Discussion on Application of Atractylodes Rhizome in Synopsis of Golden Chamber
10.16466/j.issn1005-5509.2025.03.017
- VernacularTitle:浅议《金匮要略》中"术"药之运用
- Author:
Kangning LIU
1
;
Ze YANG
;
Yongli-ang XIA
Author Information
1. 浙江中医药大学第一临床医学院 杭州 310053
- Publication Type:Journal Article
- Keywords:
Atractylodes Rhizome;
Atractylodes ovata;
Atractylodes sinensis;
Synopsis of Golden Chamber;
historical evolution;
prescription authentication and textual research;
drugs compatibility;
clinical application
- From:
Journal of Zhejiang Chinese Medical University
2025;49(3):367-371
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To explore the application characteristics of medication"Atractylodes Rhizome"in Synopsis of Golden Chamber and summarize clinical approaches to syndrome differentiation and treatment.[Methods]ZHANG Zhongjing's experience in using Atractylodes Rhizome was comprehensively analyzed from source,dosage,compatibility characteristics,etc.[Results]Synopsis of Golden Chamber mentions a total of 24 applications of Atractylodes Rhizome for treating different diseases.Its main therapeutic effects are to tonify Qi and invigorate the spleen,tonify deficiency and relieve obstruction,dry dampness and diuresis,stabilize the fetus and consolidate the foundation.Although the text does not explicitly differentiate between Atractylodes ovata and Atractylodes sinensis,but it suggests Atractylodes ovata is more important in tonifying Qi,invigorating the spleen,stopping sweat and calming the fetus,while Atractylodes sinensis is better in dispelling wind and cold,drying dampness and invigorating the spleen.Both have their own strengths in formula compatibility,and the differences in dosage and dosage forms are closely related to their therapeutic effects.[Conclusion]Zhongjing was good at treating diseases according to syndrome differentiation,not limited to one prescription,one method and one path.He cleverly utilized the characteristics of Atractylodes Rhizome,flexibly selected dosage forms and adjusted dosage,and adjusted drug combinations according to disease symptoms.The formula he produced not only can enter the middle-Jiao to strengthen the spleen and promote diuresis,but also can enter the superficial tissues to dispel wind and dampness.It can also enter the Chongren to replenish Qi and prevent miscarriage,as well as tonify deficiency and eliminate painful impediment syndrome,which had great guiding significance for clinical application.
