藥理作用 : (1)對(dui)(dui)子宮、心(xin)肌(ji)、小腸等不同器官的(de)藥(yao)理(li)作(zuo)(zuo)(zuo)用(yong)(yong) 《天津醫藥(yao)雜(za)志》1960(1):4~12,本(ben)方(fang)對(dui)(dui)在(zai)體或離體子宮及其(qi)(qi)(qi)周(zhou)圍組織有選擇性興奮(fen)(fen)作(zuo)(zuo)(zuo)用(yong)(yong),尤(you)其(qi)(qi)(qi)是加入益母(mu)草、枳殼等藥(yao)物時(shi),其(qi)(qi)(qi)作(zuo)(zuo)(zuo)用(yong)(yong)更(geng)(geng)為突(tu)(tu)出。小量補中(zhong)(zhong)益氣湯可(ke)(ke)以(yi)興奮(fen)(fen)心(xin)肌(ji),過量則(ze)呈抑(yi)制(zhi)(zhi)作(zuo)(zuo)(zuo)用(yong)(yong)。對(dui)(dui)小腸的(de)作(zuo)(zuo)(zuo)用(yong)(yong)較復雜(za),當蠕動(dong)亢進時(shi)呈現抑(yi)制(zhi)(zhi)作(zuo)(zuo)(zuo)用(yong)(yong),使(shi)之蠕動(dong)減慢,張力降(jiang)低;腸管處于(yu)抑(yi)制(zhi)(zhi)狀態時(shi),則(ze)使(shi)之蠕動(dong)增強(qiang)。從而證(zheng)實(shi)了本(ben)方(fang)具有雙向調節作(zuo)(zuo)(zuo)用(yong)(yong)。從實(shi)驗(yan)中(zhong)(zhong)還可(ke)(ke)看(kan)出,在(zai)有升(sheng)麻(ma)、柴胡的(de)制(zhi)(zhi)劑中(zhong)(zhong),對(dui)(dui)動(dong)物的(de)作(zuo)(zuo)(zuo)用(yong)(yong)明(ming)顯。而去(qu)掉升(sheng)、柴時(shi),其(qi)(qi)(qi)作(zuo)(zuo)(zuo)用(yong)(yong)減弱,說明(ming)此二藥(yao)能增強(qiang)其(qi)(qi)(qi)它藥(yao)物之作(zuo)(zuo)(zuo)用(yong)(yong)強(qiang)度,尤(you)以(yi)對(dui)(dui)腸蠕動(dong)作(zuo)(zuo)(zuo)用(yong)(yong)更(geng)(geng)為明(ming)顯。(2)抗基因突(tu)(tu)變及抗腫瘤(liu)(liu)作(zuo)(zuo)(zuo)用(yong)(yong) 《中(zhong)(zhong)成藥(yao)研究(jiu)》1985(12):27,本(ben)方(fang)的(de)抗基因突(tu)(tu)變和(he)抗腫瘤(liu)(liu)作(zuo)(zuo)(zuo)用(yong)(yong),強(qiang)于(yu)四君子湯。同時(shi),本(ben)方(fang)還能調節機體免(mian)疫功能,延長(chang)動(dong)物存活(huo)時(shi)間。提(ti)示在(zai)臨床上使(shi)用(yong)(yong)抗腫瘤(liu)(liu)化(hua)療藥(yao)物時(shi),配(pei)合應用(yong)(yong)本(ben)方(fang),可(ke)(ke)提(ti)高療效(xiao),降(jiang)低化(hua)療藥(yao)物毒副反(fan)應。
功能主治 : 補中益(yi)氣,升陽舉陷,主脾(pi)胃氣虛,少氣懶言,四肢無(wu)(wu)力,困(kun)倦少食(shi),飲食(shi)乏味,不(bu)耐勞累,動則氣短;或氣虛發(fa)熱,氣高(gao)而喘,身熱而煩,渴喜熱飲,其(qi)脈洪(hong)大,按之無(wu)(wu)力,皮膚(fu)不(bu)任風寒(han)(han),而生(sheng)寒(han)(han)熱頭(tou)痛(tong)(tong);或氣虛下(xia)陷,久瀉脫肛。現用于子(zi)宮下(xia)垂;胃下(xia)垂或其(qi)它內臟下(xia)垂者(zhe)。病甚勞役、熱甚者(zhe),黃耆(qi)加(jia)至(zhi)3克(ke)(ke)(ke),咳嗽者(zhe),去人參;腹(fu)中痛(tong)(tong)者(zhe),加(jia)白芍藥(yao)1.5克(ke)(ke)(ke)、炙甘(gan)草1.5克(ke)(ke)(ke);若惡(e)熱喜寒(han)(han)而腹(fu)痛(tong)(tong)者(zhe);再加(jia)黃芩0.6~0.9克(ke)(ke)(ke);惡(e)寒(han)(han)冷(leng)痛(tong)(tong),加(jia)桂心(xin)0.3~0.9克(ke)(ke)(ke);頭(tou)痛(tong)(tong),加(jia)蔓荊子(zi)0.6~0.9克(ke)(ke)(ke);痛(tong)(tong)甚者(zhe)加(jia)川(chuan)芎0.6克(ke)(ke)(ke);頂(ding)痛(tong)(tong)、腦痛(tong)(tong),加(jia)藁本0.9~1.5克(ke)(ke)(ke)。
用法用量 : 上藥哎(ai)咀,都作一服(fu)。用水300毫升,煎至150毫升,去(qu)滓,空腹時稍熱(re)服(fu)。
注意 : 陰虛內熱者忌服。
備注 : 方(fang)中(zhong)黃耆(qi)(qi)補(bu)(bu)中(zhong)益(yi)氣(qi)(qi)、升(sheng)陽(yang)固(gu)表為君;人(ren)參(can)、白術(shu)、甘(gan)草(cao)甘(gan)溫(wen)益(yi)氣(qi)(qi),補(bu)(bu)益(yi)脾(pi)胃(wei)為臣;陳皮調(diao)理(li)氣(qi)(qi)機(ji),當歸補(bu)(bu)血和營為佐;升(sheng)麻(ma)、柴胡協(xie)同參(can)、耆(qi)(qi)升(sheng)舉清陽(yang)為使(shi)。綜(zong)合全方(fang),一則補(bu)(bu)氣(qi)(qi)健(jian)脾(pi),使(shi)后(hou)天(tian)生化有源(yuan),脾(pi)胃(wei)氣(qi)(qi)虛諸證自可痊愈;一則升(sheng)提中(zhong)氣(qi)(qi),恢復(fu)中(zhong)焦升(sheng)降之(zhi)功能,使(shi)下(xia)脫(tuo)、下(xia)垂之(zhi)證自復(fu)其位。
摘錄 : 《脾胃論》卷中
功能主治 : 損傷后氣虛感邪,膿出(chu)不止,瘡口白肉突出(chu)者。
用法用量 : 加生姜3片(pian)、大(da)棗(zao)2枚,水煎(jian)服。
摘錄 : 《梅(mei)氏驗方新編》卷六(liu)
功能主治 : 痘收之后,脾胃(wei)虛弱,寒(han)熱往來似瘧,不(bu)分早(zao)晚者。
用法用量 : 水煎(jian)服。虛甚者,加(jia)熟(shu)附子。
摘錄 : 《片玉痘疹》卷十二
功能主治 : 瘡(chuang)瘍(yang)元氣不足(zu),四肢倦(juan)怠,口干(gan)發(fa)熱(re),飲(yin)食無味,或飲(yin)食失節,或勞倦(juan)身熱(re),脈(mo)洪大而無力(li),或頭痛而惡寒,或聲高而喘,身熱(re)而煩。
用法用量 : 水2鐘(zhong),加生姜(jiang)3片,大棗(zao)2枚,煎1鐘(zhong),空心熱服。
摘錄 : 《外科正宗》卷一
制法 : 上銼。
功能主治 : 痘瘡結癡而誤犯風(feng)寒,惡寒發(fa)熱(re)者。
用法用量 : 加生姜1片(pian),水煎服。
摘錄 : 《回春》卷七
功能主治 : 痘靨之后,因內(nei)傷(shang)飲食,腹(fu)飽悶不(bu)喜食,脈(mo)弦滑(hua)者。
用法用量 : 水煎服。
摘錄 : 《痘疹全書》卷下
功能主治 : 痘(dou)后感(gan)冒風寒,發熱,聲重鼻塞,惡寒惡風。
用法用量 : 熱甚則以升麻(ma)為君,加前胡;有咳嗽,加陳皮(pi)、桔梗、半夏、南星、炒芩。
摘錄 : 《種痘新書》卷九
功能主治 : 傷寒、時疫(yi)愈后,勞(lao)役(yi)復熱,自(zi)汗倦怠。
用法用量 : 上(口(kou)父)咀。用水煎熟,食前溫服。
摘錄 : 《杏苑》卷三
功能主治 : 慢喉風,平素(su)體(ti)虛,更(geng)兼暴怒(nu),或過食五辛而(er)(er)生,或憂思太過而(er)(er)成。其(qi)發緩,其(qi)色淡,其(qi)腫微,咽干,舌滑(hua)而(er)(er)白,大便(bian)自(zi)利,脈細而(er)(er)微,唇如礬色,午前痛者。
用法用量 : 水煎服。
摘錄 : 《喉科種福》卷四
功能主治 : 大人腸風,及痔瘡出血不(bu)止者。
用法用量 : 加地榆1錢(qian)同煎,用芝麻油(you)蘸紙點火燒(shao)荊芥(jie)穗灰(hui),研末,調和前藥溫服。
摘錄 : 《幼科金針》卷下
功能主治 : 小兒痘后久已無熱,因傷(shang)食發熱。
用法用量 : 生姜、大(da)棗為引(yin),水煎(jian)服。
摘錄 : 《幼幼集成》卷六
功能主治 : 產后中(zhong)風(feng),氣不(bu)足(zu),微(wei)滿,誤服耗氣藥(yao)而(er)脹者。
摘錄 : 《傅青主女(nv)科·產后(hou)編》卷(juan)下
處方 : 人參2錢,白術2錢,茯苓1錢,白芍1錢,陳(chen)皮(pi)2分(fen),木瓜8分(fen),木通4分(fen),紫蘇4分(fen),蒼術4分(fen),厚樸4分(fen),大腹皮(pi)4分(fen)。
功能主治 : 健脾利水(shui)。主產后水(shui)腫。
用法用量 : 補中利(li)水湯(《胎(tai)產心法》卷下)。大便不通,加肉蓯(cong)蓉1錢,麻仁(ren)1錢。
摘錄 : 《胎產指南》卷七
功能主治 : 升清(qing)降濁。主(zhu)體虛冒風發腫(zhong)。
用法用量 : 方中桂枝、防風、木(mu)通(tong)、木(mu)瓜用量(liang)原缺(que)。
摘錄 : 《一盤珠》卷三
功能主治 : 內傷氣虛自汗。
用法用量 : 尺脈虛大,加黃柏、知(zhi)母、熟地;夾風邪,加掛枝5分,白芍1錢。
摘錄 : 《嵩屋尊生》卷八
功能主治 : 痘疹漿足回水,至結癡還(huan)元數日,發熱(re)稍緩,頭(tou)熱(re)面不(bu)甚(shen)熱(re),手(shou)心(xin)腳心(xin)熱(re),手(shou)背(bei)腳背(bei)不(bu)熱(re),精(jing)神(shen)困倦,大小便利(li)者,為(wei)虛(xu)熱(re)。
用法用量 : 水煎,溫服(fu)。渴者(zhe),加麥門冬1錢,五味子9粒。
摘錄 : 《活幼心法》卷四
處方 : 黃耆1錢(qian),甘草(炙)5分(fen),人參(去蘆)3分(fen),升麻3分(fen),柴(chai)胡3分(fen),橘(ju)皮3分(fen),當(dang)歸身(酒洗(xi))3分(fen),白術3分(fen)。
藥理作用 : ①治療子(zi)宮脫(tuo)垂的(de)藥(yao)理學(xue)研究(jiu)《天(tian)津醫藥(yao)雜(za)志(zhi)》(1960;1:4):本(ben)方對(dui)(dui)在(zai)體(ti)或離體(ti)子(zi)宮及其周圍(wei)組織有選擇(ze)性興奮作(zuo)用(yong)。小(xiao)量(liang)補(bu)中益氣湯(tang)可以(yi)興奮心肌(ji),使(shi)其收縮加(jia)強,過量(liang)則(ze)呈抑(yi)制作(zuo)用(yong)。對(dui)(dui)小(xiao)腸(chang)(chang)的(de)作(zuo)用(yong)較復(fu)雜(za),當蠕動亢進時呈抑(yi)制作(zuo)用(yong),當腸(chang)(chang)管處于(yu)抑(yi)制狀態時,則(ze)使(shi)之蠕動增(zeng)強。實(shi)驗中還可以(yi)看出,在(zai)有升麻(ma)、柴胡的(de)制劑中,對(dui)(dui)動物的(de)作(zuo)用(yong)明顯(xian),去掉升麻(ma)、柴胡,其作(zuo)用(yong)減小(xiao),且不(bu)持久。②對(dui)(dui)實(shi)驗腫瘤(liu)發生(sheng)發展的(de)影響《中醫藥(yao)研究(jiu)參考》(1977;3:20):本(ben)方對(dui)(dui)荷瘤(liu)小(xiao)鼠(shu)的(de)作(zuo)用(yong),提(ti)示(shi)能改善瘤(liu)機體(ti)的(de)蛋白(bai)質代謝(xie),防止貧(pin)血發展,增(zeng)強體(ti)力。
功能主治 : 補(bu)中益(yi)氣(qi)(qi),升陽舉(ju)陷(xian)。主脾胃氣(qi)(qi)虛,發熱(re),自汗(han)出,渴喜(xi)溫(wen)飲(yin),少氣(qi)(qi)懶言,體(ti)倦肢軟,面色(白光)白,大(da)便稀(xi)溏,脈洪(hong)而虛,舌質淡,苔(tai)薄白。或氣(qi)(qi)虛下(xia)陷(xian),脫肛(gang),子宮(gong)下(xia)垂,久瀉,久痢,久瘧(nve)等,以(yi)及清陽下(xia)陷(xian)諸證。
臨床應用 : 1.風(feng)癥:一儒者,素勤苦,惡(e)風(feng)寒(han),鼻流清(qing)(qing)涕,寒(han)噤,噴嚏,屬脾肺氣(qi)虛(xu),反服祛風(feng)之(zhi)(zhi)(zhi)藥,肢體(ti)(ti)(ti)麻倦(juan),痰(tan)涎自出,殊類風(feng)癥。余以(yi)為風(feng)劑(ji)耗(hao)散元(yuan)氣(qi),陰火(huo)乘其(qi)土位。以(yi)補(bu)中(zhong)(zhong)益(yi)(yi)氣(qi)湯(tang)加麥冬、五(wu)味子(zi)治之(zhi)(zhi)(zhi)而愈(yu)。2.某患頭痛累月,苦不(bu)(bu)(bu)(bu)可忍,咸(xian)用散風(feng)清(qing)(qing)火(huo)之(zhi)(zhi)(zhi)劑(ji)。診其(qi)脈浮虛(xu)不(bu)(bu)(bu)(bu)鼓,語言(yan)懶怯(qie)(qie),肢體(ti)(ti)(ti)惡(e)寒(han)。此(ci)勞(lao)倦(juan)傷中(zhong)(zhong),清(qing)(qing)陽之(zhi)(zhi)(zhi)氣(qi)不(bu)(bu)(bu)(bu)升,濁(zhuo)陰之(zhi)(zhi)(zhi)氣(qi)不(bu)(bu)(bu)(bu)降,故汗之(zhi)(zhi)(zhi)反虛(xu)其(qi)表,清(qing)(qing)之(zhi)(zhi)(zhi)益(yi)(yi)傷其(qi)中(zhong)(zhong),其(qi)惡(e)寒(han)乃氣(qi)虛(xu),不(bu)(bu)(bu)(bu)能上榮而外(wai)固也,況脈象浮虛(xu),體(ti)(ti)(ti)倦(juan)語怯(qie)(qie),尤為中(zhong)(zhong)氣(qi)弱(ruo)之(zhi)(zhi)(zhi)驗,與(yu)補(bu)中(zhong)(zhong)益(yi)(yi)氣(qi)湯(tang),一劑(ji)和,二劑(ji)已。3.內傷發(fa)(fa)熱:庚子(zi)六月,呂用晦病(bing)熱證。察其(qi)神(shen)氣(qi),內傷證也。詢其(qi)致病(bing)之(zhi)(zhi)(zhi)由,曰(yue):偶半夜,出庭(ting)外(wai)與(yu)人語,移時就寢,次日便(bian)不(bu)(bu)(bu)(bu)爽(shuang)快,漸次發(fa)(fa)熱,飲食俱廢,不(bu)(bu)(bu)(bu)更衣者數(shu)日矣,服藥以(yi)來(lai),百無一效。予曰(yue):粗(cu)工皆以(yi)為風(feng)露所(suo)逼,故重用辛散,不(bu)(bu)(bu)(bu)進飲食,便(bian)曰(yue)停(ting)食,妄(wang)用消導,敦(dun)知“邪之(zhi)(zhi)(zhi)所(suo)湊,其(qi)氣(qi)必虛(xu)”,若投補(bu)中(zhong)(zhong)益(yi)(yi)氣(qi)湯(tang),則汗至而便(bian)通,熱自退矣。遂取(qu)藥立(li)煎飲之(zhi)(zhi)(zhi),頃之(zhi)(zhi)(zhi)索器,下(xia)(xia)燥(zao)矢(shi)數(shu)十(shi)(shi)枚,覺胸膈通泰,是晚熱退進粥(zhou),連服數(shu)劑(ji)而愈(yu)。4.崩(beng)漏:歸(gui)大化之(zhi)(zhi)(zhi)內,患崩(beng)漏,昏憒,發(fa)(fa)熱不(bu)(bu)(bu)(bu)寐,或謂血熱妄(wang)行,投以(yi)寒(han)劑(ji)益(yi)(yi)甚,或謂胎成受傷,投以(yi)止血亦不(bu)(bu)(bu)(bu)效。立(li)齋診之(zhi)(zhi)(zhi)曰(yue):此(ci)脾虛(xu)氣(qi)弱(ruo),無以(yi)統(tong)攝(she)血,法(fa)當補(bu)脾而血自止。用補(bu)中(zhong)(zhong)益(yi)(yi)氣(qi)湯(tang)加炮姜(jiang),不(bu)(bu)(bu)(bu)數(shu)劑(ji)而效。5.癃(long)閉:某女,28歲(sui),產后(hou)尿團五(wu)天(tian),面色蒼(cang)白,少氣(qi)懶言(yan),汗出多,倦(juan)怠(dai)乏力(li),嗜睡,尿意(yi)急迫而不(bu)(bu)(bu)(bu)得(de)出,少腹(fu)墜(zhui)脹,惡(e)露淡紅(hong),脈沉弱(ruo)緩,舌質淡紅(hong),齒印。此(ci)為氣(qi)血虛(xu)弱(ruo)、中(zhong)(zhong)氣(qi)下(xia)(xia)陷,膀胱氣(qi)化不(bu)(bu)(bu)(bu)利。以(yi)補(bu)中(zhong)(zhong)益(yi)(yi)氣(qi)湯(tang)加桃仁、紅(hong)花、木(mu)通,五(wu)劑(ji)愈(yu)。6.髂(qia)窩(wo)膿腫:某男,21歲(sui),右髂(qia)窩(wo)膿腫,切排后(hou)半月,瘡(chuang)口不(bu)(bu)(bu)(bu)斂,面色蒼(cang)白,精神(shen)疲乏,少寐納差(cha),舌淡脈細,瘡(chuang)口肉色灰(hui)暗(an),膿液(ye)清(qing)(qing)稀,為氣(qi)血虧虛(xu),中(zhong)(zhong)氣(qi)不(bu)(bu)(bu)(bu)足。投補(bu)中(zhong)(zhong)益(yi)(yi)氣(qi)湯(tang),去柴胡加赤(chi)芍、川芎,十(shi)(shi)劑(ji)愈(yu)。
用法用量 : 醫王湯(《傷寒(han)論今釋》卷七引《方(fang)函口(kou)(kou)(kou)訣(jue)》)。①《小(xiao)兒痘疹》有(you)生姜(jiang)、大(da)(da)棗。②本(ben)方(fang)改為丸(wan)劑,名“補中(zhong)(zhong)益(yi)氣(qi)丸(wan)”(見《中(zhong)(zhong)藥(yao)(yao)(yao)(yao)成方(fang)配(pei)本(ben)》蘇州(zhou)方(fang));本(ben)方(fang)改為片劑,名“補中(zhong)(zhong)益(yi)氣(qi)片”(見《天(tian)津市中(zhong)(zhong)成藥(yao)(yao)(yao)(yao)規(gui)范》)。