【方劑組成】人(ren)參、炙甘草(cao)、白術、干姜各9克。

【用(yong)法】水煎溫(wen)服(fu)或蜜(mi)丸。

歌訣:理中湯(tang)方用(yong)人參，甘草干姜白術(shu)追(zhui)，太(tai)陰里證心(xin)下痞，小(xiao)便(bian)不利治認(ren)真。

【方解(jie)】本(ben)方是甘草(cao)干姜(jiang)(jiang)湯加人參、白術(shu)而成，故(gu)治甘草(cao)干姜(jiang)(jiang)湯證心(xin)下(xia)痞硬(ying)而小便不利(li)者。治心(xin)下(xia)痞、胃虛主(zhu)用人參，故(gu)本(ben)方又名(ming)人參湯（丸）。

【仲景原文解析】

《傷寒論》第159條:傷寒服湯藥，下利不止，心下痞硬，服瀉心湯已，復以他藥下之，利不止，醫以理中與之，利益甚。理中者，理中焦，此利在下焦,赤石脂禹余糧湯主之。復不止者，當利其小便。

解析(xi):太陽(yang)傷寒，治應汗(han)解，如(ru)果誤服(fu)(fu)攻下(xia)的(de)湯藥，要造成下(xia)利(li)(li)不(bu)止(zhi)、心下(xia)痞硬的(de)甘草瀉(xie)心湯證，服(fu)(fu)瀉(xie)心湯則證已，但又(you)誤用其(qi)他攻下(xia)的(de)藥，則可造成下(xia)利(li)(li)不(bu)止(zhi)。此時(shi)醫(yi)者用理中(zhong)湯治療，不(bu)僅無效(xiao)，反而下(xia)利(li)(li)更甚。這(zhe)是(shi)由于理中(zhong)湯專理中(zhong)焦(jiao)的(de)胃，今(jin)之下(xia)利(li)(li)不(bu)止(zhi)，是(shi)因反復誤下(xia)，使(shi)下(xia)焦(jiao)腸(chang)虛失權(quan)而滑(hua)下(xia)不(bu)止(zhi)，宜以收攝(she)止(zhi)瀉(xie)的(de)赤石(shi)脂禹(yu)余糧湯主之。若服(fu)(fu)后利(li)(li)還不(bu)止(zhi)，則當利(li)(li)其(qi)小便，使(shi)水谷別，而下(xia)利(li)(li)自(zi)止(zhi)。

《傷寒論》第386條:霍亂，頭痛、發熱、身疼痛、熱多欲飲水者，五苓散主之;寒多不用水者，理中丸主之。

解析：見五苓散條。

《傷寒論》第396條:大病差后，喜唾，久不了了，胸上有寒，當以丸藥溫之，宜理中丸。

解析:傷(shang)寒(han)病愈后，其人喜唾(tuo)，久(jiu)久(jiu)不已(yi)，此為胃中有寒(han)飲，宜以(yi)理中丸溫(wen)以(yi)和之。

按：喜(xi)唾為胃虛有飲，此證多(duo)有，不必限于大病(bing)差(cha)后，本方有良驗。

　《金匱要略·胸痹心痛短氣病》第5條:胸痹，心中痞，氣結在胸，胸滿，脅下逆搶心，枳實薤白桂枝湯主之，人參湯亦主之。

解析:心中(zhong)痞(pi)，指心中(zhong)痞(pi)塞氣(qi)(qi)(qi)不暢通之(zhi)意。氣(qi)(qi)(qi)結在胸，是(shi)(shi)(shi)說氣(qi)(qi)(qi)結于(yu)胸中(zhong)而(er)胸滿(man)悶。脅下逆(ni)搶心，是(shi)(shi)(shi)說自(zi)覺有氣(qi)(qi)(qi)自(zi)脅下而(er)逆(ni)于(yu)心胸感(gan)。枳實(shi)薤白桂枝湯，功(gong)能降逆(ni)行氣(qi)(qi)(qi)以消脹滿(man)，故可用其治(zhi)療。而(er)又(you)說人參湯〔即(ji)本(ben)方(fang)）亦(yi)主之(zhi)者，是(shi)(shi)(shi)因中(zhong)氣(qi)(qi)(qi)大虛(xu)(xu)(xu)，飲自(zi)下乘(cheng)，亦(yi)可引起氣(qi)(qi)(qi)結胸滿(man)的類似證候。前(qian)者是(shi)(shi)(shi)實(shi)證，后者是(shi)(shi)(shi)虛(xu)(xu)(xu)證，要根據證的虛(xu)(xu)(xu)實(shi)選方(fang)。

【臨證思考】本(ben)方(fang)在臨床應用較廣，可見于慢性肝(gan)炎(yan)、胃腸(chang)炎(yan)、腸(chang)功紊亂等(deng)病，主要證候是心(xin)下痞(pi)。

【辨證要(yao)點】心下痞，大(da)便(bian)(bian)溏瀉，小便(bian)(bian)少者。

【驗(yan)案】李某，男性，58歲，病(bing)歷號155413,1965年4月6日初診。受涼后腹瀉已3個月，每日3—4行，便有完(wan)谷(gu)不化，胃(wei)腹脹滿，食后益甚，時有噯氣頭昏，苔白潤，脈細緩(huan)。證屬中(zhong)陽(yang)虛衰，升降失(shi)常，治以益氣和(he)中(zhong)，與理中(zhong)湯加減：

