李泉云主任组方用药之经验.pdfVIP

·学术传承 Western Journal of Traditional Chinese Medicine,2013 Vol.26 No.5 李泉云主任组方用药之经验 周云霞 ，周红霞 ，赵雪影 指导：李泉云1 2 3 1甘肃省中医院，甘肃兰州730050；2陕西省咸阳市第一人民医院；3张掖市甘州区长安中兴卫生院 ［摘 要］从组方的药物性味、升降浮沉、组成、配伍、用量、功能、应用、机理、单方验方、煎煮、服药方式等 方面探讨李泉云老师提出的临证组方用药要效而简，不可滥而繁，以免相互抵消或制约其功效。同时强调用药 应既在理法之中，又不拘泥于成规，为名相所束缚；其组方十分重视小方与小方配套应用；小方之中，四君子 汤、四物汤、二陈汤、平胃散可谓方剂中四大台柱，涵盖了中医气、血、痰、湿四大方面；临证时应敢用药、会用 药、慎用药。 ［关键词］中医；中药；组方用药；经验；李泉云 ［中图分类号］R285.6 ［文献标识码］A ［文章编号］1004-6852(2013)05-0036-03 DirectorLI Quanyun ′s ExperienceonPrescriptionandDrugs 1 2 3 ZHOU Yunxia , ZHOU Hongxia , ZHAO Xueying Director: LI Quanyun 1 Gansu Province Hospital of Traditional Chinese Medicine, Lanzhou 730050, China; 2 Xianyang Municipality the First People ′s Hospital; 3 Chang ′an Zhongxing Clinic in Ganzhou District of Zhangye LI Quanyun ′s thinkingthattheprescriptionshouldbeeffectiveandsimpletoavoidmutualresis- tanceorinhibitionwasexploredfrom thepropertyandfavorofthedrugs,ascending,descending,floatingandsink- ing,composition,compatibility,dosage,function,application,mechanism,singleprescriptionandeffectiveprescrip- tion,decocting,thewayoftakingandothers.Meanwhile,heemphasizedthatweshouldobeybutnotlimitedtothe ruleswhenwewereusingthedrugs;thecompatibilityshouldvalueonthematingofsmallprescriptions;SiJunZi－ Tang,SiWuTang,ErChenTang andPingWeiSan werefourimportantprescriptionsamongthesmallones,whichcon- tainedthefouraspects:Qi,blood,phlegm anddampness;thedoctorscouldusethedrugsbravelyandcautiously. TCM;herbs;prescriptionandmedication;experience;LI Quanyun 2.5 验证试验 称取全方药材2份，按药材提取 干温度的控制可缩短时