手捫之(zhi)(zhi)(zhi)(zhi)肌表熱,服補中(zhong)(zhong)益(yi)氣(qi)湯1-2服后(hou),若再煩亂,腹(fu)中(zhong)(zhong)或(huo)(huo)周身有(you)刺(ci)痛(tong)(tong)(tong),皆血澀不(bu)足,加(jia)(jia)(jia)(jia)(jia)(jia)當歸身5分(fen)(fen)(fen)(fen)(fen)(fen)或(huo)(huo)1錢(qian);如(ru)(ru)精(jing)神短少(shao),加(jia)(jia)(jia)(jia)(jia)(jia)人(ren)參(can)5分(fen)(fen)(fen)(fen)(fen)(fen),五(wu)味子(zi)20個(ge);頭痛(tong)(tong)(tong),加(jia)(jia)(jia)(jia)(jia)(jia)蔓荊子(zi)3分(fen)(fen)(fen)(fen)(fen)(fen),痛(tong)(tong)(tong)甚(shen)(shen),加(jia)(jia)(jia)(jia)(jia)(jia)川(chuan)芎5分(fen)(fen)(fen)(fen)(fen)(fen);頂痛(tong)(tong)(tong)腦(nao)痛(tong)(tong)(tong),加(jia)(jia)(jia)(jia)(jia)(jia)藁本(ben)5分(fen)(fen)(fen)(fen)(fen)(fen),細辛(xin)3分(fen)(fen)(fen)(fen)(fen)(fen);如(ru)(ru)頭痛(tong)(tong)(tong)有(you)痰(tan),沉重懶(lan)倦者(zhe)(zhe)(zhe)(zhe)(zhe)(zhe),乃(nai)(nai)太(tai)陰痰(tan)厥(jue)頭痛(tong)(tong)(tong),加(jia)(jia)(jia)(jia)(jia)(jia)半(ban)夏(xia)(xia)(xia)5分(fen)(fen)(fen)(fen)(fen)(fen),生姜(jiang)3分(fen)(fen)(fen)(fen)(fen)(fen);耳(er)鳴,目黃(huang)(huang)(huang)(huang),頰頷(han)腫,頸、肩、臑、肘、臂(bei)外(wai)后(hou)廉痛(tong)(tong)(tong),面赤(chi),脈(mo)洪大(da)(da)者(zhe)(zhe)(zhe)(zhe)(zhe)(zhe),以(yi)(yi)(yi)羌活1錢(qian),防(fang)風、藁本(ben)各(ge)(ge)(ge)(ge)7分(fen)(fen)(fen)(fen)(fen)(fen),甘(gan)(gan)(gan)草(cao)5分(fen)(fen)(fen)(fen)(fen)(fen),通其(qi)經(jing)(jing)血,加(jia)(jia)(jia)(jia)(jia)(jia)黃(huang)(huang)(huang)(huang)芩、黃(huang)(huang)(huang)(huang)連(lian)各(ge)(ge)(ge)(ge)3分(fen)(fen)(fen)(fen)(fen)(fen),消其(qi)腫,人(ren)參(can)5分(fen)(fen)(fen)(fen)(fen)(fen),黃(huang)(huang)(huang)(huang)耆7分(fen)(fen)(fen)(fen)(fen)(fen),益(yi)元氣(qi)而瀉火邪,另作1服與之(zhi)(zhi)(zhi)(zhi);嗌痛(tong)(tong)(tong)頷(han)腫,脈(mo)洪大(da)(da),面赤(chi)者(zhe)(zhe)(zhe)(zhe)(zhe)(zhe),加(jia)(jia)(jia)(jia)(jia)(jia)黃(huang)(huang)(huang)(huang)芩、甘(gan)(gan)(gan)草(cao)各(ge)(ge)(ge)(ge)3分(fen)(fen)(fen)(fen)(fen)(fen),桔梗(geng)7分(fen)(fen)(fen)(fen)(fen)(fen);口(kou)(kou)(kou)干咽干者(zhe)(zhe)(zhe)(zhe)(zhe)(zhe),加(jia)(jia)(jia)(jia)(jia)(jia)葛根5分(fen)(fen)(fen)(fen)(fen)(fen)升引胃氣(qi)上(shang)行(xing)(xing)以(yi)(yi)(yi)潤(run)之(zhi)(zhi)(zhi)(zhi);如(ru)(ru)夏(xia)(xia)(xia)月(yue)(yue)咳嗽者(zhe)(zhe)(zhe)(zhe)(zhe)(zhe),加(jia)(jia)(jia)(jia)(jia)(jia)五(wu)味子(zi)25個(ge),麥門冬(去(qu)心(xin)(xin))5分(fen)(fen)(fen)(fen)(fen)(fen);如(ru)(ru)冬月(yue)(yue)咳嗽,加(jia)(jia)(jia)(jia)(jia)(jia)不(bu)去(qu)根節麻黃(huang)(huang)(huang)(huang)5分(fen)(fen)(fen)(fen)(fen)(fen),秋涼亦(yi)加(jia)(jia)(jia)(jia)(jia)(jia);如(ru)(ru)春(chun)(chun)月(yue)(yue)天(tian)溫(wen),只加(jia)(jia)(jia)(jia)(jia)(jia)佛耳(er)草(cao)、款冬花各(ge)(ge)(ge)(ge)5分(fen)(fen)(fen)(fen)(fen)(fen);若久病痰(tan)嗽,肺中(zhong)(zhong)伏火,去(qu)人(ren)參(can),以(yi)(yi)(yi)防(fang)痰(tan)嗽增益(yi);食(shi)不(bu)下(xia)(xia)(xia),乃(nai)(nai)胸中(zhong)(zhong)胃上(shang)有(you)寒(han),或(huo)(huo)氣(qi)澀滯,加(jia)(jia)(jia)(jia)(jia)(jia)青(qing)皮(pi)、木(mu)香(xiang)各(ge)(ge)(ge)(ge)3分(fen)(fen)(fen)(fen)(fen)(fen),陳皮(pi)5分(fen)(fen)(fen)(fen)(fen)(fen);如(ru)(ru)冬月(yue)(yue),加(jia)(jia)(jia)(jia)(jia)(jia)益(yi)智(zhi)(zhi)仁、草(cao)豆(dou)(dou)蔻(kou)(kou)仁各(ge)(ge)(ge)(ge)5分(fen)(fen)(fen)(fen)(fen)(fen);如(ru)(ru)夏(xia)(xia)(xia)月(yue)(yue),少(shao)加(jia)(jia)(jia)(jia)(jia)(jia)黃(huang)(huang)(huang)(huang)芩、黃(huang)(huang)(huang)(huang)連(lian)各(ge)(ge)(ge)(ge)5分(fen)(fen)(fen)(fen)(fen)(fen);如(ru)(ru)秋月(yue)(yue),加(jia)(jia)(jia)(jia)(jia)(jia)檳榔、草(cao)豆(dou)(dou)蔻(kou)(kou)、白豆(dou)(dou)蔻(kou)(kou)、縮砂(sha)各(ge)(ge)(ge)(ge)5分(fen)(fen)(fen)(fen)(fen)(fen);如(ru)(ru)春(chun)(chun)初(chu)猶寒(han),少(shao)加(jia)(jia)(jia)(jia)(jia)(jia)辛(xin)熱之(zhi)(zhi)(zhi)(zhi)劑,以(yi)(yi)(yi)補春(chun)(chun)氣(qi)不(bu)足,為風藥(yao)(yao)(yao)(yao)之(zhi)(zhi)(zhi)(zhi)佐,益(yi)智(zhi)(zhi)、草(cao)豆(dou)(dou)蔻(kou)(kou)可也;心(xin)(xin)下(xia)(xia)(xia)痞(pi)、夯悶者(zhe)(zhe)(zhe)(zhe)(zhe)(zhe),加(jia)(jia)(jia)(jia)(jia)(jia)芍(shao)藥(yao)(yao)(yao)(yao)、黃(huang)(huang)(huang)(huang)連(lian)各(ge)(ge)(ge)(ge)1錢(qian);如(ru)(ru)痞(pi)腹(fu)脹,加(jia)(jia)(jia)(jia)(jia)(jia)枳(zhi)實、木(mu)香(xiang)、縮砂(sha)仁各(ge)(ge)(ge)(ge)3分(fen)(fen)(fen)(fen)(fen)(fen),厚樸7分(fen)(fen)(fen)(fen)(fen)(fen),如(ru)(ru)天(tian)寒(han),少(shao)加(jia)(jia)(jia)(jia)(jia)(jia)干姜(jiang)或(huo)(huo)中(zhong)(zhong)桂;心(xin)(xin)下(xia)(xia)(xia)痞(pi),覺中(zhong)(zhong)寒(han),加(jia)(jia)(jia)(jia)(jia)(jia)附子(zi)、黃(huang)(huang)(huang)(huang)連(lian)各(ge)(ge)(ge)(ge)1錢(qian);不(bu)能(neng)食(shi)而心(xin)(xin)下(xia)(xia)(xia)痞(pi),加(jia)(jia)(jia)(jia)(jia)(jia)生姜(jiang)、陳皮(pi)各(ge)(ge)(ge)(ge)1錢(qian);能(neng)食(shi)而心(xin)(xin)下(xia)(xia)(xia)痞(pi),加(jia)(jia)(jia)(jia)(jia)(jia)黃(huang)(huang)(huang)(huang)連(lian)5分(fen)(fen)(fen)(fen)(fen)(fen)、枳(zhi)實3分(fen)(fen)(fen)(fen)(fen)(fen);脈(mo)緩有(you)痰(tan)而病,加(jia)(jia)(jia)(jia)(jia)(jia)半(ban)夏(xia)(xia)(xia)、黃(huang)(huang)(huang)(huang)連(lian)各(ge)(ge)(ge)(ge)1錢(qian);脈(mo)弦,四肢滿,便(bian)難(nan)而心(xin)(xin)下(xia)(xia)(xia)痞(pi),加(jia)(jia)(jia)(jia)(jia)(jia)黃(huang)(huang)(huang)(huang)連(lian)5分(fen)(fen)(fen)(fen)(fen)(fen),柴胡7分(fen)(fen)(fen)(fen)(fen)(fen),甘(gan)(gan)(gan)草(cao)3分(fen)(fen)(fen)(fen)(fen)(fen);腹(fu)中(zhong)(zhong)痛(tong)(tong)(tong)者(zhe)(zhe)(zhe)(zhe)(zhe)(zhe),加(jia)(jia)(jia)(jia)(jia)(jia)白芍(shao)藥(yao)(yao)(yao)(yao)5分(fen)(fen)(fen)(fen)(fen)(fen),甘(gan)(gan)(gan)草(cao)3分(fen)(fen)(fen)(fen)(fen)(fen);如(ru)(ru)惡(e)寒(han)覺冷痛(tong)(tong)(tong),加(jia)(jia)(jia)(jia)(jia)(jia)中(zhong)(zhong)桂5分(fen)(fen)(fen)(fen)(fen)(fen);如(ru)(ru)夏(xia)(xia)(xia)月(yue)(yue)腹(fu)中(zhong)(zhong)痛(tong)(tong)(tong),不(bu)惡(e)寒(han),不(bu)惡(e)熱者(zhe)(zhe)(zhe)(zhe)(zhe)(zhe),加(jia)(jia)(jia)(jia)(jia)(jia)黃(huang)(huang)(huang)(huang)芩、甘(gan)(gan)(gan)草(cao)各(ge)(ge)(ge)(ge)5分(fen)(fen)(fen)(fen)(fen)(fen),芍(shao)藥(yao)(yao)(yao)(yao)1錢(qian),以(yi)(yi)(yi)治時(shi)熱;腹(fu)痛(tong)(tong)(tong)在寒(han)涼時(shi),加(jia)(jia)(jia)(jia)(jia)(jia)半(ban)夏(xia)(xia)(xia)、益(yi)智(zhi)(zhi)、草(cao)豆(dou)(dou)蔻(kou)(kou)之(zhi)(zhi)(zhi)(zhi)類(lei);脅下(xia)(xia)(xia)痛(tong)(tong)(tong),或(huo)(huo)縮急,俱加(jia)(jia)(jia)(jia)(jia)(jia)柴胡3分(fen)(fen)(fen)(fen)(fen)(fen),甚(shen)(shen)則(ze)5分(fen)(fen)(fen)(fen)(fen)(fen),甘(gan)(gan)(gan)草(cao)3分(fen)(fen)(fen)(fen)(fen)(fen),臍下(xia)(xia)(xia)痛(tong)(tong)(tong)者(zhe)(zhe)(zhe)(zhe)(zhe)(zhe),加(jia)(jia)(jia)(jia)(jia)(jia)真(zhen)熟地黃(huang)(huang)(huang)(huang)5分(fen)(fen)(fen)(fen)(fen)(fen),如(ru)(ru)不(bu)已,乃(nai)(nai)大(da)(da)寒(han),加(jia)(jia)(jia)(jia)(jia)(jia)肉桂5分(fen)(fen)(fen)(fen)(fen)(fen),如(ru)(ru)臥而多驚,小(xiao)便(bian)淋(lin)溲者(zhe)(zhe)(zhe)(zhe)(zhe)(zhe),邪在少(shao)陽、厥(jue)陰,宜(yi)太(tai)陽經(jing)(jing)所加(jia)(jia)(jia)(jia)(jia)(jia)之(zhi)(zhi)(zhi)(zhi)藥(yao)(yao)(yao)(yao),更(geng)添柴胡5分(fen)(fen)(fen)(fen)(fen)(fen),如(ru)(ru)淋(lin),加(jia)(jia)(jia)(jia)(jia)(jia)澤瀉5分(fen)(fen)(fen)(fen)(fen)(fen);大(da)(da)便(bian)秘澀,加(jia)(jia)(jia)(jia)(jia)(jia)當歸1錢(qian),大(da)(da)黃(huang)(huang)(huang)(huang)(酒洗,煨(wei))5分(fen)(fen)(fen)(fen)(fen)(fen)或(huo)(huo)1錢(qian);如(ru)(ru)有(you)不(bu)大(da)(da)便(bian)者(zhe)(zhe)(zhe)(zhe)(zhe)(zhe),煎成正藥(yao)(yao)(yao)(yao),先用清者(zhe)(zhe)(zhe)(zhe)(zhe)(zhe)1口(kou)(kou)(kou),調玄明粉5分(fen)(fen)(fen)(fen)(fen)(fen)或(huo)(huo)1錢(qian),大(da)(da)便(bian)行(xing)(xing)則(ze)止;腳膝痿軟,行(xing)(xing)步乏力,或(huo)(huo)痛(tong)(tong)(tong),乃(nai)(nai)腎(shen)肝伏熱,少(shao)加(jia)(jia)(jia)(jia)(jia)(jia)黃(huang)(huang)(huang)(huang)柏5分(fen)(fen)(fen)(fen)(fen)(fen),空心(xin)(xin)服,不(bu)已,更(geng)加(jia)(jia)(jia)(jia)(jia)(jia)漢防(fang)己5分(fen)(fen)(fen)(fen)(fen)(fen);脈(mo)緩,沉困怠(dai)惰無(wu)力者(zhe)(zhe)(zhe)(zhe)(zhe)(zhe),加(jia)(jia)(jia)(jia)(jia)(jia)蒼術、人(ren)參(can)、澤瀉、白術、茯苓、五(wu)味子(zi)各(ge)(ge)(ge)(ge)5分(fen)(fen)(fen)(fen)(fen)(fen)。
注意 : 下元虛者禁用。
各家論述 : 1.《內(nei)外傷辨》:夫脾(pi)(pi)胃虛(xu)(xu)者(zhe),因飲(yin)食(shi)勞倦,心(xin)(xin)火(huo)亢甚,而(er)(er)乘其(qi)土(tu)位,其(qi)次肺(fei)氣(qi)(qi)(qi)受邪(xie),須(xu)用(yong)(yong)黃(huang)耆(qi)最多(duo),人(ren)參(can)、甘(gan)草次之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。脾(pi)(pi)胃一虛(xu)(xu),肺(fei)氣(qi)(qi)(qi)先絕,故用(yong)(yong)黃(huang)耆(qi)以益(yi)皮(pi)毛而(er)(er)閉腠理(li),不令自(zi)汗,損傷元(yuan)氣(qi)(qi)(qi);上(shang)喘氣(qi)(qi)(qi)短,人(ren)參(can)以補(bu)(bu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi);心(xin)(xin)火(huo)乘脾(pi)(pi),須(xu)炙(zhi)甘(gan)草之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)甘(gan)以瀉(xie)火(huo)熱,而(er)(er)補(bu)(bu)脾(pi)(pi)胃中(zhong)(zhong)(zhong)元(yuan)氣(qi)(qi)(qi);白術若甘(gan)溫(wen)(wen),除胃中(zhong)(zhong)(zhong)熱,利腰臍間血;胃中(zhong)(zhong)(zhong)清(qing)氣(qi)(qi)(qi)在下(xia)(xia),必加(jia)升(sheng)麻、柴(chai)(chai)(chai)胡以引(yin)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),引(yin)黃(huang)耆(qi)、人(ren)參(can)、甘(gan)草甘(gan)溫(wen)(wen)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)氣(qi)(qi)(qi)味上(shang)升(sheng),能(neng)補(bu)(bu)衛氣(qi)(qi)(qi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)散解,而(er)(er)實其(qi)表也,又緩帶脈(mo)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)縮急,二味苦平,味之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)薄者(zhe),陰(yin)中(zhong)(zhong)(zhong)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)陽(yang)(yang),引(yin)清(qing)氣(qi)(qi)(qi)上(shang)升(sheng);氣(qi)(qi)(qi)亂于(yu)胸(xiong)(xiong)(xiong)中(zhong)(zhong)(zhong),為(wei)(wei)(wei)清(qing)濁相干,用(yong)(yong)去(qu)白陳皮(pi)以理(li)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),又能(neng)助(zhu)陽(yang)(yang)氣(qi)(qi)(qi)上(shang)升(sheng),以散滯(zhi)氣(qi)(qi)(qi),助(zhu)諸(zhu)(zhu)辛甘(gan)為(wei)(wei)(wei)用(yong)(yong)。2.《醫方集解》:此(ci)足(zu)太陰(yin)、陽(yang)(yang)明(ming)藥也。肺(fei)者(zhe)氣(qi)(qi)(qi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)本(ben),黃(huang)耆(qi)補(bu)(bu)肺(fei)固(gu)表為(wei)(wei)(wei)君;脾(pi)(pi)者(zhe)肺(fei)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)本(ben),人(ren)參(can)、甘(gan)草補(bu)(bu)脾(pi)(pi)益(yi)氣(qi)(qi)(qi)和中(zhong)(zhong)(zhong),瀉(xie)火(huo)為(wei)(wei)(wei)臣;白術燥濕(shi)強脾(pi)(pi),當歸和血養(yang)陰(yin)為(wei)(wei)(wei)佐;升(sheng)麻以升(sheng)陽(yang)(yang)明(ming)清(qing)氣(qi)(qi)(qi),柴(chai)(chai)(chai)胡以升(sheng)少陽(yang)(yang)清(qing)氣(qi)(qi)(qi),陽(yang)(yang)升(sheng)則(ze)萬物生,清(qing)升(sheng)則(ze)濁陰(yin)降,加(jia)陳皮(pi)者(zhe),以通利其(qi)氣(qi)(qi)(qi);生姜(jiang)辛溫(wen)(wen),大棗甘(gan)溫(wen)(wen),用(yong)(yong)以和營(ying)衛,開腠理(li),致(zhi)津液,諸(zhu)(zhu)虛(xu)(xu)不足(zu),先建其(qi)中(zhong)(zhong)(zhong)。3.《法(fa)律》:東(dong)垣所論飲(yin)食(shi)勞倦,內(nei)傷元(yuan)氣(qi)(qi)(qi),則(ze)胃脘(wan)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)陽(yang)(yang)不能(neng)升(sheng)舉,并(bing)心(xin)(xin)肺(fei)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)氣(qi)(qi)(qi),陷(xian)入(ru)于(yu)中(zhong)(zhong)(zhong)焦,而(er)(er)用(yong)(yong)補(bu)(bu)中(zhong)(zhong)(zhong)益(yi)氣(qi)(qi)(qi)治之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。方中(zhong)(zhong)(zhong)佐以柴(chai)(chai)(chai)胡、升(sheng)麻二味,一從(cong)左旋,一從(cong)右(you)旋,旋轉于(yu)胃之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)左右(you),升(sheng)舉其(qi)上(shang)焦所陷(xian)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)氣(qi)(qi)(qi),非自(zi)腹(fu)(fu)(fu)中(zhong)(zhong)(zhong)而(er)(er)升(sheng)舉之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)也。其(qi)清(qing)氣(qi)(qi)(qi)下(xia)(xia)入(ru)腹(fu)(fu)(fu)中(zhong)(zhong)(zhong),久為(wei)(wei)(wei)飧泄,并(bing)可多(duo)用(yong)(yong)升(sheng)、柴(chai)(chai)(chai),從(cong)腹(fu)(fu)(fu)中(zhong)(zhong)(zhong)而(er)(er)升(sheng)舉之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)矣。若陽(yang)(yang)氣(qi)(qi)(qi)未必陷(xian)下(xia)(xia),反升(sheng)舉其(qi)陰(yin)氣(qi)(qi)(qi),干犯陽(yang)(yang)位,為(wei)(wei)(wei)變豈小哉。更有(you)陰(yin)氣(qi)(qi)(qi)素慣上(shang)干清(qing)陽(yang)(yang),而(er)(er)胸(xiong)(xiong)(xiong)中(zhong)(zhong)(zhong)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)肉(rou)隆聳為(wei)(wei)(wei)(月真),胸(xiong)(xiong)(xiong)間之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)氣(qi)(qi)(qi)漫散為(wei)(wei)(wei)脹者(zhe),而(er)(er)誤(wu)施此(ci)法(fa),天翻地覆,九道皆塞,有(you)瀕(bin)于(yu)死而(er)(er)坐困(kun)耳。
摘錄 : 《內外傷辨》卷中
