《名医类案》中白术-当归配伍的脉理分析
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R289.1

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深圳市科技计划项目(JCYJ20230807094604008)


Analysis of Pulse Patterns in Compatibility of Atractylodis Macrocephalae Rhizoma- Angelicae Sinensis Radix Recorded in Ming Yi Lei An
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    摘要:

    目的:分析《名医类案》中运用白术-当归配伍医案的脉象、舌象、证型、方药的关系。方法:采 用双人核查录入的原则,对医案资料进行筛选,将收集的医案、脉象、舌象、证型、方药等信息录入Excel 2021,建立《名医类案》白术、当归数据库,主要信息包括脉象(数脉、弱脉、弦脉、虚脉、濡脉、洪脉、缓 脉等)、舌象、证型、方药等。并用Excel 2021统计以上信息频数。结果:共筛选出白术医案258则,当归医案 214则,白术-当归医案149则。白术医案常见脉象为脾虚类(弱脉、细脉、濡脉、虚脉、缓脉、微脉)、数脉、 弦脉等,常见证型为脾胃虚弱、肝郁脾虚等;当归医案常见脉象包括数脉、弦脉等,常见证型为脾胃虚弱、气 血两虚等;白术-当归医案脉象常见数脉、弱脉、弦脉等,常见证型为脾胃虚弱、气血两虚、肝郁脾虚等。结 论:白术健脾祛湿,故以脾虚类为主;当归补血活血,故以数、弦脉为主。白术-当归配伍常见数脉、弱脉、 弦脉、虚脉、濡脉、洪脉、缓脉。数脉多见于土湿郁热或血虚生热之证;弦脉多由土湿木郁,肝血亏虚,气机 郁滞所致,涉及肝血虚、脾虚;弱脉、虚脉主气血两虚;濡脉主气虚湿阻;缓脉多主脾胃虚弱、湿病,与脾虚 相关。白术健脾化湿,当归补血活血,故两者相配以达气血并补、津血互调、肝脾同治,标本虚实兼治。

    Abstract:

    Abstract: Objective: To analyze the relationship among pulse conditions, tongue manifestations, syndrome types, and prescriptions and medicinals in medical cases involving the compatibility of Atractylodis Macrocephalae Rhizoma-Angelicae Sinensis Radix recorded in Ming Yi Lei An (Classified Case Records of Famous Physicians). Methods: Based on the principle of dual-person verification and data entry, medical case data were screened. The collected information, including medical cases, pulse conditions, tongue manifestations, syndrome types, and prescriptions and medicinals, was entered into Excel 2021 to establish a database for the use of Atractylodis Macrocephalae Rhizoma and Angelicae Sinensis Radix recorded in Ming Yi Lei An. Key information included common pulse conditions( rapid pulse,weak pulse,wiry pulse,deficient pulse,soggy pulse,surging pulse,moderate pulse, etc.), tongue manifestations, syndrome types, and prescriptions and medicinals. The frequency of the above information was statistically analyzed using Excel 2021. Results: A total of 258 medical cases involving Atractylodis Macrocephalae Rhizoma,214 medical cases involving Angelicae Sinensis Radix,and 149 cases of the compatibility of Atractylodis Macrocephalae Rhizoma-Angelicae Sinensis Radix were screened. In medical cases involving Atractylodis Macrocephalae Rhizoma, common pulse conditions were those associated with spleen deficiency types (weak pulse, thin pulse,soggy pulse,deficient pulse,moderate pulse,faint pulse),rapid pulse,and wiry pulse,etc;common syndrome types included deficiency of spleen and stomach,and liver stagnation and spleen deficiency. In medical cases involving Angelicae Sinensis Radix, common pulse conditions included rapid pulse, wiry pulse, etc; common syndrome types included deficiency of spleen and stomach, and deficiency of qi and blood. In medical cases of the compatibility of Atractylodis Macrocephalae Rhizoma-Angelicae Sinensis Radix, common pulse conditions included rapid pulse,weak pulse,and wiry pulse,etc;common syndrome types included deficiency of spleen and stomach, deficiency of qi and blood, and liver stagnation and spleen deficiency. Conclusion: Atractylodis Macrocephalae Rhizoma invigorates spleen and removes dampness, and thus the pulse conditions in medical cases related to it primarily target spleen deficiency types. Angelicae Sinensis Radix replenishes blood and promotes blood circulation, and thus the pulse conditions primarily correspond to rapid and wiry pulses. The common pulse conditions associated with the compatibility of Atractylodis Macrocephalae Rhizoma-Angelicae Sinensis Radix include rapid pulse, weak pulse, wiry pulse, deficient pulse, soggy pulse, surging pulse, and moderate pulse. Rapid pulse is often seen in syndromes of spleen dampness and heat stagnation or blood deficiency generating heat. Wiry pulse is mostly caused by spleen dampness and liver stagnation, deficiency of liver blood , and depression and stagnation of qi movement, involving liver blood deficiency and spleen deficiency. Deficiency of qi and blood corresponds to the pulse conditions of weak pulse and deficient pulse. Qi deficiency with dampness impediment corresponds to the pulse condition of soggy pulse. Deficiency of spleen and stomach and dampness diseases correspond to the pulse conditions of moderate pulse, which is related to spleen deficiency. Therefore,Atractylodis Macrocephalae Rhizoma is used to strengthen the spleen and resolve dampness,while Angelicae Sinensis Radix is used to replenish blood and promote blood circulation. Their combination achieves simultaneous supplementation of qi and blood, mutual regulation of fluids and blood, simultaneous treatment of the liver and spleen,and addressing both the root and branch aspects as well as deficiency and excess.

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王晶,杜少辉,杨丽娜,邵千枫,陈澈,李悦.《名医类案》中白术-当归配伍的脉理分析[J].新中医,2026,58(1):24-31

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  • 在线发布日期: 2026-01-12
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