基于十全育真汤组方原理探析张锡纯用药精髓与临证治法
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R289

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广东省中医药局省级名中医传承工作室建设项目(粤中医办涵〔2023〕10号);广东省医学科研项目(B2021340);魏爱生佛山市名中医传承工作室建设项目(佛卫函〔2022〕92号)


Analysis of ZHANG Xichun's Medication Essence and Clinical Treatment Methods Based on Prescribing Principles of Shiquan Yuzhen Decoction
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    摘要:

    近代中西医汇通代表人物张锡纯所创制的十全育真汤是治疗阴虚劳热的代表方剂,融汇了其学术 思想与独具特色的用药之道。为深入挖掘十全育真汤的潜在价值,笔者通过拆解其药对,深入剖析其组方原 理,总结张锡纯在临证中的用药精髓及特色治法。在用药上,张氏重视振食欲、护胃气;善生药、重山药。在 治法上,创升补大气之法以调气机;立滋阴潜镇之策以疗真阴不足;行滋阴活血之道以治虚中夹瘀。并结合医 案加以佐证,以期为名医经验的传承与方剂的现代应用提供理论依据与临床借鉴。

    Abstract:

    Abstract: Shiquan Yuzhen Decoction, a representative prescription created by ZHANG Xichun, a leading practitioner in the integration of Chinese medicine and western medicine in modern times, is widely used for yin deficiency and consumptive fever. It embodies his academic thought and unique prescription principle. To further explore the potential value of Shiquan Yuzhen Decoction, this study analyzes its prescribing principles by deconstructing its herb pairs,and summarizes ZHANG Xichun's core prescribing principles and distinctive treatment methods. Regarding medication, ZHANG emphasized stimulating appetite and protecting stomach qi, and favored the use of fresh crude herbs, especially Dioscoreae Rhizoma. In terms of treatment strategies, he established the method of ascending and supplementing the pectoral qi to regulate qi movement; formulated the approach of nourishing yin and subduing hyperactivity to address genuine yin deficiency; and practiced the principle of nourishing yin and activating blood circulation to treat deficiency accompanied by blood stasis. These principles are supported with medical case studies, aiming to provide a theoretical basis and clinical references for inheriting the experience of renowned physicians and promoting the modern application of prescriptions.

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蓝丽君,吴俊锐,张彩霞,刘晓霞,魏爱生.基于十全育真汤组方原理探析张锡纯用药精髓与临证治法[J].新中医,2026,58(2):117-122

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  • 在线发布日期: 2026-01-29
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