杜仲方劑配伍之文獻探討

Literature Study on the Formula Compatibility of Eucommia ulmoides Oliv.

呂萬安(Wan-An Lu)

《傳統醫學雜誌》 23卷1期 (2012/10) Pp. 63-71

https://doi.org/10.30038/JTM.201210.0008

摘要

根據歷代本草記載，杜仲性溫味甘，功能補肝腎、強筋骨、抗疲勞、增加身體免疫功能，並有安胎、降壓、利尿作用，主治腎虛腰痛、陽痿早洩、胎動不安、高血壓等，且爲改善下肢酸軟無力的良藥。依據方劑配伍的原理所達到的不同治療作用，可將杜仲方劑配伍分爲三大類：溫補腎陽類、補腎固衝類以及和陽通滯類，前者是根據腎陽虛損病機擬定的治法，適用於頭暈耳鳴、腰痠腿軟、小便清長、或尿頻失禁、或男子遺精滑泄、陽痿不舉、或女子性欲減退、虛寒不孕等爲主證，但須兼見形寒怯冷、舌淡脈弱、才是陽虛證象；中間者是根據沖任不固病機擬定的治法，適用於婦女胞衝受損，津血失去制約的病變，例如胎動、滑胎、漏下、帶下等證；後者是根據陽虛寒凝病機擬定的治法，適用於陰疽、流注、項背強痛、腰痛等證。綜合言之，杜仲的配伍方劑不離溫補腎陽、腰腿痠軟、胎漏帶下等症狀，希望能夠有助於中醫師臨證之用。

關鍵字

溫補腎陽 ； 補腎固衝 ； 和陽通滯

並列摘要

The Eucommia ulmoides Oliv.-temperature sweet, only the role of reinforcing liver and kidney, strengthing bone and tendon, anti-fatigue, immunological enhancement, miscarriage prevention, lower the blood pressure and diuretic effect, beside, it was a good drug of lower limb numbness improvement due to the major function were low back pain due to kidney deficiency, sexual impotence, premature ejaculation, threatened abortion and hypertension. We divided the formula compatibility of Eucommia ulmoides Oliv. into three types of formula compatibility according to the different effect from the principal of formula compatibility, such as warmly invigorating kidney yang, bushen guchong and he yang tongzhi. The former type was suitable of yang deficiency syndrome according to the treatment originated from the mechanism of kidney yang deficiency such as tinnitus, dizziness, backache leg soft, clear urine in large amounts or urinary incontinence or man spermatorrhea slippery discharge and impotence, or female libido and infertility, above also with some symptom such as cold fear cold or pale tongue with a weak pulse. The middle type was suitable of damage in uterus and chong channel of female according to the treatment originated from the mechanism of unconsolidation of chong and conception channels, lose control of blood and fluid such as fetal movement, habitual abortion, vaginal bleeding and leucorrhea. The final type was suitable of yin carbuncle, multiple abscess, back pain and lumbago according to the treatment originated from the mechanism of yang deficiency and cold. In conclusion, the formula compatibility of Eucommia ulmoides Oliv. was suitable of warmly invigorating kidney yang, Loin and legs, habitual abortion, vaginal bleeding and leucorrhea, so as to be beneficial to the traditional Chinese doctors in clinic.

並列關鍵字

warmly invigorating kidney yang ； bushen guchong ； he yang tongzhi