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1.天津中医药大学,天津市静海区团泊新城鄱阳湖路10号,301617
2.天津中医药大学第一附属医院
Received:06 August 2023,
Revised:2023-09-14,
Published:17 October 2023
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高宁,昝树杰,张泽曦等.济川煎新释[J].中医杂志,2023,64(20):2150-2152.
GAO Ning,ZAN Shujie,ZHANG Zexi,et al.New Explanation of Jichuan Decoction(济川煎)[J].Journal of Traditional Chinese Medicine,2023,64(20):2150-2152.
高宁,昝树杰,张泽曦等.济川煎新释[J].中医杂志,2023,64(20):2150-2152. DOI: 10.13288/j.11-2166/r.2023.20.018.
GAO Ning,ZAN Shujie,ZHANG Zexi,et al.New Explanation of Jichuan Decoction(济川煎)[J].Journal of Traditional Chinese Medicine,2023,64(20):2150-2152. DOI: 10.13288/j.11-2166/r.2023.20.018.
从济川煎的方名溯源、《景岳全书》本草原文窥探、当归与肉苁蓉的君药之争及历代功效论述考辨入手,探讨济川煎的方药释义。认为济川煎方名原义为增液行舟,当归为君养血润燥,肉苁蓉为臣润下通便,综合分析其功效并非温肾助阳而是侧重于养血润燥通便,主治为阴血亏虚之便秘,并通过古籍文献等例证效验。
This paper explores the interpretation of
Jichuan Decoction
(济川煎) by tracing its name's origin, exa-mining the original texts of herbs in the decoction within
Jingyue's Complete Works
(《景岳全书》), exploring the debate on the sovereign drug of Danggui (
Angelica sinensis
[Oliv.] Diels) and Roucongrong (
Cistanche deserticola
Y.C. Ma), and analyzing the historical discussions on the efficacy of the decoction. It is believed that the original meaning of the name
(济川煎) refers to its strategy for treating “deficiency constipation”, which can be described as “increasing water to navigating the boat”. Danggui (
[Oliv.] Diels) is considered the sovereign herb for nourishing blood and moistening dryness, while Roucongrong (
Y.C. Ma) serves as the minister herb for moistening the intestines and promoting bowel movements. It is concluded by the author that
(济川煎) does not primarily focus on warming the kidneys and assisting
yang
, but rather emphasizes nourishing blood, moistening dryness, and promoting bowel movements. Its main indication is constipation due to deficiency of
yin
and blood, which is supported by evidence from antiquarian materials.
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邵李欢 . 基于古今医案分析老年功能性便秘的证药规律的研究 [D]. 南京 : 南京中医药大学 , 2022 .
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