张诗杭　刘斯瑀　罗燕

【摘要】补中益气汤是著名补土派大家李东垣的代表处方之一，由黄芪、白术、人参、炙甘草、当归、陈皮、升麻和柴胡组成，在临床上有着非常广泛的应用，正确选择使用方剂的剂量对于临床疗效有着十分显著的影响。文章通过查阅文献资料，分析宋金元时期药用衡制以此为依据折算得出补中益气汤的现代对应剂量，并以此为例为古方今用剂量使用提供一定的参考意义。

【关键词】补中益气汤;剂量;药用衡制;折算

【中图分类号】R289 【文献标志码】 A【文章编号】1007-8517（2021）23-0016-03

Discussion on The Modern Dose of Buzhong Yiqi Decoction Based on Medicinal Measure of Weight

ZHANG Shihang LIU Siyu LUO Yan^*

Hospital of Chengdu University of  Traditional Chinese Medicine ， Chengdu 610075，China

Abstract：Buzhong Yiqi Decoction is one of the representative prescriptions of Li Dongyuan， a famous person of the school of invigorating the spleen. It is composed of Astragalus membranaceus， Atractylodes macrocephala， ginseng， roasted licorice， Angelica sinensis， tangerine peel， Cimicifuga and Bupleurum. Throughout ancient and modern times， Buzhong Yiqi Decoction has a very wide range of clinical applications， and the correct choice of the dosage of prescription has a very significant impact on clinical efficacy. However， there are some differences in the understanding and application of ancient prescriptions in modern times. Therefore， it is of great significance to master the medicinal measure of weight in song， Jin and Yuan Dynasties to improve the curative effect of Buzhong Yiqi Decoction. Based on the analysis of the system of medicinal balance in song， Jin and Yuan Dynasties， the modern corresponding dose of Buzhong Yiqi Decoction was obtained， and take this as an example to provide a certain reference significance for using Ancient prescriptions for today.

Key words：Buzhong Yiqi Decoction;Dose;Medicinal Measure of Weight;Conversion

補中益气汤是著名补土派大家李东垣的代表处方之一，由黄芪、白术、人参、炙甘草、当归、陈皮、升麻和柴胡组成。纵观古今，补中益气汤在临床上有着非常广泛的应用，正确选择使用方剂的剂量对于临床疗效有着十分显著的影响^[1]。而现代对古代方剂剂量的理解运用存在一定的差异，因此掌握宋金元时期的药用衡制对提高补中益气汤疗效有重要意义^[2]。补中益气汤来源于《内外伤辨惑论》^[3]，作者为金元四大家的李东垣，补中益气汤原方剂量为黄芪（五分）、人参（三分）、白术（三分）、甘草（五分）、当归（三分）、陈皮（三分）、升麻（三分）、柴胡（三分），具有补中益气、升阳举陷的作用，是治疗气虚发热和脾虚下陷的经典方剂。方中黄芪能够补中益气、升举阳气，是君药。人参、炙甘草以及白术均能够补气健脾，是臣药。长期气虚，阴虚血虚，所以用当归养血益气。陈皮能够行气，是佐剂。再用升麻和柴胡两味药来协助黄芪，使下陷的中气能够升举^[4]。……