Functioning Mechanism and Compatibility of Zhuye Shigaotang from Qi Circulation
10.13422/j.cnki.syfjx.20201690
- VernacularTitle:从“一气周流”探析竹叶石膏汤病机及组方思路
- Author:
Junping HUO
1
;
Jiayu LIANG
1
;
Xiaofeng LI
2
;
Wuxun DU
2
Author Information
1. Tianjin University of Traditional Chinese Medicine（TCM），Tianjin 300383，China
2. Second Teaching Hospital of Tianjin University of TCM，Tianjin 300150，China
- Publication Type:Journal Article
- Keywords:
Qi circulation;
Zhuye Shigaotang;
pathogenesis;
compatibility idea
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2023;29(14):215-218
- CountryChina
- Language:Chinese
-
Abstract:
Zhuye Shigaotang， first recorded in ZHANG Zhongjing's Synopsis of the Golden Chamber （《金匮要略》）， is a commonly used prescription for treating heat syndrome in modern times. However， physicians of the past dynasties have different opinions on the mechanism of Zhuye Shigaotang in disease treatment. Based on HUANG Yuanyu's theory of Qi circulation， this paper holds that the root cause of the diseases treated by Zhuye Shigaotang is the deficiency of spleen and stomach in the middle energizer and the dysfunction of ascending and descending. The failure of Yin ascending leads to the failure of Yang transformation， and the failure of Yang descending causes the failure of Yin generation. As a result， heat and fire become predominant in the heart， lung， and stomach， which causes Qi counterflow and fluid consumption. Based on this pathogenesis， Zhuye Shigaotang is mainly composed of pungent， warm， sweet， and cold herbs. The combination of these herbs can protect the spleen and stomach and recover the Qi movement in the middle energizer， thereby clearing heat and fire， descending Qi， and promoting the generation of Qi and fluid. In clinical practice， this prescription can be applied to treating the syndromes of deficiency in spleen and stomach， dysfunction of middle energizer in transportation， dysfunction of ascending and descending， excessive heat and fire， and Qi counterflow and fluid consumption. The interpretation of Zhuye Shigaotang from the theory of Qi circulation can provide a new idea for differentiating syndromes， seeking causes， and developing prescriptions， which broadens the scope of clinical application of this prescription and provides a reference for interpreting ZHANG Zhongjing's method of compatibility.
