Modifications of Siwu Decoction (Four Substances Decoction) in <italic style="font-style: italic">Fu Qing Zhu Nv Ke</italic> (Fu Qingzhu’s Gynecology)

CHEN Ran; LIU Yanfeng; KONG Xinliang; JIN Fanhui; GUO Linlin; MO Tingting

doi:10.3969/j.issn.2095-6606.2023.06.021

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Modifications of Siwu Decoction (Four Substances Decoction) in Fu Qing Zhu Nv Ke (Fu Qingzhu’s Gynecology)

Literature Research | 更新时间：2023-12-08

- Modifications of Siwu Decoction (Four Substances Decoction) in Fu Qing Zhu Nv Ke (Fu Qingzhu’s Gynecology)
- Modern Chinese Clinical Medicine Vol. 30, Issue 6, Pages: 96-100(2023)
- 作者机构：
  
  北京中医药大学东直门医院　北京　100700
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2023.06.021
  CLC： R249.8
- Received：24 October 2022，
  
  Published：30 November 2023
- 稿件说明：
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CHEN Ran, LIU Yanfeng, KONG Xinliang, et al. Modifications of Siwu Decoction (Four Substances Decoction) in Fu Qing Zhu Nv Ke (Fu Qingzhu’s Gynecology)[J]. Modern Chinese Clinical Medicine, 2023, 30(6): 96-100. DOI: 10.3969/j.issn.2095-6606.2023.06.021.
DOI：

CHEN Ran, LIU Yanfeng, KONG Xinliang, et al. Modifications of Siwu Decoction (Four Substances Decoction) in Fu Qing Zhu Nv Ke (Fu Qingzhu’s Gynecology)[J]. Modern Chinese Clinical Medicine, 2023, 30(6): 96-100. DOI: 10.3969/j.issn.2095-6606.2023.06.021. DOI：

摘要

四物汤源于唐代《仙授理伤续断秘方》，《太平惠民和剂局方》将四物汤列于“治妇人诸疾”后为治疗妇科疾病的主方，有“妇科第一方”之称。《傅青主女科》为明末清初医家傅青主所著，傅氏根据女性不同时期的生理特点对四物汤进行化裁加减，灵活运用于妇人诸疾中，取得良好的临床疗效。笔者整理《傅青主女科》所载151首方剂，四物汤原方的方剂共7首，化裁四物汤取其3药的方剂共29首。总结四物汤化裁应用特点有：①补益气血，使胞宫充荣。 ②养血柔肝，顺肝气之逆，解五脏之郁：疏肝郁以解肾郁，滋肾水以润肝木；调畅气机，使水火既济；疏肝健脾，通络下乳；柔肝解郁，培土宁心，宣通肾气以调经。 ③补血以缓急宽带，利腰脐之气。

Abstract

Siwu Decoction (Four Substances Decoction) is first seen in

Xian Shou Li Shang Xu Duan Mi Fang

(Secret Formulas for Healing Wounds and Fractures Bestowed by a God) of the Tang Dynasty.

Tai Ping Hui Min He Ji Ju Fang

(Beneficial Formulas from the Taiping Imperial Pharmacy) placed Siwu Decoction in the category of gynecological diseases

which is known as the "No. 1 formula of gynecology" .

Fu Qing Zhu Nv Ke

(Fu Qingzhu’s Gynecology) was written by Fu Qingzhu in the late Ming Dynasty and the early Qing Dynasty. According to the physiological characteristics of women in different periods

Fu made modifications to the decoction flexibly for the treatment of their gynecological diseases

which exhibited desirable clinical efficacy. It was found that

among the 151 prescriptions contained in book

seven used the original recipe of Siwu Decoction

and 29 adopted three out the four herbs in the classic formula. These modifications are characterized by: ① tonifying qi and blood to replenish the uterus

② nourishing the blood and emolliating the liver to reverse the counterflow of liver qi and thus resolve the constraint of the other organs: soothing the liver to resolve the kidney restraint

nourishing the kidney water to moisten the liver wood; regulating the qi movement

so that water and fire are both balanced; soothing the liver and strengthening the spleen

clearing collaterals promoting lactation; emolliating the liver to relieve constraint

cultivating the spleen soil to calm the heart

diffusing the kidney qi to regulate the meridians

③ tonifying the blood to treat tension with relaxation and loosen the

dai mai

promote qi around the waist and belly.

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Keywords

references

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Modifications of Siwu Decoction (Four Substances Decoction) in Fu Qing Zhu Nv Ke (Fu Qingzhu’s Gynecology)

DOI：10.3969/j.issn.2095-6606.2023.06.021

摘要

Abstract

关键词

Keywords

references