四逆散病机及其临床应用研究进展.docVIP

四逆散病机及其临床应用研究进展 　　[摘要]四逆散作为一种少阳调和剂，具有疏肝理脾、透邪解郁的功效，对治疗肝郁脾虚型疾病有较好效果。本文立足四逆散基本方，结合历代医家对四逆散主治的描述，分析了四逆散主治病的病机，得出肝脾气滞、阳气内遏不能外达四末是其主要病机。同时，通过观察四逆散广泛的临床应用和良好的治疗效果，发现疏肝理脾、调理气机的重要性。 　　[关键词]四逆散；病机；临床应用；研究进展 　　[中图分类号] R289.1 [文献标识码] A [文章编号] 1674-4721（2017）11（c）-0017-04 　　Research advance of pathogenesis and clinical application of Sini Powder 　　YAN Bing1 YANG Zhuo-xin1 PI Min1 CHEN Peng-dian2 ZENG Ping-ping1 LIN Hui-yuan3 　　1.Department of Acupuncture and Moxibustion，Shenzhen Traditional Chinese Medicine Hospital Affiliated to Guangzhou University of Chinese Medicine，Guangdong Province，Shenzhen 518000，China；2.Department of Traditional Chinese Medicine，Guangdong Province，Shenzhen Maternal and Child Healthcare Hospital Affiliated to Southern Medical University，Shenzhen 518000，China；3.The Fourth Institute of Clinical Medicine of Guangzhou University of Chinese Medicine，Guangdong Province，Shenzhen 518000，China 　　[Abstract]As a prescription for coordinating shaoyang，Sini Powder has the effect of soothing the liver and regulating the spleen，clearing away pathogenic factors and relieving depression，and has a better effect on treating the disease of liver stagnation and spleen deficiency type.Based on the original Sini Powder formula，this paper analyzes the pathogenesis of major therapeutic diseases for Sini Powder combining with the description for the major therapeutic diseases for Sini Powder of physicians of past dynasties，and concludes that its primary pathogenesis is obstruction of pathogen and stagnation of yangqi due to qi stagnancy of both liver and spleen.While simultaneously，it discovers the value of soothing liver-qi stagnation and harmonizing the function of qi through the observation of widespread clinical application and good treatment effect of Sini Powder. 　　[Key words]Sini Powder；Pathogenesis；Clinical application；Research advance 　　四逆散源于《??寒论》：“少阴病，四逆，其人，或咳，或悸，或小便不利，或腹中痛，或泄利下重者，四逆散主之”[1]。作为透邪解郁、疏肝理脾的基本方，四逆散主要通过调节人体内的阳气分布达到治疗诸如阳郁厥逆、肝脾气郁等症状的目的，重在调理、疏通。四逆散中柴胡