黨參10克，炙甘草6克，炮姜(jiang)6克，蒼術(shu)10克，炒扁豆10克，陳皮15克。

結(jie)果:上藥服六劑，腹瀉基本已止，腹脹亦明顯減(jian)輕，繼服六劑癥已。

理中湯簡介

目錄1拼音2英文參考3概述4《傷寒論(lun)》方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 4.1理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)別名(ming)(ming)(ming)4.2處(chu)(chu)(chu)(chu)(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)4.3制法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)4.4功(gong)(gong)能(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)4.5理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)4.6備注4.7出(chu)(chu)(chu)(chu)(chu)處(chu)(chu)(chu)(chu)(chu)(chu)(chu) 5明·方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)賢(xian)著《奇效良(liang)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)》方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 5.1處(chu)(chu)(chu)(chu)(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)5.2功(gong)(gong)能(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)5.3理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)5.4出(chu)(chu)(chu)(chu)(chu)處(chu)(chu)(chu)(chu)(chu)(chu)(chu) 6《普濟(ji)(ji)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)》卷(juan)(juan)(juan)三(san)五五方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 6.1處(chu)(chu)(chu)(chu)(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)6.2制法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)6.3功(gong)(gong)能(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)6.4理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)6.5出(chu)(chu)(chu)(chu)(chu)處(chu)(chu)(chu)(chu)(chu)(chu)(chu) 7《幼(you)幼(you)集(ji)成(cheng)(cheng)(cheng)》卷(juan)(juan)(juan)五方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 7.1處(chu)(chu)(chu)(chu)(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)7.2功(gong)(gong)能(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)7.3理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)7.4出(chu)(chu)(chu)(chu)(chu)處(chu)(chu)(chu)(chu)(chu)(chu)(chu) 8《醫(yi)學心(xin)悟(wu)》卷(juan)(juan)(juan)六(liu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 8.1處(chu)(chu)(chu)(chu)(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)8.2功(gong)(gong)能(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)8.3理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)8.4出(chu)(chu)(chu)(chu)(chu)處(chu)(chu)(chu)(chu)(chu)(chu)(chu) 9《普濟(ji)(ji)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)》卷(juan)(juan)(juan)四○四方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 9.1處(chu)(chu)(chu)(chu)(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)9.2制法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)9.3功(gong)(gong)能(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)9.4理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)9.5出(chu)(chu)(chu)(chu)(chu)處(chu)(chu)(chu)(chu)(chu)(chu)(chu) 10《圣濟(ji)(ji)總錄》卷(juan)(juan)(juan)一(yi)八(ba)七(qi)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 10.1處(chu)(chu)(chu)(chu)(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)10.2制法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)10.3功(gong)(gong)能(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)10.4理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)10.5出(chu)(chu)(chu)(chu)(chu)處(chu)(chu)(chu)(chu)(chu)(chu)(chu) 11《廣嗣紀要(yao)(yao)》卷(juan)(juan)(juan)十二方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 11.1處(chu)(chu)(chu)(chu)(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)11.2功(gong)(gong)能(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)11.3理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)11.4出(chu)(chu)(chu)(chu)(chu)處(chu)(chu)(chu)(chu)(chu)(chu)(chu) 12《萬(wan)(wan)病(bing)回(hui)(hui)春》卷(juan)(juan)(juan)三(san)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 12.1處(chu)(chu)(chu)(chu)(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)12.2制法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)12.3功(gong)(gong)能(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)12.4理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)12.5出(chu)(chu)(chu)(chu)(chu)處(chu)(chu)(chu)(chu)(chu)(chu)(chu) 13《增補萬(wan)(wan)病(bing)回(hui)(hui)春》卷(juan)(juan)(juan)二方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 13.1方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)13.2組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)13.3功(gong)(gong)效與(yu)主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)13.4理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)13.5加減(jian)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)13.6制備方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)13.7附注 14《增補萬(wan)(wan)病(bing)回(hui)(hui)春》卷(juan)(juan)(juan)三(san)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 14.1處(chu)(chu)(chu)(chu)(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)14.2功(gong)(gong)能(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)14.3理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)14.4加減(jian)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)14.5出(chu)(chu)(chu)(chu)(chu)處(chu)(chu)(chu)(chu)(chu)(chu)(chu) 15《增補萬(wan)(wan)病(bing)回(hui)(hui)春》卷(juan)(juan)(juan)三(san)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 15.1處(chu)(chu)(chu)(chu)(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)15.2制法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)15.3功(gong)(gong)能(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)15.4理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)15.5出(chu)(chu)(chu)(chu)(chu)處(chu)(chu)(chu)(chu)(chu)(chu)(chu) 16《點(dian)點(dian)經》卷(juan)(juan)(juan)一(yi)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 16.1處(chu)(chu)(chu)(chu)(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)16.2功(gong)(gong)能(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)16.3理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)16.4出(chu)(chu)(chu)(chu)(chu)處(chu)(chu)(chu)(chu)(chu)(chu)(chu) 17《證(zheng)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)準繩·幼(you)科(ke)》卷(juan)(juan)(juan)五方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 17.1處(chu)(chu)(chu)(chu)(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)17.2功(gong)(gong)能(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)17.3理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)17.4出(chu)(chu)(chu)(chu)(chu)處(chu)(chu)(chu)(chu)(chu)(chu)(chu) 18《種(zhong)痘(dou)新書(shu)(shu)》卷(juan)(juan)(juan)四方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 18.1處(chu)(chu)(chu)(chu)(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)18.2功(gong)(gong)能(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)18.3出(chu)(chu)(chu)(chu)(chu)處(chu)(chu)(chu)(chu)(chu)(chu)(chu) 19《活人方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)》卷(juan)(juan)(juan)三(san)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 19.1處(chu)(chu)(chu)(chu)(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)19.2功(gong)(gong)能(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)19.3理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)19.4出(chu)(chu)(chu)(chu)(chu)處(chu)(chu)(chu)(chu)(chu)(chu)(chu) 20《醫(yi)略(lve)(lve)六(liu)書(shu)(shu)》卷(juan)(juan)(juan)二十八(ba)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 20.1方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)20.2組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)20.3主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)20.4理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)20.5各(ge)(ge)家(jia)論(lun)述 21《葉氏女科(ke)》卷(juan)(juan)(juan)一(yi)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 21.1方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)21.2組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)21.3主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)21.4理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang) 22《普濟(ji)(ji)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)》卷(juan)(juan)(juan)三(san)七(qi)一(yi)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 22.1方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)22.2組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)22.3主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)22.4理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)22.5加減(jian)22.6制備方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa) 23《古(gu)今醫(yi)徹》卷(juan)(juan)(juan)一(yi)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 23.1方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)23.2組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)23.3主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)23.4理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang) 24《痘(dou)疹(zhen)一(yi)貫(guan)》卷(juan)(juan)(juan)二方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 24.1方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)24.2組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)24.3主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)24.4理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang) 25《痘(dou)疹(zhen)全書(shu)(shu)》卷(juan)(juan)(juan)上方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 25.1方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)25.2組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)25.3主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)25.4理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang) 26《醫(yi)略(lve)(lve)六(liu)書(shu)(shu)》卷(juan)(juan)(juan)三(san)十方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 26.1方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)26.2組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)26.3主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)26.4理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)26.5各(ge)(ge)家(jia)論(lun)述 27《證(zheng)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)準繩·幼(you)科(ke)》卷(juan)(juan)(juan)五方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 27.1方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)27.2組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)27.3主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)27.4理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang) 28《誠(cheng)書(shu)(shu)》卷(juan)(juan)(juan)八(ba)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 28.1方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)28.2組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)28.3主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)28.4理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang) 29《外臺秘要(yao)(yao)》卷(juan)(juan)(juan)三(san)十八(ba)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 29.1方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)29.2理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)別名(ming)(ming)(ming)29.3組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)29.4主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)29.5理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)29.6制備方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)29.7附注 30《太平圣惠方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)》卷(juan)(juan)(juan)四十七(qi)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 30.1方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)30.2組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)30.3主(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)30.4理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)30.5制備方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa) 31參考資料附：1古(gu)籍中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)理(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)(li)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 1拼音 lǐ zhōng tāng

