處方 : 白芍2錢(qian)(qian)(qian),黃芩2錢(qian)(qian)(qian),木(mu)通8分,白術1錢(qian)(qian)(qian),澤瀉1錢(qian)(qian)(qian),茯(fu)苓7分。
功能主治 : 水瀉,小便短赤。
用法用量 : 水煎,溫服。
摘錄 : 《赤水玄珠》卷八
目錄1拼音(yin)2《醫(yi)學探驪集(ji)》卷(juan)四 2.1組成2.2主治2.3生(sheng)地養陰湯的(de)用法用量2.4各家論述 附:1古(gu)籍中的(de)生(sheng)地養陰湯 1拼音(yin) shēng dì yǎng yīn tāng
2《醫學探驪集》卷四
古籍中的(de)生地養(yang)陰湯 《竹林(lin)女科證治》:[卷一調經下]師尼室寡經閉(bi) 其病更極,亦不得遂志之故也。治宜清神(shen)養(yang)榮,宜服養(yang)陰湯,兼(jian)四(si)制(zhi)烏附丸(wan)。柴胡(hu)抑肝(gan)湯柴胡(hu)(一錢(qian))青皮(一...
《麻(ma)科活人全(quan)書》:[卷(juan)之四]婦人出麻(ma)適值經行(xing)及經水(shui)非正(zheng)(zheng)期而來第一百(bai)零一 麻(ma)者。常恐天(tian)癸(gui)正(zheng)(zheng)行(xing)。血走氣虛。而成伏(fu)陷也(ye)。宜以養(yang)陰湯(見(jian)三十二條)去(qu)白芍、川芎、熟(shu)地黃。加(jia)生地黃主...
《麻科活人全書》:[卷之四(si)]沉睡昏睡似寐非寐煩躁不眠第九十五 外。乃正氣(qi)不勝所致。后(hou)必變大發煩躁者有之。宜以養陰湯(見三十二條)去熟地(di)黃(huang)、川(chuan)芎、白芍(shao)。加(jia)生地(di)黃(huang)主...
《麻(ma)科(ke)活人全書(shu)》:[卷之二]紫黯色第四十(shi)五 所閉(bi)。治法雖應(ying)涼解。而(er)不可太過。以(yi)暖為是。宜用(yong)養陰(yin)湯(見三十(shi)二條)。用(yong)生地黃。去白芍、川(chuan)芎。加(jia)防風...
《醫門補要》:[卷中]應用諸(zhu)方
目錄(lu)(lu)(lu)(lu)(lu)1拼音(yin)2《萬病回(hui)春(chun)》卷(juan)(juan)(juan)(juan)(juan)四:解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 2.1解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)別(bie)名(ming)(ming)(ming)(ming)(ming)2.2處(chu)(chu)方(fang)(fang)(fang)(fang)(fang)2.3制法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)2.4功(gong)(gong)(gong)能(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)2.5解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)2.6摘(zhai)(zhai)錄(lu)(lu)(lu)(lu)(lu) 3齊強方(fang)(fang)(fang)(fang)(fang):解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 3.1處(chu)(chu)方(fang)(fang)(fang)(fang)(fang)3.2功(gong)(gong)(gong)能(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)3.3解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)3.4摘(zhai)(zhai)錄(lu)(lu)(lu)(lu)(lu) 4《醫(yi)學集(ji)(ji)成(cheng)(cheng)(cheng)(cheng)(cheng)》卷(juan)(juan)(juan)(juan)(juan)三(san)(san):解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 4.1處(chu)(chu)方(fang)(fang)(fang)(fang)(fang)4.2功(gong)(gong)(gong)能(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)4.3摘(zhai)(zhai)錄(lu)(lu)(lu)(lu)(lu) 5《回(hui)春(chun)》卷(juan)(juan)(juan)(juan)(juan)四:解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 5.1解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)別(bie)名(ming)(ming)(ming)(ming)(ming)5.2處(chu)(chu)方(fang)(fang)(fang)(fang)(fang)5.3制法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)5.4功(gong)(gong)(gong)能(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)5.5解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)5.6摘(zhai)(zhai)錄(lu)(lu)(lu)(lu)(lu) 6《張(zhang)皆春(chun)眼科(ke)證治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)》:解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 6.1處(chu)(chu)方(fang)(fang)(fang)(fang)(fang)6.2功(gong)(gong)(gong)能(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)6.3解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)6.4各(ge)家論(lun)(lun)述(shu)6.5摘(zhai)(zhai)錄(lu)(lu)(lu)(lu)(lu) 7《包氏喉證家寶》:解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 7.1處(chu)(chu)方(fang)(fang)(fang)(fang)(fang)7.2功(gong)(gong)(gong)能(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)7.3解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)7.4摘(zhai)(zhai)錄(lu)(lu)(lu)(lu)(lu) 8《治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)痘(dou)全(quan)書(shu)(shu)(shu)(shu)(shu)》卷(juan)(juan)(juan)(juan)(juan)十(shi)(shi)(shi)三(san)(san):解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 