国医大师张震对疏调汤中“枳实”相关配伍解析
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(1. 兰溪市中医院,浙江 兰溪 321100;2. 云南省中医中药研究院,云南 昆明 650223)

作者简介:

王 英(1993-),女,住院医师,硕士,研究方向:中医药防治肿瘤疾病,E-mail: 1391032608@qq.com

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基金项目: 中国中医科学院科技创新工程项目(CI2022EO23XB);金华市科技计划项目(2024-4-223);


Analysis of the Compatibility of "Fructus Aurantii Immaturus" in Shutiao Decoction by Master of Traditional Chinese Medicine Zhang Zhen
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(1. Lanxi Municipal Hospital of Traditional Chinese Medicine, Lanxi 321100, China;2. Yunnan Provincial Academy of Traditional Chinese Medicine and Materia Medica, Kunming 650223, China)

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    摘要:

    疏调汤原名疏调气机汤,是国医大师张震研究员结合多年潜心临床经验总结而出的临床效方。张震研究员对于疏调汤组方用药思路有独到见解,在考虑方效整体效果基础上对组方内的单药对及多药对考究更为严格,尤其枳实单味药,基于本身功效外,与疏调汤中它药形成的药对,立足于脏腑生理特性,相互为用,“枳实-白术”与“枳实-柴胡”药对,形成气机联动,加之“枳实-白芍”顾全大局,阴涵柔肝,从根本上疏调气机,恢复脏腑功能,达到疏调与涵养结合目的。其精妙药对配伍思路,值得后学学习,现整理分述,以飨读者。

    Abstract:

    The original name of Shutiao Decoction is Shutiao Qiji Decoction. It is a clinical effective prescription summarized by Researcher Zhang Zhen, a renowned traditional Chinese medicine master, based on his years of in-depth clinical experience. Researcher Zhang Zhen has his own unique insights into the thinking of the prescription and drug selection of Shutiao Qiji Decoction. On the basis of considering the overall effect of the prescription, he is more rigorous in examining the single drug pairs and multi-drug pairs within the prescription. Especially for the single drug Zhi shi (Fructus Aurantii Immaturus), apart from its own efficacy, it is also examined in combination with other drugs in Shutiao Decoction to form drug pairs, based on the physiological characteristics of the Zangfu organs, mutually enhancing each other‘s functions. The "Zhishi- Baishao" (Fructus Aurantii Immaturus-Radix Paeoniae Alba) and "Zhishi-Chaihu" (Fructus Aurantii Immaturus-Radix Bupleuri) drug pairs form an internal and external linkage of Qiji, and the "Zhishi-Baishu" (Fructus Aurantii Immaturus-Radix Atractylodis Macrocephalae) drug pair also takes into account the overall situation, nourishing the liver and softening it, fundamentally regulating Qiji and restoring the functions of the Zangfu organs, achieving the purpose of integrating regulation and nourishment. The exquisite thinking of drug pairing and combination is worthy of the younger generation to learn. Now, I will summarize and elaborate on it for readers.

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  • 收稿日期:2024-11-30
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  • 在线发布日期: 2026-03-04
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