探讨全国名中医陈宝田教授运用小柴胡汤、桂枝汤及其相关合方的临床经验。小柴胡汤不仅可和解表里寒热，而且 还能调理脏腑功能，维持气血阴阳平衡。桂枝汤不仅可调和营卫、解肌祛风，且具有调和脾胃与营血之功。以小柴胡汤为 基础方的合方包括二小汤、三小汤、小四五汤、柴苓汤；以桂枝汤为基础方的合方主要为桂枝加龙骨牡蛎汤；小柴胡汤与 桂枝汤之合方为柴胡桂枝汤，安神方为柴胡桂枝汤的衍变方。柴胡桂枝汤作为仲景经方合用的代表，集诸和法于一方，为 辨证基础上灵活运用经方的典范。应用柴胡桂枝汤不必拘泥于病名的不同，而应重视是否契合病机；用药随兼夹症状灵活 化裁。临证时，凡病机为阴阳失调、三焦失司、营卫失和，或伴太少两经循行所过之处不适感，或伴肝胆、脾胃功能失调 者，皆可根据病机加减应用柴胡桂枝汤。陈宝田教授在传统经方的基础上结合自身的临床经验，所拟定的适合不同病症的 多首合方，为现代中医的临床治疗拓宽了思路。

The main purpose of this paper is to discuss the experience of Professor Chen Baotian， a national renowned Chinese medical practitioner，in clinical application of Xiao Chaihu Decoction，Guizhi Decoction and their combined prescriptions. Xiao Chaihu Decoction not only has the actions of harmonizing pathogenic cold and heat in the exterior and interior， but also is effective on regulating the function of viscera and maintaining the balance of qi-blood and yin-yang. Guizhi Decoction is not only good at harmonizing nutrient qi and defensive qi， and releasing muscles and expelling wind，but also has the efficacy of harmonizing spleen-stomach and nutrientblood. The combined prescriptions derived from Xiao Chaihu Decoction include Er Xiao Decoction， San Xiao Decoction， Xiao Si Wu Decoction and Chai Ling Decoction； the combined prescription derived from Guizhi Decoction is Guizhi plus Longgu Muli Decoction；the combined prescription of Xiao Chaihu Decoction and Guizhi Decoction is Chaihu Guizhi Decoction， and Anshen Prescription is the derived prescription of Chaihu Guizhi Decoction. As a representative of the combined prescriptions of Zhang Zhongjing， Chaihu Guizhi Decoction integrates various harmonizing therapies，and it is a model of flexible application of classical formulas on the basis of syndrome differentiation. Chaihu Guizhi Decoction should be used by corresponding to the pathogenesis while not to the disease，and the medication of the herbs is flexibly modified according to the accompanied symptoms. In clinic，Chaihu Guizhi Decoction can be applied by modification in treating patients with discomforts in the region along the meridians of taiyang and shaoyang，or complicated with dysfunction of the liver and gallbladder，and the spleen and stomach，which exerts the pathogenesis of disharmony between yin and yang，dysfunction of qi transformation in triple energizer， and disharmony between nutritive qi and defensive qi. Based on years of the application of the classical prescriptions of traditional Chinese medicine in clinic， Professor Chen Baotian has formulated a number of combined prescriptions indicated for various diseases，and the combined prescriptions will supply more clinical choices for treatment with modern Chinese medicine.

R222.16

广东省中医药局科研项目（编号：20241208）；南方医科大学南方医院白云分院院长基金（编号：BYYZ23005）