8.1處(chu)(chu)方(fang)(fang)(fang)(fang)(fang)8.2功(gong)(gong)(gong)能(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)8.3摘(zhai)(zhai)錄(lu)(lu)(lu)(lu)(lu) 9《瘡(chuang)瘍經(jing)驗全(quan)書(shu)(shu)(shu)(shu)(shu)》卷(juan)(juan)(juan)(juan)(juan)六(liu)(liu):解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 9.1處(chu)(chu)方(fang)(fang)(fang)(fang)(fang)9.2功(gong)(gong)(gong)能(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)9.3解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)9.4摘(zhai)(zhai)錄(lu)(lu)(lu)(lu)(lu) 10《葉氏女科(ke)》卷(juan)(juan)(juan)(juan)(juan)三(san)(san):解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 10.1處(chu)(chu)方(fang)(fang)(fang)(fang)(fang)10.2功(gong)(gong)(gong)能(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)10.3解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)10.4摘(zhai)(zhai)錄(lu)(lu)(lu)(lu)(lu) 11《玉案》卷(juan)(juan)(juan)(juan)(juan)六(liu)(liu):解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 11.1處(chu)(chu)方(fang)(fang)(fang)(fang)(fang)11.2功(gong)(gong)(gong)能(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)11.3解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)11.4摘(zhai)(zhai)錄(lu)(lu)(lu)(lu)(lu) 12《惠直堂方(fang)(fang)(fang)(fang)(fang)》卷(juan)(juan)(juan)(juan)(juan)三(san)(san):解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 12.1解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)別(bie)名(ming)(ming)(ming)(ming)(ming)12.2處(chu)(chu)方(fang)(fang)(fang)(fang)(fang)12.3功(gong)(gong)(gong)能(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)12.4解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)12.5摘(zhai)(zhai)錄(lu)(lu)(lu)(lu)(lu) 13《痘(dou)疹(zhen)會通》卷(juan)(juan)(juan)(juan)(juan)四:解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 13.1處(chu)(chu)方(fang)(fang)(fang)(fang)(fang)13.2功(gong)(gong)(gong)能(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)13.3摘(zhai)(zhai)錄(lu)(lu)(lu)(lu)(lu) 14《瘍科(ke)選粹》卷(juan)(juan)(juan)(juan)(juan)六(liu)(liu):解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 14.1處(chu)(chu)方(fang)(fang)(fang)(fang)(fang)14.2功(gong)(gong)(gong)能(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)14.3解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)14.4摘(zhai)(zhai)錄(lu)(lu)(lu)(lu)(lu) 15《麻科(ke)活人全(quan)書(shu)(shu)(shu)(shu)(shu)》卷(juan)(juan)(juan)(juan)(juan)二(er):解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 15.1處(chu)(chu)方(fang)(fang)(fang)(fang)(fang)15.2功(gong)(gong)(gong)能(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)15.3解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)15.4摘(zhai)(zhai)錄(lu)(lu)(lu)(lu)(lu) 16《痘(dou)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)理辨》:解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 16.1處(chu)(chu)方(fang)(fang)(fang)(fang)(fang)16.2功(gong)(gong)(gong)能(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)16.3解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)16.4摘(zhai)(zhai)錄(lu)(lu)(lu)(lu)(lu) 17《仁端錄(lu)(lu)(lu)(lu)(lu)》卷(juan)(juan)(juan)(juan)(juan)十(shi)(shi)(shi)六(liu)(liu):解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 17.1處(chu)(chu)方(fang)(fang)(fang)(fang)(fang)17.2功(gong)(gong)(gong)能(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)17.3摘(zhai)(zhai)錄(lu)(lu)(lu)(lu)(lu) 18《痘(dou)疹(zhen)心(xin)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)》卷(juan)(juan)(juan)(juan)(juan)二(er)十(shi)(shi)(shi)三(san)(san) 