Analysis of Baizhu Fuzi Decoction for Treating Dampness in Synopsis of the Golden Chamber
10.16466/j.issn1005-5509.2025.10.020
- VernacularTitle:《金匮要略》白术附子汤治湿辨析
- Author:
Xinyi CHI
1
;
Ting ZHAO
Author Information
1. 浙江中医药大学附属第一医院(浙江省中医院) 杭州 310006
- Publication Type:Journal Article
- Keywords:
Synopsis of the Golden Chamber;
Baizhu Fuzi Decoction;
dampness;
disease location;
simultaneous treatment of exterior and interior;
ZHANG Zhongjing;
traditional Chinese medicine classics;
prevent before the disease
- From:
Journal of Zhejiang Chinese Medical University
2025;49(10):1336-1340
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To thoroughly analyze the disease location of dampness treated by Baizhu Fuzi Decoction in Synopsis of the Golden Chamber,improve the accuracy of dampness treatment in clinical practice,and gain insights into ZHANG Zhongjing's therapeutic principles and medication strategies for dampness,thereby providing clinical references.[Methods]Through literature review,the study systematically summarized the perspectives of classical commentators,analyzed the pathogenesis of"hard stool and free urination"in the syndrome of Baizhu Fuzi Decoction,and employed textual cross-referencing to compare the meaning of the term"within the skin"in different passages to corroborate the disease location addressed by the formula.Additionally,the study referenced classical materia medica books to elucidate the pharmacological effects of Atractylodes macrocephala(Baizhu)and Aconiti Lateralis Radix Praeparata(Fuzi),further substantiating the formula's efficacy.[Results]The symptoms of"hard stool and free urination"in the syndrome of Baizhu Fuzi Decoction are primarily caused by spleen-kidney Yang deficiency,impaired QI transformation and failure to retain body fluids.The formula excels in treating dampness characterized by"dampness in the exterior with concurrent interior Yang deficiency"where the disease location is neither purely exterior nor purely interior.The combination of Atractylodes macrocephala(Baizhu)and Aconiti Lateralis Radix Praeparata(Fuzi)not only dispels dampness from the exterior but also warms and tonifies the spleen and kidneys,achieving"simultaneous treatment of exterior and interior."The formula effectively resolves exterior dampness and restores interior Yang while embodying ZHANG Zhongjing's academic philosophy of"preventing disease before its onset and managing disease progression".[Conclusion]Baizhu Fuzi Decoction is indicated for dampness syndromes involving both exterior and interior,demonstrating remarkable efficacy in dispelling exterior dampness and warming interior Yang.Through dual verification via literature and formula analysis,this study clarifies the formula's indications,reveals ZHANG Zhongjing's therapeutic strategy of combining attack and supplementation while preventing disease progression,and provides a clinical paradigm of"addressing both exterior and interior while prioritizing prevention"for dampness treatment.The findings offer significant insights for expanding the application of classical formulas.