功能主治 : 補元氣(qi),瀉心火。主(zhu)飲食勞倦(juan)所(suo)傷,氣(qi)高身熱,煩喘短氣(qi),鼻息不(bu)調,嗜臥困倦(juan)少言,皆為熱傷元氣(qi)耗神。其初肌膚間必大熱燥(zao)悶(men),心煩而渴(ke),久(jiu)后則不(bu)渴(ke),頭痛(tong)大作,四肢(zhi)疼痛(tong),表虛(xu)不(bu)任(ren)風寒,目不(bu)欲開。
用法用量 : 上(口(kou)父)咀,作1服。水2盞,量氣弱氣盛(sheng)加(jia)(jia)(jia)(jia)(jia)(jia)減(jian)水盞大(da)小,去(qu)(qu)(qu)滓(zi),食(shi)遠稍熱服,傷(shang)重者(zhe)不2服。病(bing)勞復(fu)熱甚者(zhe),黃(huang)耆用(yong)1錢(qian);如(ru)覺(jue)(jue)胸中(zhong)熱者(zhe),去(qu)(qu)(qu)黃(huang)柏;如(ru)覺(jue)(jue)胸中(zhong)不熱者(zhe),去(qu)(qu)(qu)生甘草(cao)(cao)梢;腹中(zhong)痛(tong)(tong)(tong)(tong),加(jia)(jia)(jia)(jia)(jia)(jia)白(bai)芍(shao)藥(yao)半(ban)(ban)(ban)(ban)分(fen)(fen)(fen)(fen)、甘草(cao)(cao)3分(fen)(fen)(fen)(fen);惡寒(han)(han)冷痛(tong)(tong)(tong)(tong),加(jia)(jia)(jia)(jia)(jia)(jia)去(qu)(qu)(qu)皮中(zhong)桂1-2分(fen)(fen)(fen)(fen)(即桂心);惡熱喜寒(han)(han)而痛(tong)(tong)(tong)(tong)者(zhe),于已(yi)加(jia)(jia)(jia)(jia)(jia)(jia)白(bai)芍(shao)藥(yao)、甘草(cao)(cao)二味(wei)中(zhong),更(geng)加(jia)(jia)(jia)(jia)(jia)(jia)生黃(huang)芩1-2分(fen)(fen)(fen)(fen),治(zhi)時熱也(ye);如(ru)天(tian)涼(liang)(liang)時惡熱而痛(tong)(tong)(tong)(tong),于已(yi)加(jia)(jia)(jia)(jia)(jia)(jia)白(bai)芍(shao)藥(yao)、甘草(cao)(cao)、黃(huang)芩中(zhong),更(geng)少加(jia)(jia)(jia)(jia)(jia)(jia)桂1分(fen)(fen)(fen)(fen);如(ru)腹痛(tong)(tong)(tong)(tong)在天(tian)氣寒(han)(han)冷時,則去(qu)(qu)(qu)芍(shao)藥(yao),以其(qi)味(wei)酸而寒(han)(han)故也(ye),別(bie)加(jia)(jia)(jia)(jia)(jia)(jia)熱藥(yao)用(yong)之;天(tian)氣寒(han)(han)時腹痛(tong)(tong)(tong)(tong),加(jia)(jia)(jia)(jia)(jia)(jia)益智(zhi)仁2-3分(fen)(fen)(fen)(fen),或加(jia)(jia)(jia)(jia)(jia)(jia)半(ban)(ban)(ban)(ban)夏(xia)半(ban)(ban)(ban)(ban)錢(qian)、生姜3片(pian),忌用(yong)芍(shao)藥(yao);頭痛(tong)(tong)(tong)(tong)加(jia)(jia)(jia)(jia)(jia)(jia)蔓荊(jing)子2分(fen)(fen)(fen)(fen),痛(tong)(tong)(tong)(tong)甚加(jia)(jia)(jia)(jia)(jia)(jia)川芎(xiong)2分(fen)(fen)(fen)(fen),頂痛(tong)(tong)(tong)(tong)、腦痛(tong)(tong)(tong)(tong)更(geng)加(jia)(jia)(jia)(jia)(jia)(jia)蔽本根3分(fen)(fen)(fen)(fen)或半(ban)(ban)(ban)(ban)錢(qian),若頭痛(tong)(tong)(tong)(tong)更(geng)加(jia)(jia)(jia)(jia)(jia)(jia)細辛2分(fen)(fen)(fen)(fen);臍中(zhong)痛(tong)(tong)(tong)(tong)者(zhe),加(jia)(jia)(jia)(jia)(jia)(jia)蒸熟地黃(huang)半(ban)(ban)(ban)(ban)錢(qian),不止(zhi),更(geng)加(jia)(jia)(jia)(jia)(jia)(jia)肉桂(去(qu)(qu)(qu)皮)2-3分(fen)(fen)(fen)(fen);胸中(zhong)氣滯(zhi),加(jia)(jia)(jia)(jia)(jia)(jia)蓮(lian)花、青(qing)皮1分(fen)(fen)(fen)(fen);身間(jian)疼(teng)痛(tong)(tong)(tong)(tong),若覺(jue)(jue)身重者(zhe)濕,加(jia)(jia)(jia)(jia)(jia)(jia)去(qu)(qu)(qu)桂五(wu)苓(ling)散1分(fen)(fen)(fen)(fen),風濕相搏,一身盡疼(teng),加(jia)(jia)(jia)(jia)(jia)(jia)羌活(huo)半(ban)(ban)(ban)(ban)錢(qian)、防風半(ban)(ban)(ban)(ban)錢(qian)、升麻1錢(qian)、柴胡半(ban)(ban)(ban)(ban)錢(qian)、藁本根半(ban)(ban)(ban)(ban)錢(qian),蒼術(shu)勿用(yong);大(da)便(bian)秘澀(se),加(jia)(jia)(jia)(jia)(jia)(jia)當歸1錢(qian),閉澀(se)不大(da)便(bian),煎正藥(yao),或先用(yong)調(diao)玄明(ming)粉(fen)半(ban)(ban)(ban)(ban)錢(qian)1錢(qian);久病(bing)咳嗽者(zhe),去(qu)(qu)(qu)人參(can),冬月加(jia)(jia)(jia)(jia)(jia)(jia)不去(qu)(qu)(qu)書麻黃(huang)半(ban)(ban)(ban)(ban)錢(qian),如(ru)春(chun)(chun)寒(han)(han)者(zhe)亦(yi)加(jia)(jia)(jia)(jia)(jia)(jia),涼(liang)(liang)亦(yi)加(jia)(jia)(jia)(jia)(jia)(jia),如(ru)春(chun)(chun)月天(tian)溫,加(jia)(jia)(jia)(jia)(jia)(jia)佛(fo)耳、甘草(cao)(cao)3分(fen)(fen)(fen)(fen)、款冬花1分(fen)(fen)(fen)(fen),勿加(jia)(jia)(jia)(jia)(jia)(jia)麻黃(huang);若初病(bing)之人痰嗽,不去(qu)(qu)(qu)人參(can),久病(bing)肺中(zhong)優火者(zhe),去(qu)(qu)(qu)人參(can);夏(xia)月得病(bing),加(jia)(jia)(jia)(jia)(jia)(jia)五(wu)味(wei)子(去(qu)(qu)(qu)子)7-8個、去(qu)(qu)(qu)心麥門(men)冬1-2分(fen)(fen)(fen)(fen);如(ru)舌上白(bai)滑苔者(zhe),是胸中(zhong)有寒(han)(han),勿用(yong)之,夏(xia)月更(geng)加(jia)(jia)(jia)(jia)(jia)(jia)人參(can)2分(fen)(fen)(fen)(fen),五(wu)味(wei)子、麥門(men)冬各等(deng)分(fen)(fen)(fen)(fen),病(bing)人能(neng)食(shi),心下(xia)痞,加(jia)(jia)(jia)(jia)(jia)(jia)黃(huang)連1分(fen)(fen)(fen)(fen),如(ru)不能(neng)食(shi),心下(xia)痞,勿加(jia)(jia)(jia)(jia)(jia)(jia)黃(huang)連,依方服;脅(xie)下(xia)痛(tong)(tong)(tong)(tong)或脅(xie)下(xia)縮急,加(jia)(jia)(jia)(jia)(jia)(jia)柴胡3分(fen)(fen)(fen)(fen),甚者(zhe)加(jia)(jia)(jia)(jia)(jia)(jia)半(ban)(ban)(ban)(ban)錢(qian)。
各家論述 : 黃耆、人參、甘草(cao),除燥(zao)熱、解肌熱之圣藥,當歸身以和血脈,橘(ju)皮導滯氣(qi)(qi),得甘藥能益元氣(qi)(qi),若獨用瀉脾,升(sheng)麻引(yin)胃(wei)氣(qi)(qi)上升(sheng)而復(fu)其位,柴胡引(yin)清氣(qi)(qi),行(xing)少陽之氣(qi)(qi)上升(sheng)。
摘錄 : 《普濟(ji)方(fang)》卷二十(shi)四(si)引《內外傷辨》
功能主治 : 脾胃虛弱,痘瘡發熱(re),手足反冷者(zhe)。
用法用量 : 水煎服。病甚者,加(jia)熟(shu)附子。
摘錄 : 《片玉痘疹》卷六
功能主治 : 痘后脾虛(xu),寒熱似瘧(nve)(nve),非(fei)真瘧(nve)(nve)。
用法用量 : 生姜、大棗為引,水(shui)煎(jian)服。虛甚者,加(jia)熟附子。
摘錄 : 《幼幼集成》卷六
功能主治 : 補(bu)元氣(qi),瀉火(huo)邪。主內(nei)傷(shang),喜怒過度(du),飲食失節(jie),寒溫不(bu)適,勞役所傷(shang),以致中(zhong)氣(qi)不(bu)足,陰火(huo)獨旺,上乘陽(yang)分,榮衛失守,氣(qi)高而(er)(er)喘,身熱而(er)(er)煩,短氣(qi)上逆,鼻息不(bu)調,怠情嗜臥,四肢困倦不(bu)收,無氣(qi)以動,亦無氣(qi)以言。
用法用量 : 上(shang)(shang)作1服。水煎,午前稍熱服。嗽者(zhe),黃(huang)(huang)(huang)耆用半(ban)錢(qian)(qian)(qian)(qian)(qian)(qian),并去人(ren)參(can),不(bu)渴者(zhe),去葛(ge)根(gen);頭痛(tong),加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)蔓荊子(zi)3分(fen)(fen)(fen)(fen)(fen)(fen),痛(tong)甚(shen),加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)川芎5分(fen)(fen)(fen)(fen)(fen)(fen);頂痛(tong)、腦痛(tong)者(zhe),加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)藁本(ben)5分(fen)(fen)(fen)(fen)(fen)(fen),細辛3分(fen)(fen)(fen)(fen)(fen)(fen);頭痛(tong)有痰(tan),沉重懶倦(juan)者(zhe),乃太(tai)陰(yin)、厥(jue)陰(yin)頭痛(tong),加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)半(ban)夏(xia)半(ban)錢(qian)(qian)(qian)(qian)(qian)(qian)或(huo)(huo)(huo)1錢(qian)(qian)(qian)(qian)(qian)(qian),生姜(jiang)3片;耳鳴目黃(huang)(huang)(huang),頰頷腫(zhong),頸肩臑(nao)肘臂外后廉痛(tong),面(mian)赤,脈(mo)洪(hong)大(da)者(zhe),加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)羌(qiang)活1錢(qian)(qian)(qian)(qian)(qian)(qian),防風(feng)7分(fen)(fen)(fen)(fen)(fen)(fen),甘(gan)(gan)草(cao)(cao)3分(fen)(fen)(fen)(fen)(fen)(fen),藁本(ben)5分(fen)(fen)(fen)(fen)(fen)(fen),通其經血,加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)黃(huang)(huang)(huang)芩(qin)、黃(huang)(huang)(huang)連各(ge)3分(fen)(fen)(fen)(fen)(fen)(fen),消其腫(zhong);咽痛(tong)頷腫(zhong),脈(mo)洪(hong)大(da),面(mian)赤,加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)黃(huang)(huang)(huang)芩(qin)3分(fen)(fen)(fen)(fen)(fen)(fen),桔梗(geng)7分(fen)(fen)(fen)(fen)(fen)(fen),甘(gan)(gan)草(cao)(cao)3分(fen)(fen)(fen)(fen)(fen)(fen);口(kou)干、咽干或(huo)(huo)(huo)渴者(zhe),加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)葛(ge)根(gen)5分(fen)(fen)(fen)(fen)(fen)(fen),升(sheng)胃(wei)氣(qi)(qi)上(shang)(shang)行以潤之(zhi)(zhi);心下(xia)(xia)(xia)痞(pi),瞀(mao)悶(men)者(zhe),加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)芍(shao)藥、黃(huang)(huang)(huang)連各(ge)1錢(qian)(qian)(qian)(qian)(qian)(qian);如(ru)(ru)痞(pi)腹(fu)脹(zhang),加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)枳實(shi)3分(fen)(fen)(fen)(fen)(fen)(fen),厚樸7分(fen)(fen)(fen)(fen)(fen)(fen),木香(xiang)、砂仁各(ge)3分(fen)(fen)(fen)(fen)(fen)(fen);如(ru)(ru)天寒,加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)干姜(jiang);腹(fu)中(zhong)痛(tong),加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)白(bai)芍(shao)藥(炒(chao))半(ban)錢(qian)(qian)(qian)(qian)(qian)(qian),炙(zhi)甘(gan)(gan)草(cao)(cao)3分(fen)(fen)(fen)(fen)(fen)(fen);如(ru)(ru)惡寒覺冷痛(tong),加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)中(zhong)桂(即桂心)半(ban)錢(qian)(qian)(qian)(qian)(qian)(qian);夏(xia)月腹(fu)中(zhong)痛(tong),不(bu)惡寒,不(bu)惡熱者(zhe),加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)黃(huang)(huang)(huang)芩(qin)5分(fen)(fen)(fen)(fen)(fen)(fen),芍(shao)藥1錢(qian)(qian)(qian)(qian)(qian)(qian)、甘(gan)(gan)草(cao)(cao)5分(fen)(fen)(fen)(fen)(fen)(fen),以治時熱;臍下(xia)(xia)(xia)痛(tong)者(zhe),加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)真(zhen)熟(shu)地黃(huang)(huang)(huang)半(ban)錢(qian)(qian)(qian)(qian)(qian)(qian);如(ru)(ru)胸中(zhong)滯氣(qi)(qi),加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)蓮花、青(qing)皮1-2分(fen)(fen)(fen)(fen)(fen)(fen),壅滯可用,氣(qi)(qi)促少氣(qi)(qi)者(zhe)去之(zhi)(zhi);如(ru)(ru)身體疼痛(tong),乃風(feng)濕(shi)相(xiang)搏,加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)羌(qiang)活半(ban)錢(qian)(qian)(qian)(qian)(qian)(qian),防風(feng)半(ban)錢(qian)(qian)(qian)(qian)(qian)(qian),升(sheng)麻(ma)1錢(qian)(qian)(qian)(qian)(qian)(qian),柴胡半(ban)錢(qian)(qian)(qian)(qian)(qian)(qian),藁本(ben)根(gen)半(ban)錢(qian)(qian)(qian)(qian)(qian)(qian),蒼術(shu)(shu)1錢(qian)(qian)(qian)(qian)(qian)(qian),如(ru)(ru)病(bing)去,勿(wu)(wu)再服;若(ruo)大(da)便秘澀,加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)當(dang)歸梢1錢(qian)(qian)(qian)(qian)(qian)(qian);若(ruo)久病(bing)痰(tan)嗽者(zhe),去人(ren)參(can),冬月加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)不(bu)去節麻(ma)黃(huang)(huang)(huang),秋涼亦加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)不(bu)去根(gen)節麻(ma)黃(huang)(huang)(huang),春月天溫(wen),只加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)佛(fo)耳草(cao)(cao)3分(fen)(fen)(fen)(fen)(fen)(fen),款(kuan)花1分(fen)(fen)(fen)(fen)(fen)(fen),勿(wu)(wu)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)麻(ma)黃(huang)(huang)(huang);若(ruo)初(chu)病(bing)之(zhi)(zhi)人(ren),雖痰(tan)嗽,不(bu)去人(ren)參(can),久病(bing)肺中(zhong)伏(fu)火者(zhe),去人(ren)參(can),以防痰(tan)嗽增益(yi)(yi);長夏(xia)濕(shi)土,客邪(xie)大(da)旺,加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)蒼術(shu)(shu)、白(bai)術(shu)(shu)、澤(ze)瀉(xie)(xie),上(shang)(shang)下(xia)(xia)(xia)分(fen)(fen)(fen)(fen)(fen)(fen)消其濕(shi)熱之(zhi)(zhi)氣(qi)(qi);濕(shi)熱大(da)勝,主(zhu)食不(bu)消,故食減(jian)不(bu)知(zhi)谷味(wei),則加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)曲以消之(zhi)(zhi),加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)五(wu)味(wei)子(zi)、麥門冬,助(zhu)人(ren)參(can)瀉(xie)(xie)火,益(yi)(yi)肺氣(qi)(qi),助(zhu)秋損也,在3伏(fu)中(zhong)為圣(sheng)藥;脅下(xia)(xia)(xia)急或(huo)(huo)(huo)痛(tong),俱加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)柴胡、甘(gan)(gan)草(cao)(cao)、人(ren)參(can);多(duo)唾或(huo)(huo)(huo)唾白(bai)沫,胃(wei)口(kou)上(shang)(shang)停寒也,加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)益(yi)(yi)智仁,或(huo)(huo)(huo)胃(wei)當(dang)心痛(tong),加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)草(cao)(cao)仁3分(fen)(fen)(fen)(fen)(fen)(fen);疲甚(shen)之(zhi)(zhi)人(ren),參(can)、耆、術(shu)(shu)有用至1-2兩者(zhe)。
各家論述 : 黃耆、人參、甘(gan)草,除燥熱、肌熱之圣藥,當歸身(shen)以和血脈,柴胡引清氣(qi)行少陽之氣(qi)上升,陳皮導滯氣(qi),又能同諸(zhu)甘(gan)藥益元氣(qi),獨用瀉脾,升麻引胃氣(qi)上騰,而復其本位。
摘錄 : 《丹溪心法》卷三
用法用量 : 上呚咀,都作一服,水二盞(zhan),煎至一盞(zhan),去滓,食遠稍熱服。現代(dai)用法:水煎服。或作丸劑,每服10~15克,日2~3次,溫開(kai)水或姜湯下。
功效 : 補(bu)中益氣(qi),升陽舉(ju)陷。