18.1方(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)(ming)(ming)18.2解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)別(bie)名(ming)(ming)(ming)(ming)(ming)18.3組(zu)(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)(cheng)(cheng)18.4主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)18.5解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)18.6制備(bei)(bei)(bei)方(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa) 19《證治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)寶鑒》卷(juan)(juan)(juan)(juan)(juan)十(shi)(shi)(shi) 19.1方(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)(ming)(ming)19.2組(zu)(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)(cheng)(cheng)19.3主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)19.4解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang) 20《經(jing)驗百方(fang)(fang)(fang)(fang)(fang)良方(fang)(fang)(fang)(fang)(fang)續(xu)錄(lu)(lu)(lu)(lu)(lu)》 20.1方(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)(ming)(ming)20.2組(zu)(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)(cheng)(cheng)20.3主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)20.4解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)20.5加減 21《圣(sheng)濟總錄(lu)(lu)(lu)(lu)(lu)》卷(juan)(juan)(juan)(juan)(juan)二(er)十(shi)(shi)(shi)一 21.1方(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)(ming)(ming)21.2組(zu)(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)(cheng)(cheng)21.3主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)21.4解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)21.5制備(bei)(bei)(bei)方(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa) 22《血證論(lun)(lun)》卷(juan)(juan)(juan)(juan)(juan)八 22.1方(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)(ming)(ming)22.2組(zu)(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)(cheng)(cheng)22.3主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)22.4各(ge)家論(lun)(lun)述(shu) 23《痘(dou)疹(zhen)傳心(xin)錄(lu)(lu)(lu)(lu)(lu)》卷(juan)(juan)(juan)(juan)(juan)十(shi)(shi)(shi)五(wu) 23.1方(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)(ming)(ming)23.2組(zu)(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)(cheng)(cheng)23.3主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi) 24《一盤珠》卷(juan)(juan)(juan)(juan)(juan)五(wu) 24.1方(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)(ming)(ming)24.2組(zu)(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)(cheng)(cheng)24.3主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)24.4解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang) 25《瘋(feng)門全(quan)書(shu)(shu)(shu)(shu)(shu)》 25.1方(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)(ming)(ming)25.2組(zu)(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)(cheng)(cheng)25.3主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)25.4解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang) 26《片玉心(xin)書(shu)(shu)(shu)(shu)(shu)》卷(juan)(juan)(juan)(juan)(juan)五(wu) 26.1方(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)(ming)(ming)26.2組(zu)(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)(cheng)(cheng)26.3主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)26.4加減 27《種痘(dou)新書(shu)(shu)(shu)(shu)(shu)》卷(juan)(juan)(juan)(juan)(juan)四 27.1方(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)(ming)(ming)27.2組(zu)(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)(cheng)(cheng)27.3功(gong)(gong)(gong)效27.4主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)27.5各(ge)家論(lun)(lun)述(shu) 