2英文參考 lizhong decoction [中醫藥學名詞(ci)審定委員會(hui).中醫藥學名詞(ci)（2004）]

Ginseng Decoction for Regulation the Middle [湘雅醫學專業詞典]

3概述 理中(zhong)湯(tang)為(wei)(wei)方名，同名方劑(ji)約有28首。其中(zhong)《傷(shang)寒(han)(han)(han)論》辨霍(huo)亂(luan)病脈證并治方為(wei)(wei)常用(yong)方，組成為(wei)(wei)人參、干(gan)姜、甘草（炙）、白術各三兩(liang)。具有溫中(zhong)祛寒(han)(han)(han)，補氣健(jian)脾(pi)的(de)功(gong)效(xiao)，治脾(pi)胃(wei)虛(xu)(xu)寒(han)(han)(han)證，自利不渴，嘔吐(tu)(tu)腹(fu)痛，腹(fu)滿不食及中(zhong)寒(han)(han)(han)霍(huo)亂(luan)，陽虛(xu)(xu)失血(xue)，如吐(tu)(tu)血(xue)、便血(xue)或(huo)崩漏，胸痞(pi)虛(xu)(xu)證，胸痛徹(che)背，倦(juan)怠少(shao)氣，四肢不溫。現用(yong)于急(ji)、慢(man)性(xing)(xing)胃(wei)炎(yan)，胃(wei)竇炎(yan)、潰瘍病、胃(wei)下垂、慢(man)性(xing)(xing)肝炎(yan)等屬脾(pi)胃(wei)虛(xu)(xu)寒(han)(han)(han)者。

4《傷(shang)寒論》方之理(li)中湯 即理(li)中丸作湯劑[1]。

4.1理中湯的別名

人參湯（《金匱要略方(fang)論(lun)》卷上）、治中(zhong)(zhong)湯（《備(bei)急千金要方(fang)》卷二(er)十(shi)(shi)）、理(li)中(zhong)(zhong)煎（《雞峰普(pu)濟方(fang)》卷十(shi)(shi)二(er)）、人參理(li)中(zhong)(zhong)湯（《校注婦人良方(fang)》卷二(er)十(shi)(shi)）。

