中医药研究论丛

212.7 以四逆散为例论述中医异病同治的观念
TJ TCM.21(2) : 73-78, 2018
以四逆散为例论述中医异病同治的观念
Discussion on the Idea of Treating Different Diseases with the Same Method in Traditional
Chinese Medicine as an Example of Si Ni San
游志勤1*
1 佛教慈济医疗财团法人台北慈济医院,台北,台湾
【摘要】
四逆散被认为疏肝之祖方,始见於《伤寒论》,原用治少阴病传经热邪,阳郁不伸的四逆证。随着历代医家对四逆散研究的深入,将其功效扩大为疏肝理脾,用於情志、作息、饮食失调引起的肝郁气滞、肝脾不合等相关疾病,其运用范围广泛,包含内、外、妇、男科及情志失调引起的疾病。本文通过对历代医家研究四逆散的病机以及临床运用等进行归纳总结,以期更精确地掌握四逆散方证的运用规律,论述中医异病同治的观念,启发临床应用思维。
【关键词】四逆散、肝郁气滞、肝脾不和、异病同治
Chih-Chin Iou1*
1Taipei Tzuchi Hospital, The Buddhist Tzuchi Medical Foundation, Taipei, Taiwan
【Summary】
Si Ni San is considered as the ancestral side (classical prescriptions) of the liver.Si Ni San which was found in the treatise on febrile disease (cold disease,Shanghan lun) firstly.Initiallly, Si Ni San was used to treat four reverse pattern which caused by hot devil thru channel conduced by lesser yin disease and unstretched yang depression.With the deepening of the study of ancient physicians,the effect of Si Ni San is extended to the liver and spleen, emotional disorders,disorders on daily routine, eating disorders caused by liver qi stagnation, liverspleen disharmony etc. It is applied widely , Including internal medicine,surgery, gynecology, andrology and emotional disorders caused by the disease. This paper summarizes the pathogenesis and clinical application of Sini Powder in ancient times, so as to more accurately grasp the application of Sini Powder and inspire clinical application thinking.
【Keywords】Si Ni San, Liver-Qi Stagnation, Liver-Spleen disharmony, Like treatment of unlike disease