《三因极一病证方论》中天干方组方思路及应用

天干方是陈无择所创，首载于《三因极一病证方论》，是以运气理论为指导，以五行亢害承制规律为依照，运用药物四气、五味来治疗和预防岁运太过或不及而导致的人体已出现或可能出现的病证的10首方剂。其制方参照气味相和、阴阳动态平衡、五脏苦欲补泻、五行制化原则，针对岁运太过或不及，各有制方法度。治疗目的在于以偏纠偏，恢复人体气化的动态平衡。在应用时要注意识运气、观体质、辨病证，应用范畴涵盖岁运太过或不及致病和治未病。

Formulation Ideas and Application of Tiangan Formulas in San Yin Ji Yi Bing ZhengFang Lun

Abstract： Tiangan Formulas were created by CHEN Wuze and first recorded in the San Yin Ji Yi BingZheng Fang Lun (Treatise on Diseases， Patterns， and Formulas Related to the Unification of the ThreeEtiologies). They refer to 10 formulas guided by the theory of five circuits and six qi and based on the law ofharmful hyperactivity and responding inhibition of the five phases， using the four qi and five flavors ofmedicinals to treat and prevent diseases and syndromes that have already appeared or may appear in thehuman body due to excessive or insufficient year evolutive phase. Their formulation follows 4 principles，namely the harmony of qi and flavors， the dynamic balance of yin and yang， supplement/drianage forbitter-desire of the five viscera， and the five-phases restriction and generation； there are differentprinciples of formulation to deal with excessive or insufficient year evolutive phase. The purpose oftreatment is to correct bias in human body through medicinals with bias nature and restore the dynamicbalance of human qi transformation. When applying such treatment，attention should be paid to identifyingcircuits and qi， observing constitutions， and distinguishing diseases and syndromes. The scope ofapplication includes disease prevention and treatment for diseases caused by excessive or insufficient yearevolutive phase.