黄雄杰 贾春华 辛小红 张宇

    摘要 中醫逆其证而治的特点决定了治法往往是相反成对的，基于治法而言的药性也可以相反而分的。现将相反药性配伍由“相反相成法”更名为“相反药性并用法”，论述了此法的内涵及6种代表形式：补泻并用、寒热并用、升降并用、散收并用、动静并用、燥润并用。分析经方、时方及古今医案发现，除药味数极少的方剂外，“相反药性并用法”是普遍存在的，相反药性药物的药效并不互相抵消，而是互相制约，并行不悖，各奏其效，方剂中体现此法的形式越多，临证中运用的范围越广，且此法涵盖12种基本治法而尤显重要。因此，临证中应当主动运用此规律审查处方配伍，一般而言，至少需要兼顾6种形式之一而避免单一药性组方，且需根据病证协调相反药性在处方中的整体用药比例。

    关键词 相反药性并用法;相反相成;补泻并用;寒热并用;升降并用;散收并用;动静并用;燥润并用

    Exploration of “Joint Application of Opposite Traditional Chinese Medicine”

    HUANG Xiongjie1，2，JIA Chunhua1，XIN Xiaohong2，ZHANG Yu1

    (1 School of Traditional Chinese Medicine，Beijing University of Chinese Medicine，Beijing 100029，China; 2 Xinjiang Medical University，Urumqi 830054，China)

    Abstract The characteristics of traditional Chinese medicine (TCM) treatment against its syndromes determine that the treatment methods are often opposite in pairs，and the medicinal properties based on the treatment methods can also be divided in opposite directions.In this paper，the compatibility of opposite medicinal properties is changed from “opposite and mutually forming method” to “joint application of opposite TCM” ......