28《圣(sheng)濟總錄(lu)(lu)(lu)(lu)(lu)》卷(juan)(juan)(juan)(juan)(juan)二(er)十(shi)(shi)(shi)七 28.1方(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)(ming)(ming)28.2組(zu)(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)(cheng)(cheng)28.3主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)28.4解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)28.5制備(bei)(bei)(bei)方(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)28.6附注 29《幼幼集(ji)(ji)成(cheng)(cheng)(cheng)(cheng)(cheng)》卷(juan)(juan)(juan)(juan)(juan)四 29.1方(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)(ming)(ming)29.2組(zu)(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)(cheng)(cheng)29.3功(gong)(gong)(gong)效29.4主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)29.5解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)29.6加減 30《仙拈集(ji)(ji)》卷(juan)(juan)(juan)(juan)(juan)二(er) 30.1方(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)(ming)(ming)30.2組(zu)(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)(cheng)(cheng)30.3主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)30.4解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang) 31《小兒(er)痘(dou)疹(zhen)方(fang)(fang)(fang)(fang)(fang)論(lun)(lun)》 31.1方(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)(ming)(ming)31.2組(zu)(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)(cheng)(cheng)31.3主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)31.4解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang) 32《治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)痧要略(lve)》 32.1方(fang)(fang)(fang)(fang)(fang)名(ming)(ming)(ming)(ming)(ming)32.2組(zu)(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)(cheng)(cheng)32.3主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)32.4解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)(fa)(fa)(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)32.5加減 附:1古籍中的(de)(de)(de)解(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)(jie)毒(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)(du)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 1拼音(yin) jiě dú tāng
2《萬(wan)病回春(chun)》卷四:解毒湯
3齊強方(fang):解毒湯(tang)
4《醫學集成》卷(juan)三:解毒湯
5《回春》卷(juan)四:解毒(du)湯
6《張皆春眼科證治》:解毒湯
若(ruo)兼風輪生(sheng)翳(yi),可加秦皮(pi)1.5g以(yi)清肝退(tui)翳(yi)。
7《包氏喉(hou)證(zheng)家寶》:解毒湯
如挾風(feng)痰熱毒攻心,言語狂妄,加三黃,并研朱砂、珍珠末服。
8《治痘全書》卷十三:解毒湯
9《瘡瘍經(jing)驗全(quan)書(shu)》卷六(liu):解毒湯
10《葉氏(shi)女(nv)科》卷三:解毒湯
11《玉案》卷六:解毒湯
12《惠直堂方》卷(juan)三(san):解毒湯(tang)
氣虛,加(jia)人參;血虛,加(jia)熟地3錢,歸身1錢。
13《痘疹(zhen)會通》卷四:解(jie)毒湯
14《瘍(yang)科選粹(cui)》卷(juan)六:解毒湯(tang)
若欲(yu)除結毒之患,與鉛、酒兼用。
15《麻(ma)科活人全書》卷(juan)二:解毒湯
16《痘治理辨》:解毒湯
17《仁端錄》卷十(shi)六:解毒湯
18《痘疹心法》卷二十三
19《證治寶鑒》卷十
20《經驗百方良方續錄》
21《圣濟總錄》卷二十一
22《血證論》卷八
23《痘疹傳心錄》卷十五
24《一盤珠》卷五
25《瘋門全書》
26《片玉心書》卷五
27《種痘新書》卷四
28《圣濟總錄》卷二十七
29《幼幼集成》卷四
30《仙拈集》卷二
31《小兒痘疹方論》
32《治痧要略》
古籍中的(de)解(jie)毒(du)湯(tang) 《丹臺玉案》:[卷(juan)之二傷寒門]水漬法 飲水不至(zhi)甚者(zhe)。五苓(ling)散。自汗(han)渴者(zhe)。白(bai)虎湯(tang)下(xia)痢者(zhe)。解(jie)毒(du)湯(tang)。此亦危癥也。白(bai)虎湯(tang)(方(fang)見(jian)前)解(jie)毒(du)湯(tang)(方(fang)見(jian)后)...
《麻科活人全書》:[卷之一]麻證條目法旨(zhi)用藥要訣(刪訂) (見三(san)十(shi)條)。去甘(gan)草。加黃(huang)連(lian)、枳(zhi)殼。或(huo)古方黃(huang)連(lian)解毒湯(見三(san)十(shi)五(wu)條)。加地骨皮(pi)、連(lian)翹、牛(niu)蒡子、當歸。...
《原(yuan)要論》:虞氏麻疹治法(fa) 湯(tang),入(ru)燒(shao)人(ren)屎亦(yi)妙。如便秘者(zhe),加酒大黃利(li)之,或元參解毒湯(tang),皆(jie)可選用。若黑色者(zhe),熱(re)毒太(tai)甚為十(shi)死一(yi)生之癥,...