4.2處方

人參、干姜、甘草（炙）、白(bai)術各(ge)三(san)兩[2]。

人參 干姜 甘草（炙(zhi)）白術各9克

4.3制法

上藥切碎。

4.4功能主治

理中湯具有溫中祛寒(han)(han)(han)(han)，補(bu)氣健(jian)脾，治(zhi)脾胃虛寒(han)(han)(han)(han)證(zheng)，自利不渴，嘔(ou)吐腹痛，腹滿不食(shi)及(ji)中寒(han)(han)(han)(han)霍亂，陽虛失(shi)血(xue)，如吐血(xue)、便(bian)血(xue)或崩漏，胸痞虛證(zheng)，胸痛徹(che)背(bei)，倦怠少氣，四肢不溫。現用于急、慢性(xing)胃炎(yan)，胃竇(dou)炎(yan)、潰(kui)瘍病、胃下(xia)垂、慢性(xing)肝(gan)炎(yan)等屬脾胃虛寒(han)(han)(han)(han)者(zhe)。

4.5理中湯的用法用量

上(shang)切，用水(shui)八升，煮取三升，去滓，溫服(fu)一(yi)(yi)升[2]。一(yi)(yi)日三次(ci)[2]。服(fu)湯后(hou)，如食頃(qing)，飲熱粥(zhou)一(yi)(yi)升，微自溫，勿(wu)發揭衣(yi)被(bei)[2]。

用(yong)水1.6升(sheng)，煮取600毫(hao)升(sheng)，去滓，每(mei)次溫服200毫(hao)升(sheng)，日三(san)服。服湯后，如食頃，飲(yin)熱粥(zhou)200毫(hao)升(sheng)左右，微自(zi)溫，勿揭衣被。

4.6備注

方中干姜溫(wen)運(yun)中焦(jiao)，以散寒邪為君；人參補(bu)(bu)氣(qi)健脾(pi)(pi)，協助干姜以振(zhen)奮(fen)脾(pi)(pi)陽為臣；佐以白術健脾(pi)(pi)燥(zao)濕，以促進脾(pi)(pi)陽健運(yun)；使以炙甘草調和諸(zhu)藥(yao)，而兼補(bu)(bu)脾(pi)(pi)和中，以蜜和丸(wan)，取其甘緩之氣(qi)調補(bu)(bu)脾(pi)(pi)胃。諸(zhu)藥(yao)合用，使中焦(jiao)重振(zhen)，脾(pi)(pi)胃健運(yun)，升(sheng)清降濁機能得以恢復(fu)，則(ze)吐(tu)瀉腹痛可愈。

4.7出處

《傷寒論》辨霍亂病脈(mo)證并治

5明·方賢著《奇效良方》方之理中湯

5.1處方

人參、干姜（炮）、甘草（炙）、白(bai)術，各二錢。

5.2功能主治

治五臟中(zhong)寒，口噤(jin)失音(yin)，四肢(zhi)強直；兼治胃脘(wan)停(ting)痰，冷氣刺(ci)痛。

5.3理中湯的用法用量

上(shang)作一服(fu)，水二(er)鐘，煎至一鐘，不拘時服(fu)。

5.4出處

明·方賢著(zhu)《奇效(xiao)良方》

6《普濟方》卷三五五方之理中湯

6.1處方

人參(can)（去(qu)蘆(lu)）、白術、干姜(jiang)、甘(gan)草各等分。

6.2制法

上為粗(cu)末，加(jia)木(mu)香（煨）、肉豆蔻(kou)。

6.3功能主治

產后虛證，下痢(li)純白，腹痛，里急(ji)后重，手足冷。

6.4理中湯的用法用量

每(mei)服3錢，陳米、鹽、烏(wu)梅煎，空心服。

6.5出處

《普濟方》卷三五五

7《幼幼集成》卷五方之理中湯

7.1處方

人參1錢，炙甘草(cao)1錢，綠升麻1錢，漂白(bai)術2錢。

7.2功能主治

痘已現形(xing)，而吐瀉不止。

7.3理中湯的用法用量

加(jia)煨(wei)姜(jiang)3片(pian)，大棗3個，水煎服。

7.4出處

《幼幼集成》卷五

8《醫學心悟》卷六方之理中湯

8.1處方

人參(can)2錢，黑姜1錢5分，甘草(cao)（炙）2錢，白術（陳土炒）3錢，附(fu)子（姜汁、甘草(cao)水制）1錢。

8.2功能主治

溫補中氣，挽回(hui)元陽。主

8.3理中湯的用法用量

加大(da)棗3個（去核），水煎服。

8.4出處

《醫學心悟》卷六

9《普濟方》卷四○四方之理中湯

9.1處方

人參（去蘆）、白術、白姜（炮(pao)）、甘草(cao)（炙）各(ge)等分。

9.2制法

上銼。

9.3功能主治

脾胃虛(xu)冷(leng)，脘痛，腹脹(zhang)，泄瀉。

9.4理中湯的用法用量

加生姜、大棗，水煎服。

重者，加炮附子。

9.5出處

《普濟方》卷四○四

10《圣濟總錄》卷一八七方之理中湯

10.1處方

檳(bin)榔（銼）、赤茯苓（去(qu)(qu)黑(hei)皮）、木(mu)通（銼）、桂（去(qu)(qu)粗皮）、陳橘(ju)皮（湯浸，去(qu)(qu)白）、半夏（用生姜搗碎，焙(bei)）、沉香各等分。

