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当前几版《方剂学》教材对于痛泻要方中白芍的作用均以柔肝作解,然柔肝之法,是针对“肝为刚脏”而言,以甘缓养血育阴之药以益肝体,使其用条达和畅,治疗肝阴虚、肝血不足的方法。这与痛泻要方脾虚肝实的主治病机不符。笔者查阅大量古籍和相关文献就此问题进行了研究探讨,得出白芍实有苦平泻肝之用,并对其在痛泻要方中的作用加以阐述。
The current version of “Prescription” textbook for pain diarrhea in the role of Radix Paeoniae are Rougan solution, then the method of Rougan, is for "liver is just dirty Yin medicine to benefit the liver body, so that the use of up to and smooth, the treatment of liver yin deficiency, liver blood shortage method. This pain and diarrhea spleen Liver disease is not the main line of pathogenesis does not match. I check a large number of ancient books and related literature on this issue were studied and found that the white peony bitter and flatulent liver, and its role in the diarrhea to explain.