Textual Research on the Syndrome of Houpo Qiwu Decoction and Houpo Sanwu Decoction in Jingui Yaolve
10.16466/j.issn1005-5509.2017.08.001
- VernacularTitle:《金匮要略》厚朴七物汤与厚朴三物汤方证考辨
- Author:
Kan XU
- Keywords:
Jingui Yaolve;
Houpo Qiwu Decoction;
Houpo Sanwu Decoction;
cholera sicca;
abdominal fullness caused by drinking;
prescription and syndrome;
classical prescription;
ZHANG Zhongjing
- From:
Journal of Zhejiang Chinese Medical University
2017;41(8):639-643
- CountryChina
- Language:Chinese
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Abstract:
[Objective]To investigate the original texts of the Syndrome of Houpo Qiwu Decoction and Houpo Sanwu Decoction in Jingui Yaolve so as to define the syndrome of these two classical prescriptions and guide clinical application.[Methods]Revised the mistakes of the original texts of Houpo Qiwu Decoction and Houpo Sanwu Decoction in Jingui Yaolve by referring to medical books written between Jin Dynasty to Tang Dynasty such as Mai Jing, Xiaopin Fang and Qianjin Fang.Shanghan Lun,Zhubing Yuanhou Lun,Zhouhou Beiji Fang and other medical books were also consulted when exploring the pathogenesis and explanation of these two prescriptions.[Results]The syndromes of Houpo Qiwu Decoction should be abdominal fullness and pain,whose pathogenesis is that indigestion caused by pathogenic cold attacking intestine and stomach will lead to cholera sicca.It should be treated by using the therapy of promoting qi,relieving abdominal fullness and pain,warming spleen and stomach,and weeding through the old to bring forth the new.The syndromes of Houpo Sanwu Decoction intend to treat should be abdominal fullness,lasting fever,floating and rapid pulse but normal intake of food,whose pathogenesis is that interaction between wine and phlegm caused by fluid retention in drinkers or undigested wine in people with dysfunctional fluid metabolism will lead to abdominal fullness.It should be treated by using the therapy of eliminating phlegm-fluid,relieving abdominal fullness,and discharging internal heat. [Conclusion]The Syndromes of Houpo Qiwu Decoction and Houpo Sanwu Decoction are converse in Jingui Yaolve,therefore re-examination of these two prescriptions and further clinical experiments are required.
