ZHANG Zhiyuan’s experience in using Minor Center-Fortifying Decoction

WANG Yao; LI Song; LIU Guirong

doi:10.3969/j.issn.2095-6606.2023.01.011

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ZHANG Zhiyuan’s experience in using Minor Center-Fortifying Decoction

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- ZHANG Zhiyuan’s experience in using Minor Center-Fortifying Decoction
- Modern Chinese Clinical Medicine Vol. 30, Issue 1, Pages: 48-51(2023)
- 作者机构：
  
  山东中医药大学　济南　250014
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2023.01.011
  CLC： R289.3
- Published：30 January 2023，
  
  Received：09 March 2022，
- 稿件说明：
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WANG Yao, LI Song, LIU Guirong. ZHANG Zhiyuan’s experience in using Minor Center-Fortifying Decoction. [J]. Modern Chinese Clinical Medicine 30(1):48-51(2023)
DOI：

WANG Yao, LI Song, LIU Guirong. ZHANG Zhiyuan’s experience in using Minor Center-Fortifying Decoction. [J]. Modern Chinese Clinical Medicine 30(1):48-51(2023) DOI： 10.3969/j.issn.2095-6606.2023.01.011.

摘要

小建中汤首见于《伤寒杂病论》，基本作用是和营卫、调阴阳，适用病机为脾胃气虚、木旺乘土、肝胃不和。小建中汤以饴糖为君，温中补虚、固护中焦脾胃，寓含阴阳双补之意，阴中求阳，阳中求阴，正和补养之道。张志远教授遥承仲景之绪，对遣用小建中汤有独特的认识。一是在原方基础上予以加味，易收奇功。二是调整诸药剂量，对证而用。三是重视服药注意事项。并结合临床病案阐述小建中汤的加减应用。

Abstract

Minor Center-Fortifying Decoction was first seen in

Treatise on Cold Damage and Miscellaneous Diseases

. Its basic function is to harmonize

ying

and

wei

levels and regulate yin and yang

which makes it suitable for deficiency of qi in the spleen and stomach

excess of wood restricting the soil and disharmony between the liver and stomach. The formula

which takes Yitang (Saccharum Granorum) as the chief medicinal

warms the center and supplements deficiency

reinforces and protects the middle

jiao

spleen and stomach. By doing so

it supplements both yin and yang

seeking yang within yin while seeking yin within yang

which is in line with the optimal way of supplementing and nourishing. Professor Zhang Zhiyuan

laureate of the title of National TCM Master

has a unique understanding of clinical idea of Zhang Zhongjing and the use of the decoction. Firstly

He added certain herbal ingredients to the original prescription as needed

which yielded extraordinary results. Secondly

the dosage of individual herbs used in the formula was adjusted according to the pattern of the patient. Thirdly

he also developed unique insights into the precautions of the drug. This study discusses the application of Minor Center-Fortifying Decoction in combination with clinical cases.

关键词

小建中汤胃痛虚劳肺痨名医经验张志远

Keywords

Minor Center-Fortifying Decoctionstomach painconsumptive diseasepulmonary tuberculosisfamous physician’s experienceZhang Zhiyuan

references

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