主治 : 1.脾胃氣虛證:少氣懶言(yan),體倦(juan)肢軟(ruan),面色咣白(bai),飲食減少,大便稀(xi)溏,舌淡,脈大而虛軟(ruan)。2.氣虛發熱(re)證:身熱(re),自汗,渴喜熱(re)飲,氣短(duan)乏(fa)力(li),舌淡,脈虛。3.氣虛下陷證:脫(tuo)肛,子宮脫(tuo)垂(chui),久(jiu)瀉,久(jiu)痢,崩漏等,氣短(duan)乏(fa)力(li)。
方解 : 本方(fang)證(zheng)系脾胃(wei)氣(qi)(qi)(qi)(qi)虛(xu)、清(qing)陽(yang)(yang)下陷所致。脾胃(wei)氣(qi)(qi)(qi)(qi)虛(xu),納運乏力,故(gu)飲食減少、少氣(qi)(qi)(qi)(qi)懶言、大(da)便稀薄;脾主升(sheng)(sheng)清(qing),脾虛(xu)氣(qi)(qi)(qi)(qi)陷,故(gu)見(jian)脫肛、子(zi)宮下垂等;清(qing)陽(yang)(yang)陷于下焦,郁(yu)遏不(bu)達則發熱(re),因非實火(huo),故(gu)其(qi)熱(re)不(bu)甚,病程較(jiao)長,時(shi)發時(shi)止;氣(qi)(qi)(qi)(qi)虛(xu)腠理(li)不(bu)固(gu)(gu),陰液(ye)外(wai)泄則自汗。治(zhi)宜(yi)補(bu)(bu)(bu)中益(yi)(yi)氣(qi)(qi)(qi)(qi),升(sheng)(sheng)陽(yang)(yang)舉陷。方(fang)中重用(yong)黃芪補(bu)(bu)(bu)中益(yi)(yi)氣(qi)(qi)(qi)(qi),固(gu)(gu)表止汗,升(sheng)(sheng)陽(yang)(yang)舉陷,為君藥(yao)。人參、白術、炙甘(gan)(gan)草甘(gan)(gan)溫益(yi)(yi)氣(qi)(qi)(qi)(qi)健脾,共為臣藥(yao)。血(xue)為氣(qi)(qi)(qi)(qi)之(zhi)(zhi)母,故(gu)用(yong)當歸(gui)養血(xue)和營;陳皮理(li)氣(qi)(qi)(qi)(qi)行(xing)滯(zhi),使(shi)補(bu)(bu)(bu)而不(bu)滯(zhi),行(xing)而不(bu)傷,共為佐(zuo)(zuo)藥(yao)。少入柴胡、升(sheng)(sheng)麻(ma)升(sheng)(sheng)陽(yang)(yang)舉陷,佐(zuo)(zuo)助(zhu)君藥(yao)以升(sheng)(sheng)提下陷之(zhi)(zhi)中氣(qi)(qi)(qi)(qi),又(you)能透(tou)表退虛(xu)熱(re),且引芪、參走外(wai)以固(gu)(gu)表,二藥(yao)兼具(ju)佐(zuo)(zuo)使(shi)之(zhi)(zhi)用(yong)。炙甘(gan)(gan)草調和諸藥(yao),亦作(zuo)使(shi)藥(yao)。全(quan)方(fang)補(bu)(bu)(bu)氣(qi)(qi)(qi)(qi)與升(sheng)(sheng)提并(bing)用(yong),使(shi)氣(qi)(qi)(qi)(qi)虛(xu)得補(bu)(bu)(bu),氣(qi)(qi)(qi)(qi)陷得升(sheng)(sheng),為治(zhi)脾虛(xu)氣(qi)(qi)(qi)(qi)陷之(zhi)(zhi)要(yao)方(fang),故(gu)言本方(fang)為“甘(gan)(gan)溫除熱(re)”的代(dai)表方(fang)。
臨床應用 : 1.用(yong)(yong)(yong)方要(yao)點(dian):補中(zhong)(zhong)益(yi)(yi)氣(qi)(qi)(qi)(qi)湯為(wei)(wei)(wei)(wei)(wei)補氣(qi)(qi)(qi)(qi)升陽,甘溫(wen)(wen)除熱(re)的代(dai)表方。臨(lin)(lin)(lin)(lin)床(chuang)(chuang)應用(yong)(yong)(yong)以(yi)(yi)(yi)(yi)體(ti)倦乏力,少(shao)氣(qi)(qi)(qi)(qi)懶言(yan),面色萎黃,脈虛(xu)軟無(wu)(wu)(wu)力為(wei)(wei)(wei)(wei)(wei)辨證(zheng)要(yao)點(dian)。2.現代(dai)運用(yong)(yong)(yong):補中(zhong)(zhong)益(yi)(yi)氣(qi)(qi)(qi)(qi)湯常(chang)(chang)用(yong)(yong)(yong)于(yu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)內(nei)臟下(xia)垂(chui)(chui)、久瀉、久痢、脫(tuo)肛、重(zhong)癥(zheng)肌(ji)無(wu)(wu)(wu)力、乳糜尿、慢性肝(gan)炎(yan)等;婦科(ke)之子(zi)宮(gong)脫(tuo)垂(chui)(chui)、妊娠及(ji)產后癃閉、胎動不安、月經過多(duo);眼(yan)科(ke)之眼(yan)瞼下(xia)垂(chui)(chui)、麻痹(bi)性斜(xie)視等屬脾胃(wei)(wei)氣(qi)(qi)(qi)(qi)虛(xu)或中(zhong)(zhong)氣(qi)(qi)(qi)(qi)下(xia)陷者(zhe)。3.慢性胃(wei)(wei)炎(yan):本(ben)(ben)方隨證(zheng)加(jia)(jia)(jia)減治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)慢性胃(wei)(wei)炎(yan)患(huan)者(zhe)56例(li)(li)(li)(li)(li)(li),與(yu)胃(wei)(wei)復(fu)(fu)春(chun)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)56例(li)(li)(li)(li)(li)(li)對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao),療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)程為(wei)(wei)(wei)(wei)(wei)6周(zhou)。臨(lin)(lin)(lin)(lin)床(chuang)(chuang)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)效(xiao)(xiao)(xiao)(xiao)(xiao)評(ping)(ping)(ping)(ping)價(jia)(jia)以(yi)(yi)(yi)(yi)癥(zheng)狀(zhuang)(zhuang)全部消(xiao)失(shi)(shi),半年(nian)(nian)(nian)至1年(nian)(nian)(nian)內(nei)未復(fu)(fu)發(fa),胃(wei)(wei)鏡檢查胃(wei)(wei)黏膜(mo)正(zheng)(zheng)(zheng)常(chang)(chang)為(wei)(wei)(wei)(wei)(wei)痊(quan)(quan)(quan)愈(yu)標(biao)準。結(jie)(jie)(jie)果(guo)(guo)(guo):總(zong)(zong)(zong)有(you)(you)效(xiao)(xiao)(xiao)(xiao)(xiao)率(lv)(lv)(lv)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)為(wei)(wei)(wei)(wei)(wei)82.2%,對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)為(wei)(wei)(wei)(wei)(wei)48.2%,且(qie)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)幽門(men)螺桿菌清除率(lv)(lv)(lv)亦優于(yu)對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)。(《亞(ya)太傳(chuan)統(tong)醫(yi)藥(yao)》2014年(nian)(nian)(nian)第(di)11期(qi)(qi)(qi)(qi))4.胃(wei)(wei)下(xia)垂(chui)(chui):補中(zhong)(zhong)益(yi)(yi)氣(qi)(qi)(qi)(qi)湯隨證(zheng)加(jia)(jia)(jia)減聯合(he)消(xiao)食口(kou)服液治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)胃(wei)(wei)下(xia)垂(chui)(chui)患(huan)者(zhe)30例(li)(li)(li)(li)(li)(li),與(yu)多(duo)潘立酮治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)30例(li)(li)(li)(li)(li)(li)對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao),療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)程為(wei)(wei)(wei)(wei)(wei)1個(ge)月。臨(lin)(lin)(lin)(lin)床(chuang)(chuang)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)效(xiao)(xiao)(xiao)(xiao)(xiao)評(ping)(ping)(ping)(ping)價(jia)(jia)以(yi)(yi)(yi)(yi)體(ti)重(zhong)增加(jia)(jia)(jia)、食欲正(zheng)(zheng)(zheng)常(chang)(chang)、腹部墜脹(zhang)感等癥(zheng)狀(zhuang)(zhuang)消(xiao)失(shi)(shi),腹背肌(ji)力增強,恢(hui)復(fu)(fu)正(zheng)(zheng)(zheng)常(chang)(chang)工作和(he)勞動,X線(xian)鋇餐示胃(wei)(wei)體(ti)恢(hui)復(fu)(fu)生理位置,胃(wei)(wei)及(ji)十二指腸(chang)未發(fa)現異(yi)常(chang)(chang)為(wei)(wei)(wei)(wei)(wei)痊(quan)(quan)(quan)愈(yu)指標(biao)。結(jie)(jie)(jie)果(guo)(guo)(guo):總(zong)(zong)(zong)有(you)(you)效(xiao)(xiao)(xiao)(xiao)(xiao)率(lv)(lv)(lv)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)為(wei)(wei)(wei)(wei)(wei)90%,對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)為(wei)(wei)(wei)(wei)(wei)83%。(《湖北中(zhong)(zhong)醫(yi)雜志》2014年(nian)(nian)(nian)第(di)3期(qi)(qi)(qi)(qi))5.術后發(fa)熱(re):補中(zhong)(zhong)益(yi)(yi)氣(qi)(qi)(qi)(qi)湯結(jie)(jie)(jie)合(he)常(chang)(chang)規術后處理治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)外科(ke)術后發(fa)熱(re)49例(li)(li)(li)(li)(li)(li),與(yu)單(dan)純(chun)常(chang)(chang)規術后處理治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)48例(li)(li)(li)(li)(li)(li)對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao),用(yong)(yong)(yong)藥(yao)直至體(ti)溫(wen)(wen)恢(hui)復(fu)(fu)正(zheng)(zheng)(zheng)常(chang)(chang)。臨(lin)(lin)(lin)(lin)床(chuang)(chuang)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)效(xiao)(xiao)(xiao)(xiao)(xiao)評(ping)(ping)(ping)(ping)價(jia)(jia)以(yi)(yi)(yi)(yi)患(huan)者(zhe)體(ti)溫(wen)(wen)恢(hui)復(fu)(fu)正(zheng)(zheng)(zheng)常(chang)(chang)且(qie)氣(qi)(qi)(qi)(qi)虛(xu)癥(zheng)狀(zhuang)(zhuang)積(ji)分(fen)較(jiao)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)前(qian)(qian)減少(shao)95%以(yi)(yi)(yi)(yi)上為(wei)(wei)(wei)(wei)(wei)痊(quan)(quan)(quan)愈(yu)。結(jie)(jie)(jie)果(guo)(guo)(guo):治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)患(huan)者(zhe)平均退熱(re)時(shi)間為(wei)(wei)(wei)(wei)(wei)102.48±31.82小時(shi),總(zong)(zong)(zong)有(you)(you)效(xiao)(xiao)(xiao)(xiao)(xiao)率(lv)(lv)(lv)為(wei)(wei)(wei)(wei)(wei)96.96%;對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)患(huan)者(zhe)平均退熱(re)時(shi)間為(wei)(wei)(wei)(wei)(wei)131.45±32.08小時(shi),總(zong)(zong)(zong)有(you)(you)效(xiao)(xiao)(xiao)(xiao)(xiao)率(lv)(lv)(lv)為(wei)(wei)(wei)(wei)(wei)89.58%。(《亞(ya)太傳(chuan)統(tong)醫(yi)藥(yao)》2014年(nian)(nian)(nian)第(di)22期(qi)(qi)(qi)(qi))6.重(zhong)癥(zheng)肌(ji)無(wu)(wu)(wu)力:本(ben)(ben)方隨證(zheng)加(jia)(jia)(jia)減聯合(he)西藥(yao)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)重(zhong)癥(zheng)肌(ji)無(wu)(wu)(wu)力患(huan)者(zhe)14例(li)(li)(li)(li)(li)(li),與(yu)單(dan)純(chun)西藥(yao)(潑(po)尼松(song)、吡(bi)啶斯的明(ming))治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)14例(li)(li)(li)(li)(li)(li)對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao),療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)程為(wei)(wei)(wei)(wei)(wei)3個(ge)月。臨(lin)(lin)(lin)(lin)床(chuang)(chuang)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)效(xiao)(xiao)(xiao)(xiao)(xiao)評(ping)(ping)(ping)(ping)價(jia)(jia)以(yi)(yi)(yi)(yi)患(huan)者(zhe)癥(zheng)狀(zhuang)(zhuang)和(he)體(ti)征全部消(xiao)失(shi)(shi),恢(hui)復(fu)(fu)正(zheng)(zheng)(zheng)常(chang)(chang)工作,3個(ge)月無(wu)(wu)(wu)復(fu)(fu)發(fa)為(wei)(wei)(wei)(wei)(wei)痊(quan)(quan)(quan)愈(yu)標(biao)準。結(jie)(jie)(jie)果(guo)(guo)(guo):總(zong)(zong)(zong)有(you)(you)效(xiao)(xiao)(xiao)(xiao)(xiao)率(lv)(lv)(lv)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)為(wei)(wei)(wei)(wei)(wei)57.1%,對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)為(wei)(wei)(wei)(wei)(wei)14.3%。(《實用(yong)(yong)(yong)中(zhong)(zhong)西醫(yi)結(jie)(jie)(jie)合(he)臨(lin)(lin)(lin)(lin)床(chuang)(chuang)》2013年(nian)(nian)(nian)第(di)7期(qi)(qi)(qi)(qi))7.子(zi)宮(gong)脫(tuo)垂(chui)(chui):本(ben)(ben)方加(jia)(jia)(jia)味(wei)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)子(zi)宮(gong)脫(tuo)垂(chui)(chui)患(huan)者(zhe)30例(li)(li)(li)(li)(li)(li),與(yu)盆底組(zu)(zu)(zu)(zu)(zu)(zu)(zu)織支持療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)法治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)18例(li)(li)(li)(li)(li)(li)對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao),療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)程為(wei)(wei)(wei)(wei)(wei)14日。臨(lin)(lin)(lin)(lin)床(chuang)(chuang)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)效(xiao)(xiao)(xiao)(xiao)(xiao)評(ping)(ping)(ping)(ping)價(jia)(jia)以(yi)(yi)(yi)(yi)癥(zheng)狀(zhuang)(zhuang)、體(ti)征消(xiao)失(shi)(shi)或基本(ben)(ben)消(xiao)失(shi)(shi)為(wei)(wei)(wei)(wei)(wei)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)愈(yu)標(biao)準。結(jie)(jie)(jie)果(guo)(guo)(guo):總(zong)(zong)(zong)有(you)(you)效(xiao)(xiao)(xiao)(xiao)(xiao)率(lv)(lv)(lv)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)為(wei)(wei)(wei)(wei)(wei)86.67%,對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)為(wei)(wei)(wei)(wei)(wei)55.56%。(《實用(yong)(yong)(yong)中(zhong)(zhong)醫(yi)內(nei)科(ke)雜志》2013年(nian)(nian)(nian)第(di)8期(qi)(qi)(qi)(qi)上)8.口(kou)腔(qiang)潰(kui)瘍(yang):補中(zhong)(zhong)益(yi)(yi)氣(qi)(qi)(qi)(qi)湯加(jia)(jia)(jia)味(wei)聯合(he)中(zhong)(zhong)藥(yao)制劑漱口(kou)水治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)復(fu)(fu)發(fa)性口(kou)腔(qiang)潰(kui)瘍(yang)患(huan)者(zhe)33例(li)(li)(li)(li)(li)(li),與(yu)西藥(yao)(維生素B、維生素C、葡(pu)萄糖(tang)酸鋅(xin)口(kou)服液)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)30例(li)(li)(li)(li)(li)(li)對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao),療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)程為(wei)(wei)(wei)(wei)(wei)2周(zhou)。臨(lin)(lin)(lin)(lin)床(chuang)(chuang)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)效(xiao)(xiao)(xiao)(xiao)(xiao)評(ping)(ping)(ping)(ping)價(jia)(jia)以(yi)(yi)(yi)(yi)潰(kui)瘍(yang)愈(yu)合(he),黏膜(mo)光滑無(wu)(wu)(wu)瘢痕(hen),間歇期(qi)(qi)(qi)(qi)延長至6個(ge)月以(yi)(yi)(yi)(yi)上不復(fu)(fu)發(fa)為(wei)(wei)(wei)(wei)(wei)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)愈(yu)標(biao)準。