加茯苓白术汤 外邪里饮证 《伤寒论》 张仲景 |
Exploration of True Warrior Decoction Using Rhizoma Atractylodis Macrocephalae Instead of Cinnamon Twig |
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| MA Jia-ju,FENG Shi-lun,LI Le-yu.Exploration of True Warrior Decoction Using Rhizoma Atractylodis Macrocephalae Instead of Cinnamon Twig[J].Henan Traditional Chinese Medicine,2019(6):811-813. |
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| Authors: | MA Jia-ju FENG Shi-lun LI Le-yu |
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| Institution: | (Zhongshan Hospital Affiliated to Guangzhou University of TCM,Zhongshan,Guangdong,China,528400;Sino-Japanese Friendship Hospital,Beijing,China,100029;Beijing Hospital of TCM Affiliated to Capital Medical University,Beijing,China,100010) |
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| Abstract: | MA Jia-ju;FENG Shi-lun;LI Le-yu(Zhongshan Hospital Affiliated to Guangzhou University of TCM,Zhongshan,Guangdong,China,528400;Sino-Japanese Friendship Hospital,Beijing,China,100029;Beijing Hospital of TCM Affiliated to Capital Medical University,Beijing,China,100010) |
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| Keywords: | True Warrior Decoction Cinnamon Twig Decoction Removing Cinnamon Twig plus Poria and Rhizoma Atractylodis Macrocephalae syndrome of exogenous pathogenic factor and interior retention Treatise on Cold Damage Diseases Zhang Zhongjing |
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