唐素萍 徐寅 喻斌

    〔摘要〕 《時病论》为清末医家雷丰所著，秉持经旨，书中针对泄泻和痢疾进行了详细论述，体现出辨证论治的丰富经验。该书关于“泄”“痢”共拟定方剂36首，包括以法代方13首、备用成方12首、前人名方5首、无名方剂6首。通过研读《时病论》中用于治疗泄泻和痢疾的中药复方，并结合古今医家对两种疾病病因病机的认识、脏腑生理病理及中药四气五味、现代药理学，发现雷丰所拟诸方结合时病特点、守正创新，其中蕴藏的药对运用配伍巧妙，颇有规律。药对在临床运用中意义重大，其组成较复方简单，但具备复方配伍的特点，故从与两病密切相关的肝、脾、肾、气血、湿邪等方面着手，总结其常用药对。常用药对包括治肝之白芍与防风、黄连与川楝子，治脾之炮姜炭与吴茱萸、荷叶与葛根、升麻与桔梗，治肾之补骨脂与菟丝子，治气之木香与陈皮，治血之黄芩与白芍，治湿之茯苓与泽泻、苍术与厚朴。

    〔关键词〕 泄泻;痢疾;雷丰;时病论;药对;肝;脾;肾;气血;湿邪

    〔中图分类号〕R256.34? ? ? ?〔文献标志码〕A? ? ? ? 〔文章编号〕doi：10.3969/j.issn.1674-070X.2022.05.022

    Analysis of common drugs for treating "diarrhea" and "dysentery" in Treatise on Seasonal Disease

    TANG Suping1， XU Yin2， YU Bin2*

    (1. Hunan University of Chinese Medicine， Changsha， Hunan 410208， China; 2. The First Affiliated Hospital of

    Hunan University of Chinese Medicine， Changsha， Hunan 410007， China)

    〔Abstract〕? Treatise on Seasonal Disease was written by Lei Feng， a doctor in the late Qing Dynasty. The treatise， with the aim of classics， discussed diarrhea and dysentery in detail， reflecting the rich experience of syndrome differentiation and treatment. 36 prescriptions for "diarrhea" and "dysentery" were formulated in the book ......