結(jie)(jie)(jie)果(guo)(guo)(guo):總(zong)(zong)(zong)有(you)(you)效(xiao)(xiao)(xiao)(xiao)(xiao)率(lv)(lv)(lv)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)為(wei)(wei)(wei)(wei)(wei)96.96%,對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)為(wei)(wei)(wei)(wei)(wei)83.33%。(《浙江中(zhong)(zhong)醫(yi)雜志》2014年(nian)(nian)(nian)第(di)5期(qi)(qi)(qi)(qi))9.崩漏(lou):本(ben)(ben)方加(jia)(jia)(jia)味(wei)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)脾虛(xu)型(xing)崩漏(lou)患(huan)者(zhe)60例(li)(li)(li)(li)(li)(li),與(yu)宮(gong)血(xue)停顆(ke)粒治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)60例(li)(li)(li)(li)(li)(li)患(huan)者(zhe)對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao),療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)程為(wei)(wei)(wei)(wei)(wei)7~14日。臨(lin)(lin)(lin)(lin)床(chuang)(chuang)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)效(xiao)(xiao)(xiao)(xiao)(xiao)評(ping)(ping)(ping)(ping)價(jia)(jia)以(yi)(yi)(yi)(yi)陰道出血(xue)3-5日內(nei)停止為(wei)(wei)(wei)(wei)(wei)痊(quan)(quan)(quan)愈(yu)標(biao)準。結(jie)(jie)(jie)果(guo)(guo)(guo):總(zong)(zong)(zong)有(you)(you)效(xiao)(xiao)(xiao)(xiao)(xiao)率(lv)(lv)(lv)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)為(wei)(wei)(wei)(wei)(wei)93.33%,對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)為(wei)(wei)(wei)(wei)(wei)73.33%。(《中(zhong)(zhong)國(guo)民族民間醫(yi)藥(yao)》2014年(nian)(nian)(nian)第(di)9期(qi)(qi)(qi)(qi))10.骨(gu)質疏松(song):補中(zhong)(zhong)益(yi)(yi)氣(qi)(qi)(qi)(qi)湯加(jia)(jia)(jia)味(wei)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)老年(nian)(nian)(nian)性骨(gu)質疏松(song)患(huan)者(zhe)30例(li)(li)(li)(li)(li)(li),與(yu)龍牡壯骨(gu)顆(ke)粒治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)30例(li)(li)(li)(li)(li)(li)患(huan)者(zhe)對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao),療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)程為(wei)(wei)(wei)(wei)(wei)12周(zhou)。臨(lin)(lin)(lin)(lin)床(chuang)(chuang)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)效(xiao)(xiao)(xiao)(xiao)(xiao)評(ping)(ping)(ping)(ping)價(jia)(jia)以(yi)(yi)(yi)(yi)疼(teng)痛完全消(xiao)失(shi)(shi),骨(gu)密度較(jiao)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)前(qian)(qian)升高2%以(yi)(yi)(yi)(yi)上為(wei)(wei)(wei)(wei)(wei)顯效(xiao)(xiao)(xiao)(xiao)(xiao)標(biao)準。結(jie)(jie)(jie)果(guo)(guo)(guo):總(zong)(zong)(zong)有(you)(you)效(xiao)(xiao)(xiao)(xiao)(xiao)率(lv)(lv)(lv)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)為(wei)(wei)(wei)(wei)(wei)86.7%,對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)為(wei)(wei)(wei)(wei)(wei)60%。兩組(zu)(zu)(zu)(zu)(zu)(zu)(zu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)后骨(gu)密度均較(jiao)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)前(qian)(qian)提高,且(qie)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)結(jie)(jie)(jie)果(guo)(guo)(guo)優于(yu)對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)。(《陜(shan)西中(zhong)(zhong)醫(yi)》2013年(nian)(nian)(nian)第(di)12期(qi)(qi)(qi)(qi))11.便(bian)秘:本(ben)(ben)方聯合(he)凱格爾訓(xun)練治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)功能性便(bian)秘30例(li)(li)(li)(li)(li)(li),與(yu)西藥(yao)聚乙二醇4000(福(fu)松(song))治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)30例(li)(li)(li)(li)(li)(li)對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao),療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)程為(wei)(wei)(wei)(wei)(wei)2周(zhou)。觀察患(huan)者(zhe)排(pai)(pai)(pai)便(bian)困(kun)難情況,糞便(bian)性狀(zhuang)(zhuang),排(pai)(pai)(pai)便(bian)時(shi)間、下(xia)墜、不盡、脹(zhang)感、頻(pin)度,腹脹(zhang)等癥(zheng)狀(zhuang)(zhuang),并(bing)進行評(ping)(ping)(ping)(ping)分(fen)。臨(lin)(lin)(lin)(lin)床(chuang)(chuang)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)效(xiao)(xiao)(xiao)(xiao)(xiao)評(ping)(ping)(ping)(ping)價(jia)(jia)以(yi)(yi)(yi)(yi)便(bian)秘癥(zheng)狀(zhuang)(zhuang)明(ming)顯好轉,癥(zheng)狀(zhuang)(zhuang)積(ji)分(fen)較(jiao)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)前(qian)(qian)降低70%以(yi)(yi)(yi)(yi)上為(wei)(wei)(wei)(wei)(wei)顯效(xiao)(xiao)(xiao)(xiao)(xiao)標(biao)準。結(jie)(jie)(jie)果(guo)(guo)(guo):總(zong)(zong)(zong)有(you)(you)效(xiao)(xiao)(xiao)(xiao)(xiao)率(lv)(lv)(lv)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)為(wei)(wei)(wei)(wei)(wei)83.3%,對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)為(wei)(wei)(wei)(wei)(wei)66.6%,且(qie)排(pai)(pai)(pai)便(bian)不盡感方面治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)(liao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)效(xiao)(xiao)(xiao)(xiao)(xiao)果(guo)(guo)(guo)優于(yu)對(dui)(dui)(dui)(dui)(dui)照(zhao)(zhao)(zhao)組(zu)(zu)(zu)(zu)(zu)(zu)(zu)。(《福(fu)建中(zhong)(zhong)醫(yi)藥(yao)大(da)學學報》2014年(nian)(nian)(nian)第(di)5期(qi)(qi)(qi)(qi))
現代研究 : 實(shi)驗(yan)研(yan)究表明,脾(pi)虛(xu)證模(mo)型(xing)大鼠(shu)(shu)進行(xing)補中益氣湯干(gan)預(yu)后,對(dui)其脾(pi)臟樣本進行(xing)1HNMR代謝組(zu)學(xue)檢測,發(fa)現模(mo)型(xing)大鼠(shu)(shu)乳酸(suan)、牛磺酸(suan)、次黃嘌呤含最升高,谷氨(an)酸(suan)、鯊肌醇(chun)含量降低,而藥物治療組(zu)可(ke)以(yi)(yi)將以(yi)(yi)上指標回調至(zhi)正常(chang)水平(ping)。補中益氣湯亦可(ke)提高血T3、T4、TSH、IL-1β、IL-2含量,調節脾(pi)虛(xu)發(fa)熱(re)模(mo)型(xing)大鼠(shu)(shu)甲狀(zhuang)腺(xian)和免(mian)疫(yi)功(gong)能指標。
注意 : 本方(fang)甘溫升散,故(gu)對陰虛火旺及內熱熾盛者忌用。
方歌 : 補(bu)中參草術(shu)歸陳(chen),芪(qi)得升柴用更神,勞倦內傷功獨擅,氣(qi)虛發熱亦堪珍(zhen)。
摘錄 : 元(yuan)·李東垣《內外傷辨惑論》
藥能治(zhi)病(bing)(bing),醫乃傳(chuan)方(fang)。溯(su)源古(gu)今,治(zhi)病(bing)(bing)良方(fang)當數十(shi)大(da)名方(fang)。在(zai)(zai)十(shi)大(da)名方(fang)中有一方(fang)獨(du)具特色,配伍精當,君臣(chen)佐使,相制相用,條理井(jing)然,它就是脾(pi)胃大(da)家李東(dong)垣在(zai)(zai)行醫診治(zhi)中耗費諸多心血琢磨出來(lai)的補中益氣湯。時至今日(ri),仍(reng)為后(hou)世醫家所鐘(zhong)愛,今且(qie)看京(jing)城名醫張(zhang)志純是如(ru)何運用的吧!
張老講:補中(zhong)益氣(qi)湯是金元時代(dai)李東垣(yuan)所著(zhu)《脾胃論》中(zhong)治療脾虛(xu)下陷的一張重要處方,原方組成藥精量小,黃芪五分(fen)至一錢(qian),炙甘草五分(fen),人參三(san)分(fen),當歸、陳皮、升麻、柴胡、白術各三(san)分(fen),臨(lin)床(chuang)使用(yong)時常加大(da)十倍。
方中(zhong)參芪(qi)(qi)合(he)用補(bu)(bu)(bu)元氣,補(bu)(bu)(bu)脾氣,也(ye)補(bu)(bu)(bu)宗氣。術、草二藥(yao)重點在補(bu)(bu)(bu)中(zhong)焦之(zhi)脾氣,為(wei)了防止補(bu)(bu)(bu)中(zhong)生(sheng)滯(zhi),故(gu)加陳皮理(li)氣,升(sheng)麻助芪(qi)(qi)升(sheng)脾胃太陰、陽(yang)明之(zhi)氣,柴胡(hu)(hu)舒(shu)(shu)肝利(li)脾并(bing)能(neng)升(sheng)發少陽(yang)之(zhi)氣,當歸(gui)(gui)配(pei)芪(qi)(qi)成(cheng)當歸(gui)(gui)補(bu)(bu)(bu)血湯,能(neng)補(bu)(bu)(bu)氣養(yang)血,當歸(gui)(gui)配(pei)柴胡(hu)(hu)舒(shu)(shu)肝、養(yang)肝、柔肝、利(li)脾。東垣認為(wei),“人以胃氣為(wei)本”,是宗“有胃氣則生(sheng),無胃氣則死(si)”的(de)(de)理(li)論(lun)而提出(chu)的(de)(de),與脾胃為(wei)后(hou)天之(zhi)本的(de)(de)說法實質(zhi)上是一致的(de)(de)。中(zhong)焦為(wei)樞轉之(zhi)處,脾主升(sheng),胃主降(jiang),升(sheng)降(jiang)適當則全(quan)身經絡通達(da),氣血通暢,生(sheng)化之(zhi)源(yuan)正常。
欲想降火,必(bi)先升之(zhi),只要能(neng)升,則(ze)可(ke)自(zi)降。而本方所治者,必(bi)須是因脾(pi)氣虛而不能(neng)升之(zhi)證候(hou)。脾(pi)主(zhu)(zhu)(zhu)四肢,主(zhu)(zhu)(zhu)肌肉(rou),脾(pi)統血(xue),主(zhu)(zhu)(zhu)一身(shen)之(zhi)氣。中氣下(xia)陷,實(shi)質(zhi)是脾(pi)氣虧虛,所以主(zhu)(zhu)(zhu)要癥(zheng)狀是中氣不接,全身(shen)疲(pi)乏,四肢沉(chen)重,納后脹(zhang)滿,也可(ke)能(neng)出現眩暈(yun)、低熱、自(zi)汗、滲血(xue)、脫肛、子宮脫垂、崩漏(lou)、便血(xue)、內臟(zang)下(xia)垂等。筆(bi)者幾十年臨床,用本方加(jia)(jia)減(jian)治愈不少上述病證。具體(ti)加(jia)(jia)減(jian)用法,大體(ti)如下(xia):
1.稟(bing)賦素(su)虧(kui)及大病后體(ti)質虛弱經(jing)久(jiu)不能康復者,若有中氣不接,四(si)肢沉重(zhong),納后飽脹,疲乏(fa)無力(li)或不耐(nai)作勞,舌胖,脈弱而(er)兩寸(cun)不足者,用補中益氣湯,量加十倍,并加入半夏(xia)、生姜、竹茹(ru)。因病久(jiu)必郁,郁久(jiu)生痰(tan)(tan),補中益氣湯中有陳皮也能化痰(tan)(tan),但藥(yao)力(li)不夠。痰(tan)(tan)不化就(jiu)像機器生了銹膩,要想機器轉(zhuan)動,必須拭去銹膩,欲先脾氣轉(zhuan)輸,必須化停痰(tan)(tan)。
2.無名低熱,其(qi)熱夜(ye)去晝來,納谷不香,全身(shen)疲(pi)乏,四肢沉(chen)重(zhong),舌胖,苔黃白相兼,脈(mo)沉(chen)細數無力,是因轉輸(shu)無力,郁滯(zhi)化熱,其(qi)熱泛溢(yi)于三(san)焦。用補中益氣湯(tang),量(liang)加十倍,加入山梔10克(ke),俾脾氣運轉,經脈(mo)透達,三(san)焦郁滯(zhi)之小熱,用山梔最效。
3.尿濁反復,無(wu)有(you)(you)疼(teng)痛,尿留瓶中(zhong)(zhong),白(bai)濁沉于(yu)底部,尿常規檢查無(wu)特殊,發病時常有(you)(you)疲乏無(wu)力,中(zhong)(zhong)氣(qi)不接(jie),納谷不香,甚則腰腿酸(suan)軟,舌胖苔白(bai),脈沉細數(shu),是(shi)脾腎氣(qi)陽兩虛(xu)之象。用補(bu)中(zhong)(zhong)益(yi)(yi)氣(qi)湯,量加十倍,加入水陸二(er)仙丹(金櫻子15克,芡(qian)實米15克)。金櫻子樹生在山坡之處(chu),健脾益(yi)(yi)腎;芡(qian)實米生于(yu)水洼濕地(di),補(bu)腎益(yi)(yi)脾。兩藥(yao)合(he)用,雙補(bu)脾腎可以幫助補(bu)中(zhong)(zhong)益(yi)(yi)氣(qi)湯的輸轉(zhuan)收攝(she)。有(you)(you)是(shi)證(zheng)用是(shi)藥(yao),無(wu)不見效(xiao)。
4.白帶色清(qing)質稀,無有穢濁腥臭,中氣不(bu)接(jie),疲乏無力,四肢沉(chen)重(zhong),納谷不(bu)香,大(da)便時(shi)溏,舌胖苔(tai)白,脈(mo)弱。擬用(yong)補中益(yi)氣湯(tang),量加(jia)十倍,并加(jia)入炒蒼術(shu)15克,黃柏炭10克,炒車(che)前子15克(包煎),炒山藥(yao)15克,多有良效(xiao)。
5.尿血色淡,經全面檢(jian)查無(wu)特殊原因(yin),有(you)中(zhong)氣不接,疲乏無(wu)力,舌(she)胖,脈弱(ruo)者(zhe),用補中(zhong)益氣湯,量加十倍,并加三七粉5克(ke)(分沖)。
6.輕度脫(tuo)肛(gang),有補(bu)中益氣湯(tang)主(zhu)證,用補(bu)中益氣湯(tang),另加五倍子10克,枳(zhi)殼6克。
7.輕度子(zi)宮脫垂,有補中(zhong)益氣(qi)湯主證,用(yong)補中(zhong)益氣(qi)湯,另加益智(zhi)仁10克(ke),五(wu)味子(zi)10克(ke)(打)。
8.習慣性流產,有補(bu)中益(yi)氣湯主證,用補(bu)中益(yi)氣湯,另加菟絲(si)子10克,杜(du)仲10克,川斷10克。
9.久瀉不愈(yu),有(you)補中益氣(qi)湯主證,用(yong)補中益氣(qi)湯,另加粉葛根10克,炒(chao)山(shan)藥10克,炒(chao)車前子(zi)10克(包(bao)),補骨脂10克。
10.腎(shen)下垂輕(qing)者,早晨服(fu)補(bu)中益氣丸6克,晚上服(fu)六味(wei)地黃丸1丸。
11.胃下垂輕者,有補(bu)中(zhong)(zhong)益(yi)(yi)氣(qi)(qi)湯(tang)主證,用補(bu)中(zhong)(zhong)益(yi)(yi)氣(qi)(qi)湯(tang)另加葛(ge)根(gen)(gen)10克(ke),炒枳殼3克(ke),炒枳實(shi)3克(ke)。這里(li)葛(ge)根(gen)(gen)能幫助補(bu)中(zhong)(zhong)益(yi)(yi)氣(qi)(qi)湯(tang)升(sheng)發胃氣(qi)(qi),然胃主降(jiang),胃氣(qi)(qi)不降(jiang)則脾不能升(sheng),故(gu)在大升(sheng)中(zhong)(zhong)稍加炒枳殼、枳實(shi),以使(shi)胃氣(qi)(qi)順降(jiang)。
12.脘部停(ting)飲,背部寒冷(leng),有補中益氣(qi)湯(tang)主(zhu)證,用補中益氣(qi)湯(tang),另(ling)加茯苓15克(ke)(ke),桂枝20克(ke)(ke),澤瀉10克(ke)(ke)。
還有(you)許多疾病,當有(you)補中益氣湯主證時均(jun)可使(shi)用本方加減治療。
重新認識補中益氣湯
補(bu)中(zhong)益(yi)氣(qi)(qi)湯(tang)由黃芪(qi)、炙甘草各(ge)五分(fen),人(ren)參、當歸身、橘皮、升麻、柴胡、白術各(ge)三(san)分(fen)組成(cheng),是(shi)李(li)東(dong)垣創制的中(zhong)醫名方。讀《內外傷辨(bian)惑(huo)論(lun)(lun)》、《脾(pi)胃論(lun)(lun)》,可以看出,補(bu)中(zhong)益(yi)氣(qi)(qi)湯(tang)治療(liao)內傷脾(pi)胃之(zhi)證,是(shi)“始得之(zhi)證”,“始得之(zhi)則氣(qi)(qi)高而(er)喘,身熱而(er)煩,其(qi)脈洪大(da)而(er)頭(tou)痛(tong),或(huo)渴不止,皮膚(fu)不任風(feng)寒而(er)生寒熱”。主(zhu)證是(shi)身熱而(er)煩,脈洪大(da)而(er)頭(tou)痛(tong)。臨床表(biao)現和外感風(feng)寒之(zhi)證相類同,需要認(ren)真辨(bian)認(ren)才(cai)能區(qu)別。“脾(pi)胃一虛(xu),肺(fei)氣(qi)(qi)先絕,故(gu)用黃芪(qi)以益(yi)皮毛而(er)閉腠(cou)理,不令自汗,損其(qi)元氣(qi)(qi)。”既然李(li)東(dong)垣認(ren)為自汗會損人(ren)元氣(qi)(qi),那么接下來加人(ren)參來補(bu)益(yi)元氣(qi)(qi)就(jiu)很(hen)順理成(cheng)章(zhang)了(le)。
