基于宣通玄府理论探讨小续命汤

Discussion on Xiaoxuming Decoction Based on the Theory of Dredging the Mysterious Pores

摘要: 目的：基于宣通玄府理论探讨小续命汤。方法：梳理玄府理论的源流发展及宣通玄府法的辨证分类体系，结合小续命汤的药物组成与配伍特点，剖析其基于宣通玄府理论的组方思路，并总结该方在多系统疾病中的临床应用规律。结果：玄府为遍布人体周身的微观孔窍，是气血津液、神机升降出入的核心通道，以通利畅达为生理常态，玄府闭塞而为病；宣通玄府法分虚证和实证两大类共14种具体治法；小续命汤以宣通玄府为核心组方思路，全方寒热并用、散收兼顾、通补同施；该方基于宣通玄府理论可拓展应用于神经系统、风湿免疫性、皮肤科、五官科等多系统疾病。结论：小续命汤的组方配伍始终紧扣宣通玄府核心治则，玄府理论为小续命汤的临床拓展应用提供了重要理论支撑。

Abstract: Objective: To discuss Xiaoxuming Decoction from the perspective of the theory of dredging the mysterious pores. Methods: This paper combed the inheritance and development of the mysterious pores theory and the classification of relevant therapies based on syndrome differentiation. The formula design of Xiaoxuming Decoction was analyzed in view of its herbal compatibility, and its clinical application in various systemic diseases was summed up. Results: Mysterious pores are ubiquitous microscopic orifices governing the movement of qi, blood, body fluid and mental activities; obstruction of these orifices causes illnesses. Therapies for dredging mysterious pores fall into deficiency and excess types with 14 specific methods. Centered on dredging the mysterious pores, Xiaoxuming Decoction features combined cold-warm herbs, coordinated dispersion and astringency, and simultaneous unblocking and tonification. It can be widely used in nervous, rheumatic immune, dermatological and otorhinolaryngological diseases. Conclusion: The compatibility of Xiaoxuming Decoction is closely linked with the therapeutic principle of dredging the mysterious pores, and the mysterious pores theory lays a solid theoretical foundation for its expanded clinical use.