High and Low Dose Principle in the Combination of Medicinals

Shoukang LU

doi:10.13288/j.11-2166/r.2021.18.002

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High and Low Dose Principle in the Combination of Medicinals

更新时间：2021-09-14

- High and Low Dose Principle in the Combination of Medicinals
- Journal of Traditional Chinese Medicine Vol. 62, Issue 18, Pages: 1569-1572(2021)
- 作者机构：
  
  北京中医药大学，北京市朝阳区北三环中路11号，100029
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2021.18.002
  CLC：
- Received：15 June 2021，
  
  Revised：2021-07-18，
  
  Published：17 September 2021
- 稿件说明：
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陆寿康.大小剂量成方论[J].中医杂志,2021,62(18):1569-1572.

LU Shoukang.High and Low Dose Principle in the Combination of Medicinals[J].Journal of Traditional Chinese Medicine,2021,62(18):1569-1572.
陆寿康.大小剂量成方论[J].中医杂志,2021,62(18):1569-1572. DOI： 10.13288/j.11-2166/r.2021.18.002.

LU Shoukang.High and Low Dose Principle in the Combination of Medicinals[J].Journal of Traditional Chinese Medicine,2021,62(18):1569-1572. DOI： 10.13288/j.11-2166/r.2021.18.002.

摘要

以名医名方为据，分析处方中各药的剂量大小，认为中医临床处方必须遵循君臣佐使配伍关系，处方中各药的剂量应按君臣佐使关系逐级递减。主病的主药、君药用量须大，而佐使药宜量小而指向明确。将君药与佐使药相对用量配比差距显著之方，称为大小剂量成方。提出绝不可君臣、主次不分而“等量”处之，否则会影响该方的临床疗效。

Abstract

This paper analyses the dose of herbs in the formulas prescribed by famous doctors. It is found that the prescription should follow the principle of “chief

deputy

assistant and envoy”

and the dose of the chief

deputy

assistant and envoy medicinals should decrease from high to low. High dose of the chief medicinals in relation to the main disease

as well as low dose of assistant and envoy medicinals with clear target are recommended

and such formulas with significant differences between doses of chief medicinals and of assistant and anvoy medicinals follows the high and low dose principle. Equal dose of herbs without differentiating between the chief and deputy

as well as the primary and secondary medicinals

are not advocated; otherwise the effect of the formula will be weakened.

关键词

Keywords

references

王鸣，杨文华 . 中药对药君、臣、佐、使配伍规律研究［J］. 中医杂志， 2013 ， 54 （ 22 ）： 1974 - 1975 .

冯泳，杨卫平 . 对《方剂学》君臣佐使理论的定性思考［J］. 中医杂志， 2006 ， 47 （ 1 ）： 61 - 62 .

黄帝内经素问［M］ . 王冰，注. 北京：人民卫生出版社， 1963 ： 529 .

宋孝志 . 验方三两三［J］. 广东中医， 1963 （2）：封三.

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