“衰其大半而止”探析

【摘要】“衰其大半而止”出自于《素问·六元正纪大论》篇，为治疗妇人妊娠“大积大聚”之证提出的重要指导思想。后世历代医家对其有不同的解读，并阐发出更多的观点，将其广泛运用于各类疾病。归纳整理其发展思想，尽发经旨之秘，从“扶正袪邪”“养正除积”药物“久服偏胜”“阴平阳秘”四个方面，试述管见。

【关键词】黄帝内经;衰其大半而止;养正除积;阴平阳秘

【中图分类号】R228【文献标志码】 A【文章编号】1007-8517（2022）04-0008-04

Discussion on the Theroy of‘Treatment is Only Need to Eliminate Most of the Pathogenic Factors’

GONG Yueling1WU Yunting2CHEN Jinhong2

1.Fujian University of Traditional Chinese Medicine，Fuzhou 350108，China;

2.Xiamen Hospital Affiliated to Beijing University of Traditional Chinese Medicine，Xiamen 361000，China

Abstract：“Treatment is only need to eliminate most of the pathogenic factors” from Plain Questions liuyuanzhengjidalun， which puts forward an important guiding ideology for the treatment of the pregnant women with sthenia pathogenic factors. Later generations of physicians interpreted it differently， expounded more views， and applied it to various diseases. Summarize and sort out its development ideas， and explore the deep meaning of the original text. It is elaborated from four aspects： “fuzheng and quxie”， “surport healthy energy and eliminating pathogenic factor”， “taking the medicine for a long time leads to body weak” and “yin and yang in balance”.

Keywords：Huangdi Neijing; Treatment is Only Need to Eliminate Most of the Pathogenic Factors; Surport Healthy Energy and Eliminating Pathogenic Factor; Yin and Yang in Balance

“衰其大半而止”，语出《素问·六元正纪大论》[1]，其阐述妇人气血聚于胎元而内有积聚邪实之证的情况下，“大积大聚”损其胎气，但积聚不除难以安胎;运用剽悍滑利之品起而犯之，恐其损其母体及胎元。（剩余5498字）