郭洁+卢传坚+刘奇

【摘要】补中益气汤是中医学史一首著名的补土方剂，乃“升阳益气”的代表方。但对于该方是否适用于“阴火易于升”的南方地域，历史上曾经有过争论。笔者由岭南“炎方土薄”的地域特点出发，结合多位名医的观点论述，对补中益气汤是否适用于岭南进行剖析，并提出该方应用于岭南时的化裁思路。

【关键词】补中益气汤；岭南；补土流派

【中图分类号】R28951【文献标志码】 A【文章编号】1007-8517（2017）07-0001-03

Discussion on the Use of Buzhongyiqi Decoction for South of the Five Ridges

GUO Jie1LU Chuanjian1，2*LIU Qi1

1.South of the Five Ridges Research Laboratory of Butu genre of Guangdong Province，Guangzhou 510120，China；2.Department of Dermatology， the Second Affiliated Hospital of Guangzhou University of Chinese Medicine， Key Laboratory of clinical research on syndrome of Traditional Chinese Medical Hospital of Guangdong Province，StandardizationTechnology Engineering Center of Traditional Chinese Medical Hospital of Guangdong Province，Guangzhou 51020，China

Abstract：Buzhongyiqi decoction is the famous prescription belong to Butu genre on history ， and act as a representative sample for therapy called “invigorating yang and tonifying Qi”.But whether this prescription is suitable for the South area is debatable. The author try to analyse whether this prescription is suitable for the South of the Five Ridges according to its regional characteristics， combined with a number of famous doctors point of view. And we also put forward the suggestions about how to adjust this prescription to make it more palatable for the South of the Five Ridges.

Keywords：Buzhongyiqi Decoction；the South of the Five Ridges；Butu Genre

“三因制宜”乃指因時、因地、因人制宜，中医在使用方药时需考虑气候、地域特点及病人自身三方面因素的影响，其中地域因素是许多特色方药形成的前提[1]。补中益气汤是补土流派最为著名的方剂之一，首载于《内外伤辨惑论·饮食劳倦论》：“劳者温之，损者温之。盖温能除大热，大忌苦寒之药泻胃土耳。今立补中益气汤”。后世对于该方的应用颇为广泛，相关文献著作颇丰。然自朱丹溪“相火易动”及“滋阴降火”的理论提出后，部分医家受此影响，认为补中益气汤不宜用于气候炎热的南方，如《丹溪心法·丹溪翁传》中云：“谓李之论饮食劳倦，内伤脾胃，则胃脘之阳不能以升举，并及心肺之气，陷入中焦，而用补中益气之剂治之，此亦前人之所无也。然天不足于西北，地不满于东南。天，阳也；地，阴也。西北之人，阳气易于降；东南之人，阴火易于升。苟不知此，而徒守其法，则气之降者固可愈，而于其升者亦从而用之，吾恐反增其病矣”[2]。清代朱时进在《一见能医·医药辨》中亦提到，今人有“东垣之法，可用于北；……