[Longdan Xiegan Decoction and its interpretation from the perspective of meridians].

D X Mou, X D Wu, N Q Zhao, J Y Yuan, N Ding, G F Dong, X Wang
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Abstract

By systematically examing through Longdan Xiegan Decoction in medical books of the past dynasties, it was found that the Longdan Xiegan Decoction recorded in Lan Shi Mi Cang mainly targeted men's genital odor at frist. After Xue Ji's addition and subtraction, the scope of the prescription was gradually generalized and expanded, and confusion its name, composition and source of the prescription appeared, which was particularly prominent in Jingyue Quanshu and Yifang Jijie.Doctors used to interpret this prescription from the perspective of viscera. In order to better understand the main treatment rules of Longdan Xiegan Decoction, it is necessary to change the perspective and reinterpreted it from the perspective of meridians.Attributing the symptoms of the perineum to Liver Meridian of Foot-Jueyin,hypochondriac pain, deafness and other symptoms to the Gallbladder Meridian of Foot-Shaoyang, and adding or subtracting herbs according to the specific conditions, is not only conducive to a comprehensive and in-depth understanding of the prescription to achieve accurate clinical syndrome differentiation and medication, but also prompts modern researchers to rethink the important role of meridian theory in the formation and development of the theoretical system of traditional Chinese medicine.

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[龙胆泻肝汤及其经络学解释]。
通过对历代医书中的龙胆泻肝汤进行系统梳理,发现《兰石密藏》中记载的龙胆泻肝汤最初主要针对男性生殖器异味。经过薛己的加减,方剂的范围逐渐被概括和扩大,出现了方剂名称、组成和来源的混乱,这在《景岳全书》和《艺文类聚》中尤为突出。为了更好地理解龙胆泻肝汤的主治法则,有必要转换视角,从经络的角度重新解读。将会阴部的症状归属于足厥阴肝经,将胁痛、耳聋等症状归属于足少阳胆经,并根据具体病情加减药材,不仅有利于全面深入地理解方剂,实现临床准确的辨证用药,也促使现代研究者重新思考经络学说在中医理论体系形成和发展中的重要作用。
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来源期刊
中华医史杂志
中华医史杂志 Medicine-Medicine (all)
CiteScore
0.10
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0.00%
发文量
2145
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