基于“气血水”学说探讨陈宝田教授运用桂枝芍药知母汤的合方思路

"气血水"学说由日本古方派医家吉益南涯提出,认为疾病为气毒、血毒、水毒之变。痹证气、血、水三毒夹杂,毒乘于气,则关节疼痛、发热、肌肉萎缩;毒乘于血,则疼痛固定,肌肤紫暗、结节;毒乘于水,关节肿胀变形,酸楚重着,病情缠绵。桂枝芍药知母汤以祛气、水二毒为主,祛血毒力度薄弱。陈宝田教授将此方与乌头汤、小续命汤合用,简称小乌桂汤。乌头汤加强祛气、水二毒之功,小续命汤善祛血毒,三方合用契合痹证病机。并附医案两则,以供参考。

Professor Chen Baotian's Thinking of Combining Guizhi Shaoyao Zhimu Decoction on the Basis of"Qi-Blood-Water Theory"

"Qi-blood-water theory"was put forward by Yoshimasu Nangai,a Japanese physician of ancient formula school,who believed that diseases were the changes of qi,blood and water.Bi syndrome contains three kinds of poison of qi,blood and water.If the poison hits the qi,it will occur joint pain,fever and muscle atrophy.If the poison hits the blood,it will occur pain fixed,dark purple skin,nodules.If the poison hits the water,it will occur joint swelling deformation,heavy,lingering illness.Guizhi Shaoyao Zhimu Decoction is mainly used to remove qi and water poison and has weak ability to remove blood poison.Professor Chen Baotian jionted Wutou Decoction and Xiaoxuming Decoction,which called Xiaowugui Decoction.Wutou Decoction strengthen effects to remove qi and water poison and Xiaoxuming Decoction is good at removing blood poison.Combination of three decoctions correspond to the pathogenesis of Bi syndrome.Two medical cases were attached for reference.