“夫脾(pi)胃(wei)虛(xu)者,因飲食(shi)勞倦,心(xin)(xin)火(huo)(huo)(huo)(huo)(huo)亢甚,而乘其(qi)土(tu)位(wei)。”脾(pi)胃(wei)虛(xu)怎么會(hui)導致心(xin)(xin)火(huo)(huo)(huo)(huo)(huo)亢甚?中土(tu)氣虛(xu)就會(hui)導致升降失(shi)調(diao),心(xin)(xin)火(huo)(huo)(huo)(huo)(huo)就不能很好地下(xia)交腎(shen)水(shui),沒有(you)腎(shen)水(shui)相(xiang)配合的(de)(de)心(xin)(xin)火(huo)(huo)(huo)(huo)(huo)就不是(shi)(shi)正(zheng)陽(yang)(yang)而是(shi)(shi)邪(xie)火(huo)(huo)(huo)(huo)(huo),就成了(le)游離之火(huo)(huo)(huo)(huo)(huo),哪里虛(xu)就跑哪里去(qu),現(xian)在(zai)是(shi)(shi)脾(pi)胃(wei)虛(xu),所以(yi)就“乘其(qi)土(tu)位(wei)”,如果其(qi)他臟腑也(ye)虛(xu)的(de)(de)話,也(ye)會(hui)跑去(qu)虛(xu)的(de)(de)臟腑干擾而作亂(luan)。“是(shi)(shi)熱(re)(re)(re)也(ye),非表傷寒邪(xie)皮毛(mao)間(jian)(jian)發熱(re)(re)(re)也(ye),乃腎(shen)間(jian)(jian)受脾(pi)胃(wei)下(xia)流之濕氣,閉塞其(qi)下(xia),致陰火(huo)(huo)(huo)(huo)(huo)上沖,作蒸蒸而躁熱(re)(re)(re),上徹頭頂,旁徹皮毛(mao),渾(hun)身躁熱(re)(re)(re)作,須(xu)待(dai)坦衣露居,近寒涼(liang)處即已,或熱(re)(re)(re)極而汗出亦(yi)。”可(ke)以(yi)看到(dao),這里所說的(de)(de)也(ye)是(shi)(shi)后世醫家(jia)一直(zhi)在(zai)爭議的(de)(de)“陰火(huo)(huo)(huo)(huo)(huo)”,其(qi)實(shi)是(shi)(shi)與(yu)陽(yang)(yang)火(huo)(huo)(huo)(huo)(huo)相(xiang)對(dui)應,是(shi)(shi)一切不在(zai)正(zheng)位(wei)的(de)(de)陽(yang)(yang)氣,特別以(yi)心(xin)(xin)陽(yang)(yang)為主(zhu)(心(xin)(xin)火(huo)(huo)(huo)(huo)(huo)者,陰火(huo)(huo)(huo)(huo)(huo)也(ye))變成游離態的(de)(de)火(huo)(huo)(huo)(huo)(huo),這種(zhong)火(huo)(huo)(huo)(huo)(huo)在(zai)最初作亂(luan)的(de)(de)時(shi)(shi)候,“始得之”的(de)(de)時(shi)(shi)候,力量也(ye)很強大(da),“其(qi)脈洪大(da)”,好像是(shi)(shi)白虎湯的(de)(de)實(shi)熱(re)(re)(re)證。“心(xin)(xin)火(huo)(huo)(huo)(huo)(huo)乘脾(pi),須(xu)炙甘(gan)草(cao)(cao)之甘(gan)以(yi)瀉火(huo)(huo)(huo)(huo)(huo)熱(re)(re)(re),而補(bu)脾(pi)胃(wei)中元氣,若(ruo)脾(pi)胃(wei)急痛并大(da)虛(xu),腹中急縮者,宜多(duo)用(yong)之。”炙甘(gan)草(cao)(cao)的(de)(de)用(yong)法,原文已經說得很清(qing)楚了(le)。其(qi)實(shi)僅(jin)僅(jin)說甘(gan)草(cao)(cao)“補(bu)脾(pi)胃(wei)中元氣”可(ke)能還是(shi)(shi)有(you)點抬舉甘(gan)草(cao)(cao),甘(gan)草(cao)(cao)只(zhi)有(you)在(zai)與(yu)人參配合的(de)(de)時(shi)(shi)候,才會(hui)“補(bu)脾(pi)胃(wei)中元氣”。
接著加當歸身(shen)(shen),是(shi)(shi)用(yong)來“和(he)血(xue)脈(mo)”的(de)(de),李東垣的(de)(de)“和(he)血(xue)脈(mo)”是(shi)(shi)什么意思?原(yuan)方后設(she)的(de)(de)“四(si)時用(yong)藥加減法”當中(zhong)有提到“若更煩亂(luan)(luan),如腹中(zhong)或周身(shen)(shen)有刺痛,皆血(xue)澀不(bu)足,加當歸身(shen)(shen)(五分或一(yi)錢)”。由于(yu)(yu)氣(qi)生血(xue),氣(qi)虛(xu)就(jiu)會導致血(xue)澀不(bu)足,所(suo)以(yi)加當歸來幫(bang)忙(mang)一(yi)下(xia),所(suo)以(yi)就(jiu)說“和(he)血(xue)脈(mo)”。再下(xia)來的(de)(de)橘皮(pi)(pi)是(shi)(shi)“不(bu)去白”的(de)(de),因此不(bu)要用(yong)橘紅,現在一(yi)般稱之(zhi)為(wei)陳皮(pi)(pi)。主(zhu)要是(shi)(shi)用(yong)來“導氣(qi)”, “氣(qi)亂(luan)(luan)于(yu)(yu)胸中(zhong),為(wei)清濁相(xiang)干,用(yong)去白陳皮(pi)(pi)以(yi)理(li)之(zhi),又能(neng)助(zhu)陽氣(qi)上(shang)升,以(yi)散滯(zhi)氣(qi),助(zhu)諸甘(gan)辛為(wei)用(yong),口干咽干加干葛”。并且病人(ren)會出現“虛(xu)不(bu)受補”的(de)(de)情況,就(jiu)是(shi)(shi)用(yong)上(shang)黃芪、人(ren)參之(zhi)后,很有可(ke)能(neng)會出現補不(bu)進去的(de)(de)脹氣(qi)現象(xiang),陳皮(pi)(pi)能(neng)很好(hao)地解決這(zhe)個問題。至于(yu)(yu)用(yong)升麻“引(yin)(yin)胃氣(qi)上(shang)騰而復其本位,便是(shi)(shi)行春(chun)升之(zhi)令”、柴胡“引(yin)(yin)清氣(qi),行少陽之(zhi)氣(qi)上(shang)升”以(yi)處理(li)木克土的(de)(de)問題,這(zhe)些(xie)都很容易(yi)理(li)解。
唯有用到白(bai)(bai)術(shu)的(de)時候,說(shuo)是(shi)(shi)(shi)“降胃(wei)中熱,利(li)(li)腰(yao)臍(qi)間(jian)血(xue)”。但為(wei)什么要這(zhe)樣用,李(li)東垣就沒有作進(jin)一(yi)步的(de)解說(shuo)了。按白(bai)(bai)術(shu)健脾而助脾氣升,胃(wei)氣隨之(zhi)得(de)降而熱除。至于(yu)“利(li)(li)腰(yao)臍(qi)間(jian)血(xue)”,白(bai)(bai)術(shu)的(de)這(zhe)種說(shuo)法最(zui)早出自《名醫(yi)別錄》,其(qi)實(shi)(shi)白(bai)(bai)術(shu)以治濕為(wei)主,“原是(shi)(shi)(shi)利(li)(li)腎中之(zhi)濕”,然后才是(shi)(shi)(shi)間(jian)接的(de)“利(li)(li)腰(yao)臍(qi)間(jian)血(xue)”。其(qi)實(shi)(shi)主要是(shi)(shi)(shi)脾虛則濕盛,于(yu)是(shi)(shi)(shi)就必(bi)定會考慮到用白(bai)(bai)術(shu)來處(chu)理,至于(yu)這(zhe)些水濕是(shi)(shi)(shi)在臍(qi)附近還是(shi)(shi)(shi)在腰(yao)間(jian),都在白(bai)(bai)術(shu)的(de)藥(yao)理范圍之(zhi)內。
在《內(nei)外傷辨惑論(lun)·立方本(ben)指》中有提到(dao)(dao)“少(shao)加黃(huang)(huang)(huang)柏以救腎(shen)水(shui),能(neng)瀉(xie)陰中之(zhi)伏火(huo)。如(ru)煩猶(you)不止,少(shao)加生(sheng)(sheng)地黃(huang)(huang)(huang)補腎(shen)水(shui),水(shui)旺而(er)心火(huo)自降”,從(cong)這里我們(men)可(ke)(ke)以看到(dao)(dao),加黃(huang)(huang)(huang)柏、生(sheng)(sheng)地黃(huang)(huang)(huang)似乎才(cai)成為(wei)完整的(de)(de)治療(liao)脾(pi)胃內(nei)傷“始得之(zhi)證”的(de)(de)補中益(yi)氣湯(tang),但臨床上遇到(dao)(dao)的(de)(de)病人(ren),多數都不屬于“始得之(zhi)證”而(er)已(yi)經是(shi)延(yan)誤很(hen)長的(de)(de)一段時(shi)間(jian)的(de)(de)了,為(wei)了更大范圍地可(ke)(ke)以用到(dao)(dao)補中益(yi)氣湯(tang),這才(cai)在正規的(de)(de)方藥中沒有將(jiang)此二(er)味藥列入(ru)。
補中(zhong)(zhong)益氣(qi)湯好像可(ke)以(yi)很(hen)廣泛地應用(yong)(yong),但現(xian)實的(de)情況(kuang)(kuang)是(shi)(shi),善用(yong)(yong)補中(zhong)(zhong)益氣(qi)湯的(de)醫者日益更少,很(hen)多(duo)時候病人(ren)的(de)證狀明明很(hen)符合(he)中(zhong)(zhong)氣(qi)不(bu)足或(huo)者氣(qi)虛(xu)下陷的(de)證,但用(yong)(yong)補中(zhong)(zhong)益氣(qi)湯的(de)結果(guo)卻是(shi)(shi)“成事不(bu)足,敗事有余”,這其中(zhong)(zhong)主(zhu)(zhu)要存在三(san)大因素。第一(yi)就(jiu)是(shi)(shi)藥量(liang)(liang)(liang)(liang)的(de)問題(ti),原(yuan)方所用(yong)(yong)藥量(liang)(liang)(liang)(liang)非常的(de)輕,折合(he)成現(xian)代用(yong)(yong)量(liang)(liang)(liang)(liang),一(yi)劑藥總劑量(liang)(liang)(liang)(liang)僅為十(shi)克左右(you),雖(sui)然其中(zhong)(zhong)的(de)藥量(liang)(liang)(liang)(liang)可(ke)以(yi)根(gen)據病人(ren)的(de)情況(kuang)(kuang)進行(xing)調(diao)整,但一(yi)般不(bu)能超出原(yuan)來的(de)三(san)倍。第二就(jiu)是(shi)(shi)服用(yong)(yong)方法,是(shi)(shi)“早飯(fan)后溫服”,再(zai)晚(wan)也應該在午時之前,因為整個藥方是(shi)(shi)以(yi)升為主(zhu)(zhu)的(de),最好對應天地的(de)陽升階段。
最(zui)后(hou)也(ye)(ye)是(shi)最(zui)重要的(de),就(jiu)是(shi)要脈(mo)(mo)(mo)證相(xiang)符。在(zai)《內(nei)(nei)(nei)外傷辨惑論·辨脈(mo)(mo)(mo)》中有(you)提到(dao)(dao):“外感風寒,皆(jie)(jie)有(you)余之(zhi)(zhi)證,是(shi)從前客邪(xie)來(lai)(lai)也(ye)(ye),其病必(bi)見(jian)(jian)于(yu)左(zuo)手,左(zuo)手主表,乃行陽二(er)十五度。內(nei)(nei)(nei)傷飲(yin)(yin)食及飲(yin)(yin)食不(bu)(bu)(bu)(bu)節,勞役(yi)過(guo)甚(shen),皆(jie)(jie)不(bu)(bu)(bu)(bu)足之(zhi)(zhi)病也(ye)(ye),必(bi)見(jian)(jian)于(yu)右(you)手,右(you)手主里,乃行陰二(er)十五度”。“內(nei)(nei)(nei)傷飲(yin)(yin)食,則(ze)右(you)寸(cun)氣(qi)(qi)口脈(mo)(mo)(mo)大(da)于(yu)人迎一(yi)倍,傷之(zhi)(zhi)重者,過(guo)在(zai)少陰則(ze)兩(liang)倍,太(tai)陰則(ze)三倍,此(ci)內(nei)(nei)(nei)傷飲(yin)(yin)食之(zhi)(zhi)脈(mo)(mo)(mo)。若飲(yin)(yin)食不(bu)(bu)(bu)(bu)節,勞役(yi)過(guo)甚(shen),則(ze)心脈(mo)(mo)(mo)變見(jian)(jian)于(yu)氣(qi)(qi)口,是(shi)心火(huo)刑(xing)肺(fei),其肝木挾心火(huo)之(zhi)(zhi)勢亦來(lai)(lai)搏肺(fei)。”“若不(bu)(bu)(bu)(bu)甚(shen)勞役(yi),惟(wei)右(you)關脾脈(mo)(mo)(mo)大(da)而(er)數(shu),謂(wei)獨大(da)于(yu)五脈(mo)(mo)(mo),數(shu)中顯(xian)緩(huan)時(shi)一(yi)代也(ye)(ye)。”總結起(qi)來(lai)(lai)就(jiu)是(shi):右(you)脈(mo)(mo)(mo)大(da)于(yu)左(zuo)脈(mo)(mo)(mo),右(you)寸(cun)氣(qi)(qi)口脈(mo)(mo)(mo)大(da)于(yu)人迎脈(mo)(mo)(mo),或(huo)脾脈(mo)(mo)(mo)獨大(da)且見(jian)(jian)數(shu)脈(mo)(mo)(mo)時(shi)可(ke)“數(shu)中顯(xian)緩(huan)”甚(shen)至有(you)時(shi)會(hui)見(jian)(jian)到(dao)(dao)代脈(mo)(mo)(mo)。此(ci)外,李東垣從反(fan)面論述了有(you)一(yi)部分脈(mo)(mo)(mo)象(xiang)是(shi)不(bu)(bu)(bu)(bu)可(ke)以使用(yong)(yong)補中益氣(qi)(qi)湯的(de)。方后(hou)“四時(shi)用(yong)(yong)藥加減(jian)法”中,在(zai)治腹(fu)痛時(shi)提到(dao)(dao):脈(mo)(mo)(mo)弦不(bu)(bu)(bu)(bu)可(ke)用(yong)(yong),當(dang)用(yong)(yong)小建中湯;脈(mo)(mo)(mo)沉細不(bu)(bu)(bu)(bu)可(ke)用(yong)(yong),當(dang)用(yong)(yong)理中湯;脈(mo)(mo)(mo)緩(huan)不(bu)(bu)(bu)(bu)可(ke)用(yong)(yong),當(dang)用(yong)(yong)平胃散。在(zai)這里我(wo)再加一(yi)條:舌苔黃而(er)火(huo)氣(qi)(qi)大(da)者不(bu)(bu)(bu)(bu)可(ke)用(yong)(yong)。
【附】四時用藥加減法(fa)
《內(nei)經》曰 胃為水谷之海。又云 腸胃為市,無物(wu)不包,無物(wu)不入,寒(han)熱溫涼皆有(you)之。其為病也不一,故隨時證(zheng)于補(bu)中(zhong)益氣湯(tang)中(zhong),權立四時加減法于后。
以手(shou)捫之而(er)肌表熱者,表證也(ye)(ye)。只服(fu)(fu)補中益氣湯一(yi)二(er)服(fu)(fu),得微(wei)汗則已。非正發汗,乃陰(yin)陽氣和(he),自然汗出也(ye)(ye)。
若更煩亂,如腹中或周身有(you)刺痛,皆血澀不足(zu),加當歸身(五分或一(yi)錢)。
如精神短少,加人參(五(wu)分),五(wu)味子二十(shi)個。
頭痛加蔓荊子(三分(fen)),痛甚加川芎(五分(fen))。
頂痛腦(nao)痛,加藁(gao)本(五分),細(xi)辛(xin)(三分)。諸(zhu)頭痛,并用(yong)此四味足矣(yi)。
如頭痛有(you)痰,沉重懶(lan)倦者,乃太陰痰厥頭痛,加(jia)半(ban)夏(五分),生姜(三分)。
耳(er)鳴(ming),目黃(huang),頰(jia)頷腫,頸肩(jian)臑肘臂外后廉痛,面赤,脈洪大(da)者,以羌(qiang)活(一(yi)錢),防風(feng)、 藁本(以上各七分),甘草(cao)(五分),通其經血;加(jia)黃(huang)芩、黃(huang)連(以上各三分)消(xiao)其腫;人參(五分),黃(huang)芪(七分),益元氣而瀉(xie)火邪(xie)。另(ling)作(zuo)一(yi)服(fu)與之。
嗌痛頷(han)腫,脈洪大,面赤(chi)者(zhe),加黃芩、甘草(以上各(ge)三分),桔梗(七分)。
口(kou)干(gan)咽干(gan)者,加葛根(五分),升引胃氣上行(xing)以(yi)潤(run)之。
如(ru)夏月咳嗽者,加五味子(二十(shi)五個),麥門冬(去心五分)。
如冬(dong)月咳嗽,加不去根節麻黃(五分)。
如秋涼亦加。
如(ru)春月天溫,只加佛耳草(cao)、款(kuan)冬花(以上(shang)各五(wu)分)。
若久病痰(tan)(tan)嗽,肺中伏(fu)火,去人參,以防痰(tan)(tan)嗽增益(yi)耳。
食不下,乃胸中胃上有寒,或(huo)氣澀滯,加青皮(pi)、木香(xiang)(以上各三(san)分),陳皮(pi)(五分)。此三(san)味為定法。
如冬(dong)月,加益(yi)智仁,草豆(dou)蔻仁(以上各五分)。
如(ru)夏(xia)月,少加黃芩、黃連(以上各五分)。
如秋月(yue),加檳榔、草(cao)豆蔻、白豆蔻、縮砂(以上(shang)各五分)。
如春(chun)(chun)初猶(you)寒,少(shao)加辛熱之(zhi)劑,以補春(chun)(chun)氣之(zhi)不足,為風藥(yao)之(zhi)佐,益智、草豆蔻(kou)可也。
心下痞,夯悶(men)者(zhe),加(jia)芍(shao)藥、黃連(以(yi)上(shang)各一錢)。
如痞腹脹,加枳實、木香、縮砂仁(以上各三分),濃樸(七分)。如天寒(han),少加干姜(jiang)或中桂(gui)(桂(gui)心也(ye))。
心(xin)(xin)下痞,覺中寒,加附子、黃連(以上(shang)各一錢)。不能食(shi)而(er)心(xin)(xin)下痞,加生姜、陳皮(以上(shang)各一錢)。
能(neng)食(shi)而(er)心(xin)下(xia)痞(pi),加黃連(lian)(五分(fen)),枳實(三(san)分(fen))。脈緩有痰而(er)痞(pi),加半夏、黃連(lian)(以(yi)上(shang)各一錢)。脈弦(xian),四肢滿,便(bian)難而(er)心(xin)下(xia)痞(pi),加黃連(lian)(五分(fen)),柴(chai)胡(七分(fen)),甘草(三(san)分(fen))。
腹中(zhong)痛者,加白芍(shao)藥(五(wu)分),甘草(三分)。如惡寒(han)覺冷痛,加中(zhong)桂(五(wu)分)。
如(ru)夏月腹中痛,不惡(e)寒,不惡(e)熱者,加(jia)黃芩、甘草(以上各五分),芍藥(一錢),以治(zhi)時熱也。
腹(fu)痛在寒涼時,加半(ban)夏、益智、草(cao)豆蔻之類。
如腹中(zhong)(zhong)痛,惡寒而脈(mo)(mo)弦(xian)者,是木來(lai)克土(tu)(tu)(tu)也,小建中(zhong)(zhong)湯(tang)主(zhu)(zhu)之(zhi);蓋芍藥味酸,于(yu)土(tu)(tu)(tu)中(zhong)(zhong)瀉(xie)木為(wei)君。如脈(mo)(mo)沉細(xi),腹中(zhong)(zhong)痛,是水來(lai)侮(wu)土(tu)(tu)(tu),以(yi)(yi)理中(zhong)(zhong)湯(tang)主(zhu)(zhu)之(zhi);干姜辛熱(re),于(yu)土(tu)(tu)(tu)中(zhong)(zhong)瀉(xie)水,以(yi)(yi)為(wei)主(zhu)(zhu)也。如脈(mo)(mo)緩,體(ti)重(zhong)節痛,腹脹自(zi)利,米谷不化,是濕(shi)勝,以(yi)(yi)平(ping)胃散主(zhu)(zhu)之(zhi),蒼術苦辛溫,瀉(xie)濕(shi)為(wei)主(zhu)(zhu)也。
脅下痛,或脅下縮急,俱加柴胡(三分(fen),甚則五分(fen)),甘(gan)草(三分(fen))。
臍下痛者,加真熟地(di)黃(五分(fen));如不已者,乃大寒(han)也(ye),加肉桂(gui)(五分(fen))。遍閱《內(nei)經》中悉言小腹痛皆寒(han),非傷(shang)寒(han)厥陰之證也(ye),乃下焦血(xue)結膀胱(guang),仲景(jing)以抵(di)(di)當(dang)湯(tang)并抵(di)(di)當(dang)丸主之。
小便遺失(shi),肺金虛也(ye),宜安(an)臥養(yang)氣(qi),以黃(huang)芪、人參之(zhi)(zhi)類補之(zhi)(zhi)。不愈,則是(shi)有(you)熱(re)(re)也(ye),黃(huang)柏、生(sheng)地黃(huang)(以上各五(wu)分),切禁勞役。如(ru)臥而(er)多驚,小便淋溲者,邪(xie)在(zai)少(shao)陽厥陰,宜太陽經所(suo)加(jia)之(zhi)(zhi)藥,更添柴胡(五(wu)分);如(ru)淋,加(jia)澤(ze)瀉(五(wu)分)。此下焦風寒合病也(ye)。經云,腎肝之(zhi)(zhi)病同一治,為俱在(zai)下焦,非(fei)風藥行經則不可,乃受客邪(xie)之(zhi)(zhi)濕熱(re)(re)也(ye),宜升舉發散以除之(zhi)(zhi)。
大(da)(da)便(bian)秘(mi)澀,加(jia)當歸(一(yi)錢),大(da)(da)黃(酒洗煨(wei),五分(fen)或一(yi)錢)。如(ru)有不(bu)大(da)(da)便(bian)者(zhe)(zhe),煎成正(zheng)藥,先用清(qing)者(zhe)(zhe)一(yi)口,調玄明(ming)粉(fen)(五分(fen)或一(yi)錢),如(ru)大(da)(da)便(bian)行則止(zhi)。此病不(bu)宜大(da)(da)下(xia)之,必(bi)變(bian)兇證也。
腳膝痿(wei)軟,行步乏(fa)力,或痛(tong),乃(nai)腎肝伏熱(re),少(shao)加黃柏(五(wu)分),空心服(fu);不(bu)已,更加漢(han)防己(五(wu)分)。脈緩,顯沉困怠(dai)惰無(wu)力者,加蒼術、人參、澤(ze)瀉、白術、茯(fu)苓、五(wu)味子(以(yi)上各五(wu)分)。
