从性味配伍探析加味连梅饮在燥痹中的组方规律
On the Prescription Characteristics of Jiawei Lianmei Yin of Dryness Impediment from Nature and Flavor Compatibility
DOI: 10.12677/tcm.2024.1311447, PDF,   
作者: 王孝杰*:成都中医药大学附属医院,风湿免疫科,四川 成都;成都中医药大学基础医学院,四川 成都;颜雍霖, 高永翔#:成都中医药大学基础医学院,四川 成都
关键词: 加味连梅饮性味组方燥痹干燥综合征Jiawei Lianmei Yin Nature and Flavor Compatibility Prescription Dryness Impediment Sjogren’s Syndrome
摘要: 加味连梅饮是治疗燥痹的临床效方。从性味配伍方面看,加味连梅饮有以下特点:立甘寒凉润法,润而不滞,以除燥热;酸甘化阴法,一养一收,以滋阴津;以热佐寒法,防止凉遏,使药性醇而不偏;以辛佐甘法,以辛通除甘腻,使药味专而有制;以苦佐甘法,以苦味之燥泄制甘味之滋腻,使甘不生湿,留邪。全方药性醇而不偏,专而有制,宜燥痹之人久服而不伤。现代药理学研究表明,加味连梅饮中成分对燥痹具有治疗作用。笔者从治法–性味–组方配伍探析组方规律,以期在临床用方用药时提供方向。
Abstract: Jiawei Lianmei (LMY) is a clinical effective prescription for treating Dryness Impediment (ZAO BI). From the point of view of the compatibility of Nature and Flavor Compatibility Jiawei Lianmei Yin has the following characteristics: sweet cold moisturizing Yin method, moisturizing but not sluggish, in order to remove dryness and heat; sour and sweet change into yin method, one raising and one harvesting, in order to nourish Yinjin; using heat assist cold method to prevent too cold and make the medicinal properties mellow and not biased; with Pungency assist sweet method, using pungency fluency to remove stckiness, so that the medicinal flavor is exclusive and restricted; with bitter assist sweet method, using bitter to drain the sweet of damp, so that the sweet does not produce dampness and retains evil. The whole prescription is mellow and not biased, specialized and systematic, and it is suitable for people who have Dryness impediment to take it for a long time without injury. Modern pharmacological studies have shown that the ingredients in LMY have a therapeutic effect on ZAO BI. The author analyzes the rules of the formula from the combination of treatment, Nature and Flavor Compatibility, and prescription, in order to provide direction for clinical prescription use.
文章引用:王孝杰, 颜雍霖, 高永翔. 从性味配伍探析加味连梅饮在燥痹中的组方规律[J]. 中医学, 2024, 13(11): 3034-3038. https://doi.org/10.12677/tcm.2024.1311447

参考文献

[1] 清·吴鞠通. 温病条辨[M]. 北京: 人民卫生出版社, 2005: 16-19.
[2] 于鹏龙. 结合网络药理学探讨加味连梅饮对小鼠干燥综合征模型的疗效及作用机制[D]: [博士学位论文]. 成都: 成都中医药大学, 2022.
[3] 冯哲, 周学平. 中药性味相制配伍减毒的方法探要[J]. 中华中医药杂志, 2013, 28(3): 595-598.
[4] 李满意, 娄玉钤. 燥痹的源流及临床意义[J]. 风湿病与关节炎, 2014, 3(5): 57-63.
[5] 韦大文, 李锡涛. 路志正论治燥痹[J]. 中医杂志, 1999, 40(1): 14-15.
[6] 国家药典委员会. 中华人民共和国药典一部(2020版) [M]. 北京: 中国医药科技出版社, 2020.
[7] 王腾飞, 赵琼, 杨艳艳, 等. 从“五味合化”思想谈“辛甘化阳、酸甘化阴” [J]. 中医杂志, 2013, 54(19): 1705-1707.
[8] 耿晓桐. 地黄化学成分及药理作用的研究进展[J]. 黑龙江科学, 2022, 13(24): 51-53.
[9] 付琳, 付强, 李冀, 等. 黄连化学成分及药理作用研究进展[J]. 中医药学报, 2021, 49(2): 87-92.
[10] 何丽君, 江金井, 陈豪, 等. 淫羊藿药理作用和临床应用的研究进展[J]. 中医临床研究, 2020, 12(2): 17-20.
[11] 曹春歌. 天花粉的药理特点及临床应用研究[J]. 智慧健康, 2017, 3(21): 19-21.
[12] Lugli, E., Ferraresi, R., Roat, E., Troiano, L., Pinti, M., Nasi, M., et al. (2009) Quercetin Inhibits Lymphocyte Activation and Proliferation without Inducing Apoptosis in Peripheral Mononuclear Cells. Leukemia Research, 33, 140-150. [Google Scholar] [CrossRef] [PubMed]
[13] Jiang, T., Guo, J., Wang, Y., Wu, H., Chen, Y., Wang, S., et al. (2023) Total Glucosides of Paeony Alleviates Experimental Sjögren’s Syndrome through Inhibiting NLRP3 Inflammasome Activation of Submandibular Gland Cells. Clinical and Experimental Rheumatology, 41, 2502-2510. [Google Scholar] [CrossRef] [PubMed]
[14] 曹裕杰, 蔡传书, 魏斌, 等. 酸甘化阴法治疗鼻咽癌放疗后口干症疗效观察[J]. 中国医药导报, 2009, 6(14): 50-51.
[15] 杜怡然, 周静威. 基于圆运动理论探讨“复圆法”辨治干燥综合征思路[J]. 环球中医药, 2023, 16(3): 522-526.
[16] 黄煜麟, 何晓瑾, 金实, 等. 基于中医圆运动理论探析干燥综合征的辨治思想[J]. 江苏中医药, 2021, 53(4): 26-28.
[17] 史竞羽, 张谨枫, 季飞, 等. 从阳虚论治干燥综合征病案剖析[J]. 成都中医药大学学报, 2015, 38(1): 53-54+78.
[18] 吴振起, 刘光华, 王雪峰. 从性味配伍探讨银翘散的组方特点[J]. 中华中医药学刊, 2008(5): 952-953