第39卷第3期2023年3月长春中医药大学学报JournalofChangchunUniversityofChineseMedicineVol.39No.3Mar.2023—256—DOI:10.13463/j.cnki.cczyy.2023.03.006基于药物性味理论浅析苍术的临证应用马丹，魏岩，张文风*（长春中医药大学，长春130117）摘要：近年来在防疫的方剂中多以“辛、苦、甘、温”的中药为主，现通过选取辛、苦、温的苍术，基于药物性味理论探究苍术的临证应用。药典中虽未记载苍术防疫的功效，但在历代文献中，苍术以其气芳香燥烈，鼓舞正气，荡涤邪气，为历代驱邪辟疫药的首选。其芳香温燥，又可温中醒脾，消积化滞。苍术味辛，外可散肌表之风寒湿邪；内可辛开郁滞，化气、湿、痰、食诸般之郁；上可辛开太阴以明目，下可辛润滋肾。其味苦，可内化脾胃之湿浊，泄饮消痰，又可苦燥除痹，敛涩止泻。对于苍术气、性、味的探究有利于中医辨证诊疗过程中证-药对应关系的确立，以便更好地发挥苍术在临床中的治疗效用。关键词：苍术；辟疫；性味中图分类号：R254.3文献标志码：A文章编号：2095-6258(2023)03-0256-04AnalysisontheclinicalapplicationofatractylodesrhizomebasedonthetheoryofAnalysisontheclinicalapplicationofatractylodesrhizomebasedonthetheoryofdrugnaturesandtastesdrugnaturesandtastesMADan,WEIYan,ZHANGWenfeng*(ChangchunUniversityofChineseMedicine,Changchun130117,China)AbstractAbstract:Inrecentyears,herbsthatfeaturethemedicinalpropertiesandtastesofbeing"pungent,bitter,sweetandwarm"aremainlyappliedintheprescriptionsforepidemicprevention.Thispaper,basedontheTCMtheoryofdrugnaturesandtastes,tendstoexploretheclinicalapplicationofatractylodesrhizome,whichispungent,bitterandwarmregardingitsmedicinalpropertyandtaste.AlthoughthePharmacopoeiadoesnotclarifytheefficacyofatractylodesrhizomeforepidemicprevention,intheliteratureofthepastdynasties,itisregardedasthefirstchoiceforexpulsingpathogensandpreventingepidemicsbecauseofitsactionsofaromaticdryness,enhancinghealthyqiandcleaninguppathogenicqi.Itisfragrant,warmanddry,whichcanwarmupthespleen,resolvefoodstagnation.Ittastespungent,whichcannotonlydispersethesuperficiessyndromesofpathogenicwind,coldanddampness,butalsoclearupthestagnationofqi,dampness,phlegmandfood.ItcanfurtheractivatetheT...