目錄(lu)(lu)(lu)1拼音2概述3《傅青主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)女科(ke)(ke)(ke)》卷(juan)(juan)(juan)(juan)下(xia)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 3.1組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)3.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)3.3加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)3.4各(ge)家論述 4《葉天士女科(ke)(ke)(ke)全(quan)書(shu)(shu)》方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 4.1組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)4.2加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)4.3功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi) 5《醫(yi)(yi)門(men)八(ba)法(fa)(fa)(fa)》卷(juan)(juan)(juan)(juan)二(er)(er)(er)(er)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 5.1處(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)5.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)5.3加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)5.4摘(zhai)(zhai)(zhai)錄(lu)(lu)(lu) 6《醫(yi)(yi)門(men)八(ba)法(fa)(fa)(fa)》卷(juan)(juan)(juan)(juan)三(san)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 6.1處(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)6.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)6.3摘(zhai)(zhai)(zhai)錄(lu)(lu)(lu) 7《醫(yi)(yi)門(men)八(ba)法(fa)(fa)(fa)》卷(juan)(juan)(juan)(juan)四方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 7.1處(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)7.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)7.3摘(zhai)(zhai)(zhai)錄(lu)(lu)(lu) 8《壽(shou)世保元(yuan)》卷(juan)(juan)(juan)(juan)二(er)(er)(er)(er)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 8.1組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)8.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi) 9《壽(shou)世保元(yuan)》卷(juan)(juan)(juan)(juan)三(san)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 9.1處(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)9.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)9.3摘(zhai)(zhai)(zhai)錄(lu)(lu)(lu) 10《壽(shou)世保元(yuan)》卷(juan)(juan)(juan)(juan)四方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 10.1處(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)10.2制(zhi)法(fa)(fa)(fa)10.3功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)10.4加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)10.5運(yun)用(yong)(yong)(yong)(yong)(yong)(yong)10.6摘(zhai)(zhai)(zhai)錄(lu)(lu)(lu) 11《保命歌(ge)括》卷(juan)(juan)(juan)(juan)五方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 11.1處(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)11.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)11.3加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)11.4摘(zhai)(zhai)(zhai)錄(lu)(lu)(lu) 12《保命歌(ge)括》卷(juan)(juan)(juan)(juan)二(er)(er)(er)(er)十二(er)(er)(er)(er)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 12.1處(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)12.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)12.3加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)12.4摘(zhai)(zhai)(zhai)錄(lu)(lu)(lu) 13《葉氏(shi)(shi)女科(ke)(ke)(ke)》方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 13.1處(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)13.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)13.3加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)13.4摘(zhai)(zhai)(zhai)錄(lu)(lu)(lu) 14《溫病(bing)條辨(bian)》卷(juan)(juan)(juan)(juan)二(er)(er)(er)(er)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 14.1處(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)14.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)14.3加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)14.4摘(zhai)(zhai)(zhai)錄(lu)(lu)(lu) 15《萬氏(shi)(shi)女科(ke)(ke)(ke)》卷(juan)(juan)(juan)(juan)一方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 15.1處(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)15.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)15.3加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)15.4摘(zhai)(zhai)(zhai)錄(lu)(lu)(lu) 16《實(shi)用(yong)(yong)(yong)(yong)(yong)(yong)正骨學(xue)》方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 16.1處(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)16.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)16.3加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)16.4摘(zhai)(zhai)(zhai)錄(lu)(lu)(lu) 17《程松崖眼(yan)科(ke)(ke)(ke)》方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 17.1處(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)17.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)17.3摘(zhai)(zhai)(zhai)錄(lu)(lu)(lu) 18《萬氏(shi)(shi)家抄方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)》卷(juan)(juan)(juan)(juan)六(liu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 18.1處(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)18.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)18.3加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)18.4摘(zhai)(zhai)(zhai)錄(lu)(lu)(lu) 19《胎產心法(fa)(fa)(fa)》卷(juan)(juan)(juan)(juan)下(xia)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 19.1處(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)19.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)19.3加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)19.4摘(zhai)(zhai)(zhai)錄(lu)(lu)(lu) 20《易(yi)氏(shi)(shi)醫(yi)(yi)案》方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 20.1處(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)20.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)20.3加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)20.4摘(zhai)(zhai)(zhai)錄(lu)(lu)(lu) 21《魯府禁方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)》卷(juan)(juan)(juan)(juan)二(er)(er)(er)(er)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 21.1處(chu)(chu)(chu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)21.2制(zhi)法(fa)(fa)(fa)21.3功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)21.4加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)21.5摘(zhai)(zhai)(zhai)錄(lu)(lu)(lu) 22《方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)癥(zheng)會要(yao)》卷(juan)(juan)(juan)(juan)二(er)(er)(er)(er)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 22.1組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)22.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)22.3加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang) 23《醫(yi)(yi)便》卷(juan)(juan)(juan)(juan)二(er)(er)(er)(er)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 23.1組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)23.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)23.3加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)23.4運(yun)用(yong)(yong)(yong)(yong)(yong)(yong) 24《丹臺玉案》卷(juan)(juan)(juan)(juan)二(er)(er)(er)(er)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 24.1組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)24.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)24.3加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)24.4運(yun)用(yong)(yong)(yong)(yong)(yong)(yong) 25《中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)婦科(ke)(ke)(ke)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)療學(xue)》方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 25.1組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)25.2功(gong)(gong)(gong)效(xiao)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)25.3加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)25.4運(yun)用(yong)(yong)(yong)(yong)(yong)(yong) 26《醫(yi)(yi)林繩墨大全(quan)》卷(juan)(juan)(juan)(juan)四方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 26.1組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)26.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)26.3加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang) 27《濟陽綱目》卷(juan)(juan)(juan)(juan)三(san)十七(qi)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 27.1組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)27.2制(zhi)備方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)27.3功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)27.4加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)27.5運(yun)用(yong)(yong)(yong)(yong)(yong)(yong) 28《醫(yi)(yi)略六(liu)書(shu)(shu)》卷(juan)(juan)(juan)(juan)二(er)(er)(er)(er)十六(liu)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 28.1組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)28.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)28.3加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)的(de)用(yong)(yong)(yong)(yong)(yong)(yong)法(fa)(fa)(fa)用(yong)(yong)(yong)(yong)(yong)(yong)量(liang)(liang)(liang)(liang)(liang)28.4各(ge)家論述 29《古今醫(yi)(yi)鑒》卷(juan)(juan)(juan)(juan)七(qi)方(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)(fang)之(zhi)(zhi)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 29.1組(zu)(zu)(zu)(zu)成(cheng)(cheng)(cheng)29.2功(gong)(gong)(gong)能(neng)(neng)(neng)(neng)(neng)(neng)(neng)(neng)主(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)(zhu)治(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi) 30參(can)考資料附:1古籍中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)加(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)(jia)減(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)(jian)補(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang)(tang) 1拼音 jiā jiǎn bǔ zhōng yì qì tāng
2概述 加減(jian)補中益氣湯(tang)為方(fang)(fang)劑(ji)(ji)名,其(qi)同(tong)名方(fang)(fang)劑(ji)(ji)約(yue)有二十七首。
3《傅青主女科》卷下方之加減補中益氣湯
人參5錢,黃耆3錢(生用),柴(chai)胡1錢,甘(gan)草(cao)1分(fen)(fen),當歸3錢(酒洗),白術5錢(土炒(chao)),茯苓(ling)1兩,升麻3分(fen)(fen),陳皮3分(fen)(fen)。
妊娠5月(yue),脾肺氣虛,肢體倦(juan)怠,飲食(shi)無味,先兩足腫,漸(jian)至頭面遍身(shen)俱腫。
4《葉天士女科全書》方之加減補中益氣湯
5《醫門八法》卷二方之加減補中益氣湯
6《醫門八法》卷三方之加減補中益氣湯
7《醫門八法》卷四方之加減補中益氣湯
8《壽世保元》卷二方之加減補中益氣湯
9《壽世保元》卷三方之加減補中益氣湯
10《壽世保元》卷四方之加減補中益氣湯
11《保命歌括》卷五方之加減補中益氣湯
12《保命歌括》卷二十二方之加減補中益氣湯
13《葉氏女科》方之加減補中益氣湯
14《溫病條辨》卷二方之加減補中益氣湯
15《萬氏女科》卷一方之加減補中益氣湯
16《實用正骨學》方之加減補中益氣湯
17《程松崖眼科》方之加減補中益氣湯
18《萬氏家抄方》卷六方之加減補中益氣湯
19《胎產心法》卷下方之加減補中益氣湯
20《易氏醫案》方之加減補中益氣湯
21《魯府禁方》卷二方之加減補中益氣湯
22《方癥會要》卷二方之加減補中益氣湯
23《醫便》卷二方之加減補中益氣湯
24《丹臺玉案》卷二方之加減補中益氣湯
25《中醫婦科治療學》方之加減補中益氣湯
人體體表面積計算器BMI指數計算及評價女性安全期計算器預產期計算器孕期體重增長正常值孕期用藥安全性分級(FDA)五行八字成人血壓評價體溫水平評價糖尿病飲食建議臨床生化常用單位換算基礎代謝率計算補鈉計算器補鐵計算器處方常用拉丁文縮寫速查藥代動力學常用符號速查有效血漿滲透壓計算器乙醇攝入量計算器
醫學百科,馬上計算!
