金匮肾气丸主治证候与君药辨析

金匮肾气丸是至今仍在中医临床被广泛使用的名方之一,近年来有关金匮肾气丸临床应用研究报道逾百篇,其治疗范围不断扩展。然而长期以来,许多医家一直将肾气丸归于补阳剂,目前中医药院校使用的规划教材亦同此见,对肾气丸的方解又以附子、桂枝为君药。该文从脏腑生理特性与合理的配伍结构来认识肾气丸,指出肾气源于阴精所化,欲补肾气当以滋补阴精为先,分析阐明了肾气丸的组成和配伍达不到补肾阳的需要,认定肾气丸为补益肾气的代表方剂其君药当为熟地黄。

The Analyses on the Indications and Principal Drugs of Golden Cabinet's Kidney Qi Pill

Golden Cabinet's Kidney Qi Pill is one of famous formulae still used widely in TCM clinic now,in recent years the papers about its clinical applications are over one hundred with enlarged indications.However, doctors always consider it as Yang-Supplementing formulae,even in the textbook of TCM universities now,and Radix Aconiti Lateralis Praeparata and Ramulus Cinnamomi are believed as the principal drugs.This paper analyses Golden Cabinet's Kidney Qi from the characteristics of Zang-Fu and reasonable combination.In fact,kidney Qi is transformed from Yin-essence,and should supply Yin-essence first in order to supply kidney Qi.The ingredients and combinations of the kidney Qi Pill can't complete the demands of kidney Yang-Supplement.Our Conclusion is that Golden Cabinet's Kidney Qi Pill is a representative formula of kidney Qi-Supplement,Radix Rehmanniae Praeparata should be the principal drug.