《痧疹(zhen)輯要》:[卷二(er)]論治(上) 芩湯(tang)。吐利宜黃(huang)(huang)芩加半夏湯(tang)。自利里(li)急(ji)后(hou)重者,宜黃(huang)(huang)連解(jie)毒湯(tang)(方(fang)見前)合天水散(san)主(zhu)之(zhi)。黃(huang)(huang)芩湯(tang)治協熱而利。黃(huang)(huang)芩...
《證治準繩·幼科》:[集(ji)之六·心臟部四痘瘡(下)]麻疹
川芎茶調散【原料】川芎、荊芥各12g,白芷:羌活各9g,炙甘草、防風各6g,細辛3g,薄荷18g,加清茶1撮。
【制法】每日劑1,水煎分3次服。
【主治】疏散風邪,清利頭目。治療偏頭痛。
【驗效】本方加減治療36例,結果:臨床治愈18例,顯效10例,有效5例,無效3例,服藥最短者5天,最長3個月。
施智嚴等用本方為主治療偏頭痛35例,總有效率為82.9%。丁超等以川芎茶調散加減治療256例,有效率達96.1%。
散偏湯【原料】川芎15g,白芍12g,郁李仁9g,柴胡9g,生甘草6g,白芥子12g,香附10g,自芷6g。
【制法】每日1劑,水煎分2次服。
【主治】疏肝散風,行氣和血止痛。治療偏頭痛。
【驗效】何立華用本方加地龍、僵蠶、藁本各12g,細辛3g,水煎服,治療60例,結果:痊愈15例,顯效29例,有效18例,無效7例,總有效率為89.8%,療效優于西藥治療的對照組,差異有顯著性。唐民用本方加減(川芎20g,白芍15g,郁李仁15—30g,醋柴胡10g,白芥子15—20g,香跗10g,白芷10g,夏枯草20g,水煎服),治療37例,結果:臨床痊愈10例,好轉27例。一般都在服藥2~5劑時頭痛減輕,最少服藥3劑,最多21劑。楊干卿用本方加味川芎30g,生白芍6g,郁李仁3g,柴胡6g,生甘草3g,白芥子3g,香附6g,白芷1.5g,天麻10g,僵蠶10g,蜈蚣2條,共為細面,每次3g每天3次,口服)治療,結果:頭痛300例,痊愈161例,好轉130例,無效9例;惡心181例,痊愈103例,好轉73例,無效5例;頭暈193例,痊愈168例,好轉21例,無效4例;黑蒙118例,痊愈109例,好轉6例,無效3例;畏光129例,痊愈90例,好轉31例,無效8例;頭皮觸痛206例,痊愈159例,好轉37例,無效10例。
哭來笑去散【原料】雄黃3g,火硝1.5g,制乳香1.5g,制沒藥1.5g,細辛1.5g,川芎1.5g。
【制濁】將細辛、川芎烘干,乳香、沒藥去油。與余藥共研細末,過12(目篩,裝入玻璃瓶內,密封備用。用時將藥瓶口對準頭痛對側鼻孔,讓患者將藥粉由鼻吸入,一般吸入后頭痛立即緩解,如仍痛,可在數分鐘后再吸,直至疼痛消失。
【主治】活血止痛,治療偏頭痛。
【驗效】治療153例,結果:治愈118例,有效26例,無效9例。
閃輝湯【原料】吳茱萸、黨參、當歸各12g,丹參、白芍、雞血藤各15g,益母草、鉤藤各10g,大棗4枚,橘紅9g,甘草6g。
【制法】每日1劑,水煎分2次服,15天為1療程。治療期間停用其他藥物。
【主治】溫中止痛,養血柔肝,明目。治療閃輝性暗點癥(暫時性不全黑蒙、眼性偏頭痛)。本病發作或在左側,或在右側,或雙側同時出現。發作時視物模糊,象限性視野缺損或偏盲,眼前冒金花和波紋狀閃動,或畏光、周身不適。隨著眼部癥狀逐漸緩解而出現偏頭痛,伴有惡心,嘔吐。