10.2制法

上為粗末。

10.3功能主治

痰飲。思后余毒，不思飲食(shi)，三焦氣憊。

10.4理中湯的用法用量

每服3錢匕，水1盞，加生姜半分（切），煎至8分，去滓(zi)，食前溫服。

10.5出處

《圣濟總錄》卷一八七

11《廣嗣紀要》卷十二方之理中湯

11.1處方

人參1錢，白術(shu)1錢，炙草3分(fen)(fen)，干姜5分(fen)(fen)，藿香葉5分(fen)(fen)。

11.2功能主治

妊娠吐清水，同(tong)食物出者。

11.3理中湯的用法用量

水1盞半，加姜汁(zhi)1匙服。

11.4出處

《廣嗣紀要》卷十二

12《萬病回春》卷三方之理中湯

12.1處方

人參(can) 白(bai)術(shu)（去蘆）干姜(jiang)（炒）各(ge)(ge)3克 官(guan)桂 甘草（炙）各(ge)(ge)1.5克 陳皮 藿香 茯苓（去皮）良姜(jiang)各(ge)(ge)2.1克 烏梅1個

12.2制法

上藥銼為一劑。

12.3功能主治

治(zhi)寒泄，悠(you)悠(you)腹痛(tong)，瀉無休止，色青，脈沉遲。

12.4理中湯的用法用量

加(jia)生姜3片(pian)，大棗2枚，燈草1團，水煎，溫(wen)服。

嘔吐惡(e)心，加(jia)丁香(xiang)、半夏，去良(liang)(liang)姜、官(guan)(guan)桂(gui)；瀉(xie)不止，加(jia)蒼術(shu)、山藥(yao)；瀉(xie)多(duo)不止，加(jia)肉蔻、訶子、附子，去良(liang)(liang)姜、官(guan)(guan)桂(gui)；虛汗，加(jia)黃耆(qi)，去藿香(xiang)、官(guan)(guan)桂(gui)；飽(bao)悶(men)，加(jia)厚(hou)樸、砂(sha)仁，去人參、良(liang)(liang)姜、官(guan)(guan)桂(gui)。

12.5出處

《萬病回春》卷三

13《增補萬病回春》卷二方之理中湯

13.1方名

理中湯

13.2組成

砂(sha)仁、炒(chao)干姜(jiang)、蘇子、厚樸（姜(jiang)汁(zhi)炒(chao)）、官桂、陳皮、炙甘草各(ge)一錢，沉香（水(shui)磨）、木香（水(shui)磨）各(ge)五(wu)分[1]。

砂仁1錢，干姜（炒(chao)）1錢，蘇子1錢，厚樸（姜汁炒(chao)）1錢，官桂1錢，陳皮1錢，甘草（炙）1錢，沉香5分，木香5分（水磨入）。

13.3功效與主治

治寒喘[1]。

13.4理中湯的用法用量

為(wei)粗末，加(jia)生姜三片，水煎去(qu)滓，入沉香、木香汁服[1]。

加生姜3片(pian)，水煎(jian)，磨沉、木香同服。

13.5加減法

若脈細手足冷，加附子[1]。

13.6制備方法

上銼1劑。

13.7附注

本方方名，《醫部全錄》引(yin)作“九味(wei)理(li)中湯”。

14《增補萬病回春》卷三方(fang)之理中(zhong)湯 本方(fang)方(fang)名，《東醫寶鑒·雜病篇》引(yin)作“加減理中(zhong)湯”。

14.1處方

人參(can)、茯苓、白術、炒干姜、陳皮、藿(huo)香、丁香、姜半夏、炒砂(sha)仁、官桂各二分[1]。

人參2分(fen)(fen)，茯苓（去皮(pi)）2分(fen)(fen)，白(bai)術（去蘆(lu)）2分(fen)(fen)，干姜（炒(chao)）2分(fen)(fen)，陳(chen)皮(pi)2分(fen)(fen)，藿香(xiang)2分(fen)(fen)，丁香(xiang)2分(fen)(fen)，半夏（姜汁炒(chao)）2分(fen)(fen)，砂仁（炒(chao)）2分(fen)(fen)，官桂(gui)2分(fen)(fen)。

14.2功能主治

理(li)中湯(tang)治(zhi)胃寒(han)，嘔吐(tu)清(qing)水(shui)冷(leng)涎[1]。

14.3理中湯的用法用量

為粗末，加生姜三片，烏梅一個(ge)，水煎徐(xu)徐(xu)服[1]。

14.4加減法

若寒極，手足冷，脈微，吐(tu)不出者，去官桂、加附子；煩(fan)躁(zao)加朱砂(sha)、炒米[1]。

14.5出處

《增補萬病回春(chun)》卷(juan)三

15《增補萬病回春》卷三方之理中湯

15.1處方

人參 白(bai)術（去(qu)蘆）干姜(jiang)（炒）各3克 官桂 甘(gan)草（炙）各1.5克 陳(chen)皮 藿香 茯(fu)苓（去(qu)皮）良姜(jiang)各2.1克 烏梅1個(ge)

