解痹扶正祛风湿

文/庞素银

“邪之所凑，其气必虚”，寒冬时节，肾气亏虚之人，久居冷湿之地，极易因风寒湿邪侵袭腰膝筋骨，而致肢体病痛，亦称痹症。

"The pathogen invades the body and causes illness due to deficiency of vital energy".In winter, people deficient in kidneyqi, living in cold and wet places for a long time, are prone to wind, cold and dampness invasion into the waist, knees and muscles, which will cause pain and disease in the limbs.The symptoms are also known as arthromyodynia.

胡王使者献“独活”

An emissary offering unique elixir

相传，古时有位国王经常关节麻木、浑身酸痛，数次张榜悬医却收效甚微，苦不堪言。恰逢川西有位胡王使者，受命出使与国王缔结盟约，闻讯主动献上川西的特产草药。国王试服后疗效显著，连续数天就彻底痊愈。

喜出望外的国王，下令把这种草药命名为“胡王使者”，并将其疗效昭告天下，号召民间广为种植。自此，“胡王使者”日益普及，治病救人无数，被百姓们亲切地称为“独活”。

According to legend, in ancient times, a king often suffered from numbness in his joints and aches and pains all over his body.The king posted a reward for therapy but it didn't work.An emissary of the King of Qiang Nationality in western Sichuan,who was appointed to conclude an alliance with the king, offered a special herbal medicine from western Sichuan.The king tried it and was completely cured in a few days.

The king, who was overjoyed, named the herb after the emissary.The herb was also called "Angelicae Pubescentis Radix".The king informed the healing effect all over the nation and called on the people to grow the herb widely.Since then Angelicae Pubescentis Radix became more and more popular,curing countless people, and was affectionately called "Du Huo(elixir) " by the people.

固肾扶正御风寒

Strengthening the kidney and enhancing the body resistance to wind-cold pathogen

为了更好地发挥独活的功效，药王孙思邈以此为主药，创制独活寄生汤，成为声名远播的痹症名方。

图1 独活

图2 茯苓

独活寄生汤有15味药，独活祛风止痛，桑寄生补肝肾、强筋骨，共为君药。秦艽、防风、杜仲、牛膝，祛风湿、舒经络、利关节，共为臣药。细辛、肉桂疏风散寒，当归、川芎、生地黄、白芍活血通痹，人参、茯苓、甘草益气健脾，共为佐药。甘草调和诸药，为使药。全方合用，能明显改善微循环，调节免疫、抗炎镇痛。

In order to better exploit the efficacy of Angelicae Pubescentis Radix, Sun Simiao, the guru of TCM in Tang Dynasty, used Angelicae Pubescentis Radix as the main ingredient to invent Du Huo Ji Sheng Tang as famous prescription for arthromyodynia.

There are 15 herbs in Du Huo Ji Sheng Tang.Angelicae Pubescentis Radix dispels wind pathogen and relieves pain, while loranthus parasiticus nourishes the liver and the kidney aswell as strengthening tendons and bones.The two herbs are used as the monarch medicine.

Gentiana macrophylla; Saposhnikovia divaricata(Turcz.) Schischk; Eucommia ulmoides and Radix achyranthis bidentatae are used as the minister medicine with effects of dispelling wind-dampness,soothing the meridians, and strengthening the joints.Herba asari and Cassia cinnamon have effect of relieving wind and dispersing cold while Angelica sinensis; Ligusticum wallichii;Rehmannia glutinosa; Paeonia lactiflora have effects of promoting blood circulation and relieving arthromyodynia.Panax ginseng; Wolfiporia cocos and Glycyrrhiza glabra(Licorice) have effects of promotingqiand strengthening the spleen.The nine herbs are used as the assistant medicine.Glycyrrhiza glabra is uesd as the guide medicine.The whole formula can significantly improve microcirculation，regulate immunity and have effects of anti-inflammatory and analgesic.

增药量以酒伴服

Increase the dose with wine

被沿用到现代的独活寄生汤，还经常用于慢性关节炎、腰肌劳损、骨质增生、风湿性坐骨神经痛等疾病的治疗。

对于积病多年的患者，临床治疗可将独活用量由原方的9g增加至15g。服用时，酌情在汤药中滴入10～15滴白酒，酒助药性、直达病灶。其间如能配合针灸等物理治疗，可收事半功倍之效。

Du Huo Ji Sheng Tang has been used up till now and is also often used in the treatment of chronic arthritis;lumbar strain; osteophytes; rheumatic sciatica and other diseases.

For patients who have been sick for many years,the dosage of Du Huo Ji Sheng Tang can be increased from 9g to 15g.From 10 to 15 drops of Chinese liquor can be added to Du Huo Ji Sheng Tang as appropriate, so that the wine can help the medicinal properties to reach the focus of a disease.If the treatment is combined with acupuncture and moxibustion, the result will be remarkably improved.

结 语

Conclusion

“风寒湿三气杂至，合而为痹。”独活寄生汤的标准密码在于“解痹扶正”四个字，祛风胜湿，止痹痛、补肝肾、益气血，尤其适合久病不愈、身体亏虚的慢性病患者。

Alliance of three pathogens of wind, cold and dampness will cause arthromyodynia.The standard password of Du Huo Ji Sheng Tang is "Relieving arthromyodynia and strengthening the body resistance".The prescription dispels wind and dampness, relieves pain caused by arthromyodynia;nourishes the liver and the kidney, and promotes circulation ofqiand blood.It is especially suitable for patients with chronic diseases who have been ill for a long time and have deficiencies of body.