【驗效】寒重者加炮附子;手足麻木加桂枝;前額痛加白芷;眉棱骨痛加夏枯草、荊芥、防風;巔頂痛加藁本,重癥者加全蝎,研末吞服。治療100例,結果:顯效73例,有效15例,無效12例。
加減龍膽瀉肝湯【原料】龍膽草10g,黃芩10g,木通10g,澤瀉20g,車前子30g,當歸25g,柴胡10g,生地15g,川芎20g,赤芍20g,菊花10g。
【制法】每日1劑,水煎服,每次200—300ml,分2次服。2周為1療程。兩個療程后評定療效。
【主治】平肝泄熱,涼血活血。治療偏頭痛,肝熱血瘀型。頭痛且脹,經久不愈,痛有定處,痛如椎刺,耳鳴,煩躁目赤,失眠,口苦咽干,納差,女性月經錯后,色暗有血塊,舌質暗或有瘀斑,苔黃,脈弦澀。
【驗效】痛甚者加全蝎、蜈蚣,挾痰者加陳皮、華夏;頭痛且暈加白芍、郁金。治療86例,結果:痊愈48例,顯效19例,好轉15例,無效4例,總有效率為95.3%,療效優于對照組(正天丸治療),有非常顯著性差異。
【注意】服藥(yao)期間禁服其他藥(yao)物(wu)。
一、芍藥甘草湯源流
芍藥甘草湯出自《傷寒論》,系仲景為傷寒誤汗亡陽,陽復后腳攣急而設。白芍益陰和營,炙甘草補中緩急,故其具有柔肝舒筋、緩急止痛之效。其運用范圍甚廣,僅《傷寒論》中就有24首方使用了這一配伍,使用率達21%。仲景及歷代醫家十分重視此方的化載運用,國內外同仁研究該藥方成果甚豐。
仲景用本方加附子,名芍藥甘草附子湯,治外感風寒、發汗不解、陰陽俱虛反惡寒者;加黃芪、大棗,名黃芪湯,治太陽少陽合病自下利者。
筆者認為,四逆散亦是在本方的基礎上加柴胡、枳實而成。蓋芍藥甘草湯治汗后津傷之攣急,四逆散治四肢厥逆、腹中痛,二者同出一轍,僅輕重有別矣。
后世運用此方多有發揮,如加黃芩,名黃芩芍藥湯,治熱痢里急后重、腹痛便膿血;加白術,名白術芍藥湯,治脾濕水瀉、身重困乏。《素問病機保命集》載本方加當歸、黃連、檳榔片、木香,名芍藥散,治下利膿血、里急后重。芍藥、甘草這一組合在《傳信適用方》中,名中岳湯,治濕氣腳腫、全身疼痛;在《朱氏集驗方》中,名去杖湯,治腳弱無力、行步艱難;《歲時廣記》用白芍、甘草,按5 1之量,治腳氣腫痛;《單方驗方調查資料選編》用赤芍、生甘草,按(5 10) 1之量,治急性乳腺炎……推廣運用不一而足。
二、芍藥甘草湯治痛經驗
現代研究表明,芍藥甘草湯主要有松弛骨骼肌、解痙鎮痛、抗潰瘍等作用,適用范圍十分廣泛。筆者總結前賢之經驗,將本方用于急慢性痛證、消化系統疾病和老年病,效果甚佳。
①急慢性痛證
吾師鄭家本擅長用此方治急性病癥。如治三叉神經痛患者王某,用白芍60g,甘草10g,加刺蒺藜、白芷、葛根、地龍、全蝎,8劑而愈;治膽石癥患者楊某,白芍90g,甘草10g,加酒大黃、虎杖、雞內金等,10劑排除1cm大小結石數枚;治膽道蛔蟲癥患者陳某,白芍60g,甘草10g,加烏梅、炒川楝、酒大黃等,1劑腹痛大減,3劑排蛔蟲30多條;又治腎絞痛患者段某,白芍60g,甘草10g,加木通、延胡索等,服藥2小時痛減,數劑而愈。特別是家本先生自創之“昆海排石湯”治療尿路結石,以本方加昆布、海藻、桃仁、紅花等,治泌尿系結石數百例,排石率達85%。
治療頭面部疼痛,特別是血管神經性疼痛,以赤白芍各30g,甘草6g為主,配白芷、川芎、葛根、全蝎、蜈蚣、蜂房等,效果十分理想。
治青春期痛經,特別是中學生學習緊張導致的痛經,以赤白芍各30g,炙甘草10g,加失笑散、郁金等,一般使用3 4個月經周期便愈。