15.2制法

上銼1劑。

15.3功能主治

寒瀉癥。

15.4理中湯的用法用量

加生姜3片(pian)、大棗2個(ge)、燈草(cao)1團，水煎，溫服(fu)。

寒極手足冷，脈沉(chen)細，加(jia)附(fu)子，去(qu)良姜(jiang)(jiang)、官(guan)(guan)桂(gui)；腹痛，加(jia)厚樸、砂仁、木香，去(qu)人參(can)；嘔噦惡(e)心(xin)，加(jia)丁香、半夏，去(qu)良姜(jiang)(jiang)、官(guan)(guan)桂(gui)；瀉不止，加(jia)蒼術、山(shan)藥；瀉多不止，加(jia)肉蔻、訶子、附(fu)子，去(qu)良姜(jiang)(jiang)、官(guan)(guan)桂(gui)；虛汗(han)，加(jia)黃(huang)耆，去(qu)藿香、官(guan)(guan)桂(gui)；飽悶，加(jia)厚樸、砂仁，去(qu)人參(can)、良姜(jiang)(jiang)、官(guan)(guan)桂(gui)。

15.5出處

《增補萬病(bing)回春(chun)》卷(juan)三(san)

16《點點經》卷一方之理中湯

16.1處方

條(tiao)參1錢(qian)(qian)半(ban)，白術1錢(qian)(qian)半(ban)，茯苓1錢(qian)(qian)半(ban)，炮姜1錢(qian)(qian)，肉桂1錢(qian)(qian)，附(fu)子(zi)6分，甘草8分。

16.2功能主治

臟腑寒結。

16.3理中湯的用法用量

加生姜、大棗為引。

16.4出處

《點點經》卷一

17《證治準繩·幼科》卷五方之理中湯

17.1處方

人參、白術、干姜、白茯苓、甘草(cao)節各等(deng)分。

17.2功能主治

瘡疹吐利。

17.3理中湯的用法用量

上(shang)（口(kou)父）咀。用水1盞(zhan)，煎5分，不(bu)拘時候(hou)。

17.4出處

《證治(zhi)準繩·幼(you)科》卷五

18《種痘新書》卷四方之理中湯

18.1處方

人參、白(bai)術、黃耆、附(fu)子、炮(pao)姜(jiang)、炙草、茯(fu)苓。

18.2功能主治

痘瘡臟寒木能發毒，而腹脹，二便清利，手足冷(leng)，痘淡白，脈微緩者(zhe)。

18.3出處

《種痘新書》卷四

19《活人方》卷三方之理中湯

19.1處方

白(bai)術3錢(qian)，人參1錢(qian)5分(fen)(fen)，黃耆1錢(qian)5分(fen)(fen)，茯苓1錢(qian)5分(fen)(fen)，陳(chen)皮1錢(qian)，澤瀉(xie)1錢(qian)，炮姜5分(fen)(fen)，肉桂(gui)5分(fen)(fen)，砂仁(ren)7分(fen)(fen)，甘草(cao)2分(fen)(fen)。

19.2功能主治

三陰自利。

19.3理中湯的用法用量

水煎，早(zao)空心(xin)、午前服。

19.4出處

《活人方》卷三

20《醫略六書》卷二十八方之理中湯

20.1方名

理中湯

20.2組成

白(bai)術3錢，炮姜(jiang)1錢半，炙(zhi)草1錢半。

20.3主治

孕婦心氣疼痛，脈遲者。

20.4理中湯的用法用量

水煎，去滓溫服。

20.5各家論述

胎寒氣(qi)(qi)逆(ni)，上犯(fan)心(xin)(xin)包，故心(xin)(xin)氣(qi)(qi)冷疼(teng)，食卒不下焉。白術健脾(pi)土(tu)以安胎，炮姜暖中氣(qi)(qi)以逐(zhu)冷，炙草緩中益胃以除痛也。水煎，溫服，使土(tu)暖氣(qi)(qi)溫，則冷氣(qi)(qi)自化而胎得所(suo)安，何有心(xin)(xin)氣(qi)(qi)冷痛、食卒不下之患(huan)哉。

