当归芍药散为《金匮要略》治妊娠“腹中(?)痛”,及妇人杂病“腹中诸疾痛”之古方。现将近30多年来本方的应用与研究综述如下。一、理论探讨关于本方之机理,元·赵以德谓:“因脾土为木邪所克,谷气不举,浊淫下流,以塞搏阴血而痛也。用芍药多他药数倍以泻肝木,利阴塞,以与芎归补血止痛,又佐茯苓渗湿……。白术益脾燥湿。茯泽行其所积,从小便出”。后世多宗其说。对于本方所治腹痛的轻重缓急,历有不同认识。徐忠可曰:“疗痛者,绵绵而痛,不若寒疝之绞痛,血气之刺痛也”。而尤在泾则云:“说文(?)音绞,腹中急也”。按《说文》无“(?)”,只有“(?)”,训为 Danggui Shaoyao Powder is the ancient prescription for the treatment of “prevention of the abdomen (?)” in “prescription of the Golden Chamber” and the miscellaneous diseases of women. The application and research of this party over the past 30 years is summarized as follows. First, the theoretical discussion on the mechanism of this side, Yuan Zhao Yide said: “Because the spleen soil is a wooden evil, grams of gas does not lift, turbidity, infertility, suffocating Yinxue and pain also. With peony and other drugs several times With diarrhea liver wood, Liyin plug, to relieve blood stasis and pain relief, and Zuo Yu moisturizing ... ... Atractylodes beneficial spleen dampness. Later generations have more to say. Regarding the severity of the abdominal pain he treated, he had different understandings. Xu Zhongke said: ”The people who treat pain are painful and painful. They are less than the colic of coldness and the tingling pain of blood gas.“ And especially in the case of Yan Zhuangyun: ”Say Wen (?) tone twisted, abdomen is also acute.“ There is no ”(?)“ in the ”Sayings“, only ”(?)", training is