②消化系統疾病
消化系統疾病多虛實夾雜,且病程日久,治療宜攻補兼施、寒熱并用、升降勿過,即“治中焦如衡,非平不安”。筆者常以赤白芍各30g,甘草6g為主,治消化道潰瘍及其炎癥,隨寒熱虛實之不同而加減變化。寒癥去赤芍,加桂枝、良附丸之類;熱證加虎杖、白花蛇舌草、柴胡之類;虛癥去赤芍,用炙甘草加四君子湯;實證加酒大黃、枳實、檳榔片等。對慢性潰瘍病,以赤白芍各100g,白及120g,共為極細末,每次5g,飯前1小時服,日服3次,效果甚為滿意。
慢性腸炎、腸道易激綜合征,多見便秘、腹瀉交替出現,病程長,一般治療效果不佳,特別是濫用抗生素后,菌群失調所致慢性腸炎。
筆者曾治一中學生,近兩年大便不成形,一日數次,大便常規及細菌培養均為陰性。追問病史,患者曾在2年前大劑量使用抗生素治療闌尾炎,爾后每服用抗生素則腹瀉加重,診為菌群失調。擬赤白芍各30g,生甘草6g,陳皮10g,白術、藿香各12g,6劑而愈。對慢性腸炎、腸道易激綜合征亦可用芍藥甘草湯為主加健脾燥濕理氣之品治之。
③老年病
據芍藥甘草湯緩急止痛且性味平和的特點,可將其廣泛用于治療多種老年病,特別是血管平滑肌痙攣,導致的組織缺血缺氧所致的癥狀,治療多事半功倍,得心應手。如冠心病,重用赤芍30 60g,炙甘草6 10g,加丹參、琥珀等;骨質增生,用赤白芍各30g,炙甘草6g,加葛根、丹參、水蛭、骨碎補等;前列腺增生,用赤芍30g,生甘草6g,加琥珀、車前子、水蛭、桃仁等。
對于老年性習慣性便秘,不少患者用果導片、黃連上清丸之類,以圖一時之快,然猶如以油救火,便秘日重。筆者以白芍30 40g,生甘草10g,加四妙勇安湯治之,多在服藥2 3劑時順利解便,且無便后燥結之慮。此方對陰虛、氣滯、食阻之便秘,亦應手取效。
有文獻報道,以芍藥甘草湯治療不安腿綜合征臨床效果好,為首選方。筆者受此啟發,對老年肌肉顫動、脹痛、酸軟麻木之癥亦多以芍藥甘草湯治之,療效顯著。
三、結語
仲景所創芍藥甘草湯這一基本方,深受后世醫家喜愛,且逍遙散、柴胡疏肝散、達原飲、防風通圣散、膠艾湯、八珍湯等數十首名方中都含有這一基本方。
該方臨床運用范圍十分廣泛,凡骨骼肌痙攣、肌痛、神經痛及因平滑肌痙攣引起的內臟疼痛等均可使用。經長期臨床證實,其緩急止痛的效果十分令人滿意,用之得當,常有立竿見影之功。
每日一文,陪伴中(zhong)醫人成長
本文地址://n85e38t.cn/pianfang/12277.html.
聲明: 我們(men)致力于保護作者(zhe)版權(quan)(quan),注重分享,被刊用文章因無法核實(shi)真實(shi)出處,未能及時與作者(zhe)取得聯系(xi),或有(you)版權(quan)(quan)異議的(de),請聯系(xi)管理(li)員,我們(men)會(hui)立(li)即(ji)處理(li),本站部分文字與圖(tu)片資源來自于網絡,轉載(zai)是出于傳(chuan)遞更多信息之目(mu)的(de),若有(you)來源標注錯(cuo)誤或侵犯了您(nin)的(de)合法權(quan)(quan)益(yi),請立(li)即(ji)通知我們(men)(管理(li)員郵箱:),情況屬實(shi),我們(men)會(hui)第(di)一時間予以刪除,并同時向您(nin)表示歉意,謝謝!
上一篇: 白芍藥湯
下(xia)一篇: 白蕪荑散