21《葉氏女科》卷一方之理中湯

21.1方名

理中湯

21.2組成

人參(can)8分，白術（蜜(mi)炙）8分，五味子3分，甘草3分，干姜5分。

21.3主治

腎(shen)虛(xu)經來泄瀉，經來之時(shi)五(wu)更泄瀉，如乳(ru)兒尿。

21.4理中湯的用法用量

水煎，空心服。

22《普濟方》卷三七一方之理中湯

22.1方名

理中湯

22.2組成

人參（去蘆）、白術、白僵(jiang)蠶（炒）、甘草(cao)（炙）各等分。

22.3主治

小兒慢驚(jing)虛(xu)困，痰涎不(bu)利。

22.4理中湯的用法用量

加生姜、大棗，水煎服。

22.5加減

手足厥冷(leng)，加附(fu)子、炮姜(jiang)回陽(yang)。

22.6制備方法

上為末。

23《古今醫徹》卷一方之理中湯

23.1方名

理中湯

23.2組成

人(ren)參1錢，白術（土炒）1錢，干姜(jiang)（炮）1錢，甘(gan)草8分，烏梅(mei)肉(rou)2個(ge)，川椒10粒。

23.3主治

吐蛔。

23.4理中湯的用法用量

水煎服。

24《痘疹一貫》卷二方之理中湯

24.1方名

理中湯

24.2組成

人參(can)、白(bai)術、升麻、干葛(ge)、甘(gan)草。

24.3主治

痘疹吐泄，手足厥(jue)冷，腹脹(zhang)自利。

24.4理中湯的用法用量

加生姜(jiang)、大(da)棗，水煎服(fu)。

25《痘疹全書》卷上方之理中湯

25.1方名

理中湯

25.2組成

人參(can)、白(bai)術、炙甘(gan)草、升麻（酒炒）、干姜(jiang)。

25.3主治

痘疹見形，吐瀉不(bu)止者。

25.4理中湯的用法用量

上（口(kou)父）咀(ju)。水煎服。

26《醫略六書》卷三十方之理中湯

26.1方名

理中湯

26.2組成

白術(shu)3錢，炮(pao)姜1錢半，炙草6分(fen)，人(ren)參6分(fen)，砂糖3錢（炒灰）。

26.3主治

產后腹(fu)痛，脈(mo)沉細澀(se)者。

26.4理中湯的用法用量

水煎，去滓溫服。

26.5各家論述

產后脾(pi)(pi)虧冷滯，中氣有傷而(er)不能(neng)運化(hua)，故腹(fu)中疼痛(tong)，迷悶不已(yi)焉。白術(shu)健(jian)(jian)脾(pi)(pi)土之(zhi)虛，炮姜逐中宮之(zhi)冷，人參益痛(tong)傷之(zhi)氣，炙草緩(huan)痛(tong)傷之(zhi)脾(pi)(pi)，砂糖灰(hui)去(qu)瘀(yu)血而(er)新血自(zi)生(sheng)，以(yi)緩(huan)虛寒(han)之(zhi)腹(fu)痛(tong)也。水煎(jian)，溫(wen)服(fu)，使脾(pi)(pi)健(jian)(jian)氣強，則(ze)寒(han)滯自(zi)化(hua)，而(er)胃(wei)脘(wan)陽(yang)和煥(huan)發，安有腹(fu)痛(tong)之(zhi)患乎(hu)。

27《證治準繩·幼科》卷五方之理中湯

27.1方名

理中湯

27.2組成

人參、白術、干姜(jiang)、白茯苓、甘草節各(ge)等分。

27.3主治

瘡疹吐利。

27.4理中湯的用法用量

上（口父）咀(ju)。用水1盞(zhan)，煎5分，不拘時候。

28《誠書》卷八方之理中湯

28.1方名

理中湯

28.2組成

人(ren)參、白(bai)術、干姜（炮）、甘草（炙）、茯苓。

28.3主治

吐瀉手足厥冷。

28.4理中湯的用法用量

加生(sheng)姜、大棗，水(shui)煎服。

29《外臺秘要》卷三十八方之理中湯

29.1方名

理中湯

29.2理中湯的別名

理中去術加桂湯

29.3組成

人參3兩(liang)(liang)(liang)(liang)，桂(gui)心3兩(liang)(liang)(liang)(liang)，甘(gan)草（炙）3兩(liang)(liang)(liang)(liang)，干姜2兩(liang)(liang)(liang)(liang)。

29.4主治

石發后霍亂吐多者，必(bi)轉筋，不渴，即臍(qi)上筑者，腎氣虛。

29.5理中湯的用法用量

以水8升(sheng)(sheng)，煮取3升(sheng)(sheng)，分服。

29.6制備方法

上切。

29.7附注

理中(zhong)去術加(jia)桂湯（《圣濟(ji)總錄(lu)》卷(juan)三十八(ba)）。

30《太平圣惠方》卷四十七方之理中湯

30.1方名

理中湯

30.2組成

人參1兩(liang)（去(qu)蘆頭），甘草半兩(liang)（炙微(wei)赤(chi)，銼(cuo)），白術3分，干姜半兩(liang)（炮(pao)裂，銼(cuo)），赤(chi)茯苓(ling)半兩(liang)，麥門冬半兩(liang)（去(qu)心(xin)）。

30.3主治

霍亂(luan)吐瀉，心(xin)煩筑悸。

30.4理中湯的用法用量

每服(fu)3錢，以水1中(zhong)盞(zhan)，煎至6分(fen)，去滓溫服(fu)，不拘(ju)時候。

30.5制備方法

高建忠.讀方(fang)用方(fang)筆記（二(er)二(er)）臨證談理中丸

李東垣在《內外傷辨惑論》里在談到理中丸和平胃散的時候說：“如脈沉細，腹中痛，是水來侮土，以理中湯主之；干姜辛熱，于土中瀉水，以為主也。如脈緩，體重節痛，腹脹自利，米谷不化，是濕勝，以平胃散主之，蒼術苦辛溫，瀉濕為主也”。

這是李東坦在臨床上的總結，寫得特別簡潔，沒有套路，特別適用。

理中丸和平胃散這兩個方子如何鑒別呢？

理中湯證的典型脈證是脈沉細，而平胃散的典型脈象是脈緩，脈細主寒，脈緩主濕。但是，李東垣在這里沒有提到舌象。如果看舌象，平胃散的舌象是膩，只要看到舌象有膩，就表示有濕，理中湯的舌象是沒有膩，最多就是薄白。

