蠲痹汤源流及其应用论析
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R289.5

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浙江省中医药计划项目(2022ZB096);浙江中医药大学校级项目(2022JKZZW02)


Analysis on Filiation and Application of Juanbi Decoction
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    摘要:

    蠲痹汤最早见于宋代杨倓所著的《杨氏家藏方》,其后剂量与药物组成不断衍变,应用范围亦随之 扩大。《杨氏家藏方》蠲痹汤主要用于治疗风痹及风湿相搏所致的身体烦疼、项臂痛重、举动艰难,以及手足 冷痹、腰腿沉重、筋脉无力等症状。《医学心悟》程氏蠲痹汤则主治风寒湿痹。历代医家在继承杨氏蠲痹汤的 基础上,结合临床实践,不断加减化裁,拓展其应用范围。后世医家不仅以此方为基础临证加减治疗痹证,还 将其应用范围扩展至肉痹、气痹、臂痹等多种病证。现代临床研究亦表明,蠲痹汤在治疗类风湿性关节炎、强 直性脊柱炎、骨关节炎等疾病中具有显著疗效。

    Abstract:

    Abstract:Juanbi Decoction is firstly seen in Yang Shi Jia Cang Fang (Secret Formulas of the Yang Family) by YANG Tan in Song Dynasty,which is later widely applied as its dose and components develop. Juanbi Decoction from the book entitled Yang Shi Jia Cang Fang (Secret Formulas of the Yang Family) is mainly used to treat generalized vexing pain,heavy pain of neck-arm region and difficult movement caused by wind impediment and mutual contention of pathogenic wind and dampness,as well as cold impediment of hands and feet,heavy sensation of waist and legs, weakness of sinews and vessels and other symptoms. CHENG's Juanbi Decoction of Yi Xue Xin Wu (Medical Epiphany) is mainly for wind-cold-dampness impediment. Based on YANG's Juanbi Decoction,Juanbi Decoction is continuously modified by physicians of all ages in combination with clinical practice to extend its scope of application. Later physicians not only take Juanbi Decoction as the basic formula to be modified in clinical treatment of impediment syndrome,but also extended its scope of application to various diseases such as flesh impediment,qi impediment and arm impediment. Modern clinical studies have also shown that Juanbi Decoction has a significant curative effect on rheumatoid arthritis,ankylosing spondylitis,osteoarthritis and other diseases.

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包哲佳,林士能,李慕华,黄雪莲.蠲痹汤源流及其应用论析[J].新中医,2025,57(12):58-62

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  • 在线发布日期: 2025-06-26
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