理中湯是以干姜為君，平胃散是以蒼術為君。理中湯的干姜是祛寒的，平胃散的蒼術是祛濕的。理中丸里用人參來補虛，平胃散就不需要補虛。

我們根據病人的病情可以加減，但是，我們要先把兩個純粹的方證鑒別開來，只有這樣才有可能加減。

我們返回去看二一節的那個病案的第一個方劑：炒蒼術12克，厚樸9克，陳皮9克，干姜9克，焦山楂15克，炙甘草3克。這個方劑就是平胃散加干姜和山楂，這里面的干姜，實際上是把理中湯里的干姜借過來了。只是借了干姜，沒有借用人參。

在二診的時候，就把黨參用上了，開了理中丸。在第一張方劑平胃散里面術是用的蒼術，而二診的時候，理中丸中用的是白術。

高建中老師在讀《內外傷辨惑論》里，寫了一段話： 臨床上，很多時候，選用某一方或不可以用某一方，是由脈象來決定的。脈，不能解決所有的辯證論治問題。但，離開脈，辯證論治也是不可能的。對脈的神化和對脈的輕視，都是臨床不可取的。

比如說對理中湯和平胃散的鑒別(bie)(bie)，理中湯脈(mo)沉細(xi)，平胃散脈(mo)緩。在有(you)些時候就靠脈(mo)這點(dian)來(lai)鑒別(bie)(bie)，有(you)些時候，兩個方向的脈(mo)象都不典(dian)型。

高建(jian)忠(zhong).讀方用方筆(bi)記（二一）臨證談理(li)中(zhong)丸

我們前面把理中丸做了具體的分析和解釋以及臨床上的運用，這一節我們來談談理中丸證與平胃散證有哪些相同的地方，又有哪些不同的地方。我們為什么要討論這個話題呢？因為這兩個方子在臨床上會往一塊碰。

高建中老師曾經考過他的學生，問理中丸和平胃散這兩張方子如何鑒別？于是，他的學生立即反駁，說這兩張方子不需要鑒別。真的是不需要鑒別嗎？

理中丸：人參，白術，干姜，甘草。治療脾胃虛寒證的。

平胃散：厚樸，蒼術，陳皮，甘草。治療濕滯脾胃證的。

脾胃虛寒可以引起泄瀉，濕滯脾胃也可以引起泄瀉。那同一個患者的泄瀉，我們如何辨別他是理中丸的胃虛寒證還是平胃散的濕滯脾胃證呢？從這個角度來理解，我們就有鑒別的必要了。下面我們來看一個病案

劉某，男，43歲，2012年2月15日初診。近兩月來納差，腹脹，溏瀉，精神欠佳。自服“氟哌酸膠囊”，“黃連素片”、“蒮香正氣水”等藥有效，但不能痊愈。診見體瘦，舌質淡暗，舌苔白膩，脈細緩。

我們看到這個病案，一看就是一種很常見的病，如果我們在臨床上碰到，應該如何思考？是虛證還是實證？是寒證還是熱證？精神欠佳，應該是虛證，舌質淡暗，舌苔白膩，脈細緩，應該是寒濕，病位在脾胃，看起來好像沒有什么難點。

那么我們治療起來，應該是采取補還是瀉呢？用哪個方劑是最好的呢？理中湯行不行？

診斷：中焦寒濕證，溫化寒濕為先，平胃散加減。

方劑：炒蒼術12克，厚樸9克，陳皮9克，干姜9克，焦山楂15克，炙甘草3克，14劑。這個方劑就是平胃散加干姜和山楂。里面沒有用到參。

2月29日二診，藥后納增，腹脹不顯，大便已成形，日一次，口中和，無四逆。舌質淡暗，舌苔薄白，脈沉細。

吃了藥以后，飲食也好了，肚子也不是那么脹了，大便也成形了，苔從白膩轉為薄白，脈從細緩轉成沉細。

診斷：中焦虛寒，溫補中焦為法，理中湯加減。

方劑：黨參12克，干姜9克，炒白術12克，雞內金12克，炙甘草3克14劑。

這個病案就是，先用平胃散后用理中湯。如果我們把它顛倒過來行不行，先用理中湯后用平胃散，這樣肯定是不行的。由于舌苔白膩，用理中丸，是肯定不能消退舌苔白膩的，也就是說，理中丸不能祛寒濕。寒濕祛不了，這個病就很難根除。

前(qian)面(mian)(mian)他自己吃了蒮香正氣(qi)水，黃連素片都有(you)(you)效，就是(shi)好不(bu)(bu)了，當然(ran)，如果我們先(xian)用理中湯也是(shi)有(you)(you)效的，但(dan)是(shi)依然(ran)是(shi)好不(bu)(bu)了，舌苔白膩(ni)沒(mei)有(you)(you)退，濕(shi)沒(mei)有(you)(you)去，黨參和白術(shu)把(ba)寒濕(shi)留在了中焦，我們前(qian)面(mian)(mian)說過：“參術(shu)之(zhi)補，有(you)(you)礙寒濕(shi)之(zhi)行”。所(suo)以，先(xian)用理中湯是(shi)不(bu)(bu)對的。

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