26《醫林繩墨大全》卷四方之加減補中益氣湯
27《濟陽綱目》卷三十七方之加減補中益氣湯
28《醫略六書》卷二十六方之加減補中益氣湯
29《古今醫鑒》卷七方之加減補中益氣湯
補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang),最早出(chu)自(zi)李(li)(li)東(dong)(dong)(dong)垣(yuan)(yuan)(yuan)(yuan)所(suo)(suo)著的(de)(de)(de)(de)(de)(de)(de)《內(nei)外(wai)(wai)傷(shang)辨(bian)(bian)(bian)(bian)惑(huo)(huo)論(lun)》一(yi)書,被后世(shi)醫(yi)(yi)(yi)(yi)家(jia)推崇(chong)至極(ji)(ji)。明(ming)(ming)代醫(yi)(yi)(yi)(yi)家(jia)張景岳評價道,“補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang),允(yun)為(wei)李(li)(li)東(dong)(dong)(dong)垣(yuan)(yuan)(yuan)(yuan)獨得(de)(de)(de)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)心法(fa)(fa)(fa)。”而(er)今日,善用(yong)(yong)(yong)(yong)(yong)(yong)補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)(de)(de)醫(yi)(yi)(yi)(yi)者(zhe)日少,初涉臨(lin)床(chuang)(chuang)的(de)(de)(de)(de)(de)(de)(de)醫(yi)(yi)(yi)(yi)生(sheng)(sheng)使用(yong)(yong)(yong)(yong)(yong)(yong)補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)每每會有(you)(you)(you)(you)“成事(shi)不(bu)(bu)足,敗事(shi)有(you)(you)(you)(you)余”的(de)(de)(de)(de)(de)(de)(de)感(gan)覺。為(wei)什么?重(zhong)(zhong)新(xin)認識(shi)補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang),重(zhong)(zhong)新(xin)審視李(li)(li)東(dong)(dong)(dong)垣(yuan)(yuan)(yuan)(yuan)筆下(xia)(xia)的(de)(de)(de)(de)(de)(de)(de)補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang),也(ye)(ye)許(xu)有(you)(you)(you)(you)益(yi)(yi)(yi)(yi)于(yu)臨(lin)床(chuang)(chuang)。 辨(bian)(bian)(bian)(bian)證(zheng):治(zhi)內(nei)傷(shang)脾(pi)(pi)胃(wei)(wei)(wei)(wei)(wei)始得(de)(de)(de) 量(liang)輕效宏 讀(du)《內(nei)外(wai)(wai)傷(shang)辨(bian)(bian)(bian)(bian)惑(huo)(huo)論(lun)》、《脾(pi)(pi)胃(wei)(wei)(wei)(wei)(wei)論(lun)》,可(ke)(ke)(ke)以(yi)(yi)(yi)看出(chu),補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)治(zhi)療(liao)內(nei)傷(shang)脾(pi)(pi)胃(wei)(wei)(wei)(wei)(wei)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)證(zheng),是(shi)(shi)“始得(de)(de)(de)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)證(zheng)”,臨(lin)床(chuang)(chuang)表(biao)(biao)現(xian)可(ke)(ke)(ke)以(yi)(yi)(yi)和(he)(he)外(wai)(wai)感(gan)風寒(han)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)證(zheng)相類同。其(qi)病(bing)(bing)因為(wei)“飲(yin)(yin)(yin)食(shi)失節(jie),寒(han)溫(wen)(wen)(wen)不(bu)(bu)適”,“喜(xi)怒憂恐,勞(lao)役過(guo)度”。病(bing)(bing)機為(wei)“脾(pi)(pi)胃(wei)(wei)(wei)(wei)(wei)氣(qi)(qi)(qi)(qi)(qi)(qi)虛(xu)(xu),則(ze)下(xia)(xia)流于(yu)腎(shen)肝,陰(yin)(yin)火(huo)得(de)(de)(de)以(yi)(yi)(yi)乘其(qi)土(tu)位。” 治(zhi)則(ze)為(wei)《內(nei)經》所(suo)(suo)說(shuo)的(de)(de)(de)(de)(de)(de)(de)“勞(lao)者(zhe)溫(wen)(wen)(wen)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),損(sun)者(zhe)溫(wen)(wen)(wen)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)”,具(ju)體治(zhi)法(fa)(fa)(fa)是(shi)(shi)“惟當(dang)以(yi)(yi)(yi)甘(gan)溫(wen)(wen)(wen)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)劑,補(bu)(bu)(bu)(bu)其(qi)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong),升(sheng)其(qi)陽,甘(gan)寒(han)以(yi)(yi)(yi)瀉(xie)(xie)其(qi)火(huo)則(ze)愈。” 方(fang)(fang)(fang)(fang)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)“須用(yong)(yong)(yong)(yong)(yong)(yong)黃芪最多(duo)”,但(dan)(dan)僅(jin)用(yong)(yong)(yong)(yong)(yong)(yong)“五分(fen)”,“勞(lao)役病(bing)(bing)熱(re)甚者(zhe)一(yi)錢(qian)”,他藥(yao)(yao)(yao)各用(yong)(yong)(yong)(yong)(yong)(yong)“三(san)分(fen)”。折合(he)成現(xian)代用(yong)(yong)(yong)(yong)(yong)(yong)量(liang),一(yi)劑藥(yao)(yao)(yao)總劑量(liang)僅(jin)為(wei)10克左右。服用(yong)(yong)(yong)(yong)(yong)(yong)方(fang)(fang)(fang)(fang)法(fa)(fa)(fa)是(shi)(shi)“早飯(fan)后溫(wen)(wen)(wen)服”。 方(fang)(fang)(fang)(fang)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)黃芪、炙(zhi)甘(gan)草配伍(wu)升(sheng)麻、柴胡,重(zhong)(zhong)在(zai)(zai)(zai)“實其(qi)表(biao)(biao)”,“不(bu)(bu)令自(zi)汗,損(sun)其(qi)元(yuan)氣(qi)(qi)(qi)(qi)(qi)(qi)”;人參、炙(zhi)甘(gan)草重(zhong)(zhong)在(zai)(zai)(zai)“補(bu)(bu)(bu)(bu)脾(pi)(pi)胃(wei)(wei)(wei)(wei)(wei)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)元(yuan)氣(qi)(qi)(qi)(qi)(qi)(qi)”;白術(shu)除用(yong)(yong)(yong)(yong)(yong)(yong)其(qi)“甘(gan)溫(wen)(wen)(wen)”之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)外(wai)(wai),重(zhong)(zhong)在(zai)(zai)(zai)用(yong)(yong)(yong)(yong)(yong)(yong)其(qi)“苦”;橘皮“導氣(qi)(qi)(qi)(qi)(qi)(qi)”,當(dang)歸酒洗“和(he)(he)血脈(mo)(mo)(mo)(mo)(mo)”。 辨(bian)(bian)(bian)(bian)脈(mo)(mo)(mo)(mo)(mo):右脈(mo)(mo)(mo)(mo)(mo)大(da)(da)于(yu)左脈(mo)(mo)(mo)(mo)(mo) 數中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)顯緩 李(li)(li)東(dong)(dong)(dong)垣(yuan)(yuan)(yuan)(yuan)臨(lin)證(zheng)注重(zhong)(zhong)辨(bian)(bian)(bian)(bian)脈(mo)(mo)(mo)(mo)(mo),對外(wai)(wai)感(gan)、內(nei)傷(shang)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)別首列“辨(bian)(bian)(bian)(bian)脈(mo)(mo)(mo)(mo)(mo)”,并(bing)且認為(wei)辨(bian)(bian)(bian)(bian)脈(mo)(mo)(mo)(mo)(mo)已(yi)足夠,“以(yi)(yi)(yi)此辨(bian)(bian)(bian)(bian)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),豈不(bu)(bu)明(ming)(ming)白易見乎。”之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)所(suo)(suo)以(yi)(yi)(yi)《內(nei)外(wai)(wai)傷(shang)辨(bian)(bian)(bian)(bian)惑(huo)(huo)淪》中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)又列辨(bian)(bian)(bian)(bian)癥(zheng)(zheng)候,是(shi)(shi)“但(dan)(dan)恐山(shan)野間卒無醫(yi)(yi)(yi)(yi)者(zhe),何以(yi)(yi)(yi)診候,故(gu)復說(shuo)病(bing)(bing)證(zheng)以(yi)(yi)(yi)辨(bian)(bian)(bian)(bian)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。” 李(li)(li)東(dong)(dong)(dong)垣(yuan)(yuan)(yuan)(yuan)在(zai)(zai)(zai)“辨(bian)(bian)(bian)(bian)脈(mo)(mo)(mo)(mo)(mo)”中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)提到“內(nei)傷(shang)飲(yin)(yin)(yin)食(shi),則(ze)右寸(cun)氣(qi)(qi)(qi)(qi)(qi)(qi)口(kou)(kou)(kou)脈(mo)(mo)(mo)(mo)(mo)大(da)(da)于(yu)人迎一(yi)倍,傷(shang)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)重(zhong)(zhong)者(zhe),過(guo)在(zai)(zai)(zai)少陰(yin)(yin)則(ze)兩倍,太陰(yin)(yin)則(ze)三(san)倍,此內(nei)傷(shang)飲(yin)(yin)(yin)食(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)脈(mo)(mo)(mo)(mo)(mo)。”“若(ruo)飲(yin)(yin)(yin)食(shi)不(bu)(bu)節(jie),勞(lao)役過(guo)甚……氣(qi)(qi)(qi)(qi)(qi)(qi)口(kou)(kou)(kou)脈(mo)(mo)(mo)(mo)(mo)急大(da)(da)而(er)澀(se)數”等,盡管這(zhe)里對脈(mo)(mo)(mo)(mo)(mo)象(xiang)(xiang)(xiang)的(de)(de)(de)(de)(de)(de)(de)記(ji)述似(si)有(you)(you)(you)(you)雜亂之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)嫌,但(dan)(dan)有(you)(you)(you)(you)一(yi)個明(ming)(ming)顯的(de)(de)(de)(de)(de)(de)(de)特點(dian)是(shi)(shi),右脈(mo)(mo)(mo)(mo)(mo)大(da)(da)于(yu)左脈(mo)(mo)(mo)(mo)(mo),或脾(pi)(pi)脈(mo)(mo)(mo)(mo)(mo)獨大(da)(da)于(yu)其(qi)他部(bu)(bu)位脈(mo)(mo)(mo)(mo)(mo),并(bing)且見數脈(mo)(mo)(mo)(mo)(mo)時(shi)(shi)(shi)可(ke)(ke)(ke)“數中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)顯緩”。這(zhe)一(yi)點(dian)對于(yu)使用(yong)(yong)(yong)(yong)(yong)(yong)補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)是(shi)(shi)很有(you)(you)(you)(you)臨(lin)床(chuang)(chuang)意(yi)義的(de)(de)(de)(de)(de)(de)(de)。 還(huan)有(you)(you)(you)(you),李(li)(li)東(dong)(dong)(dong)垣(yuan)(yuan)(yuan)(yuan)從反(fan)(fan)面論(lun)述了有(you)(you)(you)(you)一(yi)部(bu)(bu)分(fen)脈(mo)(mo)(mo)(mo)(mo)象(xiang)(xiang)(xiang)是(shi)(shi)不(bu)(bu)可(ke)(ke)(ke)以(yi)(yi)(yi)使用(yong)(yong)(yong)(yong)(yong)(yong)補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)(de)(de)。方(fang)(fang)(fang)(fang)后“四時(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)加(jia)(jia)(jia)減(jian)法(fa)(fa)(fa)”中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong),在(zai)(zai)(zai)治(zhi)腹痛時(shi)(shi)(shi)提到:脈(mo)(mo)(mo)(mo)(mo)弦不(bu)(bu)可(ke)(ke)(ke)用(yong)(yong)(yong)(yong)(yong)(yong),當(dang)用(yong)(yong)(yong)(yong)(yong)(yong)小(xiao)建中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang);脈(mo)(mo)(mo)(mo)(mo)沉細不(bu)(bu)可(ke)(ke)(ke)用(yong)(yong)(yong)(yong)(yong)(yong),當(dang)用(yong)(yong)(yong)(yong)(yong)(yong)理中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)湯(tang)(tang)(tang)(tang)(tang);脈(mo)(mo)(mo)(mo)(mo)緩不(bu)(bu)可(ke)(ke)(ke)用(yong)(yong)(yong)(yong)(yong)(yong),當(dang)用(yong)(yong)(yong)(yong)(yong)(yong)平胃(wei)(wei)(wei)(wei)(wei)散。從脈(mo)(mo)(mo)(mo)(mo)象(xiang)(xiang)(xiang)鑒別方(fang)(fang)(fang)(fang)證(zheng),簡單而(er)實用(yong)(yong)(yong)(yong)(yong)(yong)。 從李(li)(li)東(dong)(dong)(dong)垣(yuan)(yuan)(yuan)(yuan)筆下(xia)(xia)可(ke)(ke)(ke)以(yi)(yi)(yi)看到,補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)(de)(de)適應病(bing)(bing)證(zheng)是(shi)(shi)非(fei)常廣(guang)的(de)(de)(de)(de)(de)(de)(de),既可(ke)(ke)(ke)治(zhi)內(nei)傷(shang)病(bing)(bing),也(ye)(ye)可(ke)(ke)(ke)以(yi)(yi)(yi)治(zhi)外(wai)(wai)感(gan)病(bing)(bing);方(fang)(fang)(fang)(fang)藥(yao)(yao)(yao)加(jia)(jia)(jia)減(jian)(主要(yao)是(shi)(shi)加(jia)(jia)(jia)藥(yao)(yao)(yao))是(shi)(shi)極(ji)(ji)其(qi)靈活(huo)多(duo)變的(de)(de)(de)(de)(de)(de)(de),補(bu)(bu)(bu)(bu)藥(yao)(yao)(yao)、瀉(xie)(xie)藥(yao)(yao)(yao)、寒(han)藥(yao)(yao)(yao)、熱(re)藥(yao)(yao)(yao)都可(ke)(ke)(ke)以(yi)(yi)(yi)加(jia)(jia)(jia)用(yong)(yong)(yong)(yong)(yong)(yong),不(bu)(bu)拘一(yi)格(ge)。但(dan)(dan)萬變中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)有(you)(you)(you)(you)其(qi)不(bu)(bu)變的(de)(de)(de)(de)(de)(de)(de)根本,也(ye)(ye)就是(shi)(shi)適應癥(zheng)(zheng)只(zhi)能是(shi)(shi)“內(nei)傷(shang)”(外(wai)(wai)感(gan)病(bing)(bing)也(ye)(ye)是(shi)(shi)在(zai)(zai)(zai)內(nei)傷(shang)基礎上(shang)的(de)(de)(de)(de)(de)(de)(de)外(wai)(wai)感(gan)),病(bing)(bing)脈(mo)(mo)(mo)(mo)(mo)主要(yao)出(chu)現(xian)在(zai)(zai)(zai)右關(guan),病(bing)(bing)變的(de)(de)(de)(de)(de)(de)(de)主要(yao)病(bing)(bing)位在(zai)(zai)(zai)脾(pi)(pi)胃(wei)(wei)(wei)(wei)(wei)。 加(jia)(jia)(jia)減(jian):不(bu)(bu)解原意(yi)易壞(huai)事(shi) 張元(yuan)素立(li)(li)方(fang)(fang)(fang)(fang)“非(fei)為(wei)治(zhi)病(bing)(bing)而(er)設,此乃(nai)教人比證(zheng)立(li)(li)方(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)道,容易通曉也(ye)(ye)”,作為(wei)張元(yuan)素的(de)(de)(de)(de)(de)(de)(de)弟子,李(li)(li)東(dong)(dong)(dong)垣(yuan)(yuan)(yuan)(yuan)深(shen)受其(qi)影響(xiang),所(suo)(suo)有(you)(you)(you)(you)方(fang)(fang)(fang)(fang)劑皆為(wei)“從權而(er)立(li)(li)”,也(ye)(ye)就是(shi)(shi)重(zhong)(zhong)在(zai)(zai)(zai)教人立(li)(li)方(fang)(fang)(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)法(fa)(fa)(fa),而(er)不(bu)(bu)是(shi)(shi)傳授他人所(suo)(suo)謂(wei)效方(fang)(fang)(fang)(fang)、驗方(fang)(fang)(fang)(fang)。補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)方(fang)(fang)(fang)(fang)后有(you)(you)(you)(you)一(yi)系(xi)列加(jia)(jia)(jia)減(jian)法(fa)(fa)(fa)及(ji)較(jiao)大(da)(da)篇幅的(de)(de)(de)(de)(de)(de)(de)“四時(shi)(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)加(jia)(jia)(jia)減(jian)法(fa)(fa)(fa)”,示(shi)人方(fang)(fang)(fang)(fang)不(bu)(bu)可(ke)(ke)(ke)執,靈活(huo)應用(yong)(yong)(yong)(yong)(yong)(yong)。 方(fang)(fang)(fang)(fang)書多(duo)說(shuo)補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)證(zheng)應該口(kou)(kou)(kou)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)和(he)(he),不(bu)(bu)喜(xi)飲(yin)(yin)(yin),也(ye)(ye)就是(shi)(shi)說(shuo)口(kou)(kou)(kou)干(gan)、咽干(gan)是(shi)(shi)慎用(yong)(yong)(yong)(yong)(yong)(yong)、不(bu)(bu)用(yong)(yong)(yong)(yong)(yong)(yong)補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)(de)(de)。但(dan)(dan)李(li)(li)東(dong)(dong)(dong)垣(yuan)(yuan)(yuan)(yuan)在(zai)(zai)(zai)方(fang)(fang)(fang)(fang)后的(de)(de)(de)(de)(de)(de)(de)第(di)(di)一(yi)個加(jia)(jia)(jia)減(jian)竟是(shi)(shi)“口(kou)(kou)(kou)干(gan)嗌干(gan)加(jia)(jia)(jia)干(gan)葛”。氣(qi)(qi)(qi)(qi)(qi)(qi)虛(xu)(xu)當(dang)溫(wen)(wen)(wen)補(bu)(bu)(bu)(bu),實火(huo)當(dang)苦瀉(xie)(xie),虛(xu)(xu)火(huo)當(dang)清(qing)補(bu)(bu)(bu)(bu),而(er)李(li)(li)東(dong)(dong)(dong)垣(yuan)(yuan)(yuan)(yuan)的(de)(de)(de)(de)(de)(de)(de)第(di)(di)二(er)個加(jia)(jia)(jia)減(jian)法(fa)(fa)(fa)竟然是(shi)(shi)補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)加(jia)(jia)(jia)苦寒(han)瀉(xie)(xie)火(huo)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)黃柏和(he)(he)甘(gan)寒(han)清(qing)補(bu)(bu)(bu)(bu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)生(sheng)(sheng)地(di)(di)黃。反(fan)(fan)思其(qi)治(zhi)法(fa)(fa)(fa),補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)原方(fang)(fang)(fang)(fang)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)只(zhi)有(you)(you)(you)(you)“補(bu)(bu)(bu)(bu)其(qi)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong),升(sheng)其(qi)陽” 之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)品,而(er)缺少“瀉(xie)(xie)其(qi)火(huo)”之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)藥(yao)(yao)(yao),加(jia)(jia)(jia)黃柏、生(sheng)(sheng)地(di)(di)黃似(si)乎才成為(wei)完整的(de)(de)(de)(de)(de)(de)(de)治(zhi)療(liao)脾(pi)(pi)胃(wei)(wei)(wei)(wei)(wei)內(nei)傷(shang)“始得(de)(de)(de)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)證(zheng)”的(de)(de)(de)(de)(de)(de)(de)補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)。 后世(shi)醫(yi)(yi)(yi)(yi)家(jia)在(zai)(zai)(zai)使用(yong)(yong)(yong)(yong)(yong)(yong)補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)時(shi)(shi)(shi)也(ye)(ye)多(duo)加(jia)(jia)(jia)減(jian)及(ji)合(he)方(fang)(fang)(fang)(fang)使用(yong)(yong)(yong)(yong)(yong)(yong),但(dan)(dan)靈活(huo)性(xing)遠(yuan)不(bu)(bu)及(ji)李(li)(li)東(dong)(dong)(dong)垣(yuan)(yuan)(yuan)(yuan)。具(ju)有(you)(you)(you)(you)代表(biao)(biao)性(xing)的(de)(de)(de)(de)(de)(de)(de)加(jia)(jia)(jia)減(jian)有(you)(you)(you)(you)補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)加(jia)(jia)(jia)茯苓(ling)、半(ban)夏,和(he)(he)補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)合(he)六(liu)(liu)味(wei)地(di)(di)黃丸(wan),讀(du)《薛氏醫(yi)(yi)(yi)(yi)案》和(he)(he)《壽世(shi)保(bao)元(yuan)》隨處可(ke)(ke)(ke)見。 脾(pi)(pi)胃(wei)(wei)(wei)(wei)(wei)不(bu)(bu)足,痰濕(shi)易滯(zhi),理應加(jia)(jia)(jia)茯苓(ling)、半(ban)夏;補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)治(zhi)“元(yuan)氣(qi)(qi)(qi)(qi)(qi)(qi)脾(pi)(pi)胃(wei)(wei)(wei)(wei)(wei)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)虛(xu)(xu)”,六(liu)(liu)味(wei)地(di)(di)黃丸(wan)治(zhi)“腎(shen)水真陰(yin)(yin)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)弱”,“二(er)方(fang)(fang)(fang)(fang)兼而(er)濟之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),乃(nai)王道平和(he)(he)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)劑”,合(he)用(yong)(yong)(yong)(yong)(yong)(yong)似(si)極(ji)(ji)為(wei)高明(ming)(ming)。但(dan)(dan)從李(li)(li)東(dong)(dong)(dong)垣(yuan)(yuan)(yuan)(yuan)“立(li)(li)方(fang)(fang)(fang)(fang)本指”去認識(shi),則(ze)茯苓(ling)、半(ban)夏沉降(jiang)有(you)(you)(you)(you)余,六(liu)(liu)味(wei)地(di)(di)黃丸(wan)降(jiang)入下(xia)(xia)焦,皆不(bu)(bu)利于(yu)“升(sheng)其(qi)陽”。可(ke)(ke)(ke)見,不(bu)(bu)解東(dong)(dong)(dong)垣(yuan)(yuan)(yuan)(yuan)本意(yi),隨意(yi)加(jia)(jia)(jia)減(jian)極(ji)(ji)易“動(dong)手便錯(cuo)”。 誤用(yong)(yong)(yong)(yong)(yong)(yong)極(ji)(ji)易壞(huai)事(shi),于(yu)是(shi)(shi)后世(shi)醫(yi)(yi)(yi)(yi)家(jia)提到了補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)的(de)(de)(de)(de)(de)(de)(de)禁忌癥(zheng)(zheng)。如(ru)張景岳說(shuo):“元(yuan)氣(qi)(qi)(qi)(qi)(qi)(qi)虛(xu)(xu)極(ji)(ji)者(zhe),不(bu)(bu)可(ke)(ke)(ke)泄;陰(yin)(yin)陽下(xia)(xia)竭者(zhe),不(bu)(bu)可(ke)(ke)(ke)升(sheng)。”柯琴說(shuo):“惟不(bu)(bu)宜(yi)于(yu)腎(shen),陰(yin)(yin)虛(xu)(xu)于(yu)下(xia)(xia)者(zhe)不(bu)(bu)宜(yi)升(sheng),陽虛(xu)(xu)于(yu)下(xia)(xia)者(zhe)更不(bu)(bu)宜(yi)升(sheng)也(ye)(ye)。”這(zhe)些論(lun)述對后學(xue)者(zhe)的(de)(de)(de)(de)(de)(de)(de)臨(lin)證(zheng)是(shi)(shi)極(ji)(ji)其(qi)有(you)(you)(you)(you)用(yong)(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)(de)(de)(de)(de)。但(dan)(dan)從李(li)(li)東(dong)(dong)(dong)垣(yuan)(yuan)(yuan)(yuan)“立(li)(li)方(fang)(fang)(fang)(fang)本指”看來,這(zhe)只(zhi)是(shi)(shi)低(di)層次的(de)(de)(de)(de)(de)(de)(de)、形(xing)式上(shang)的(de)(de)(de)(de)(de)(de)(de)認識(shi)。 實際(ji)上(shang),內(nei)傷(shang)脾(pi)(pi)胃(wei)(wei)(wei)(wei)(wei)病(bing)(bing)證(zheng)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong),腎(shen)虛(xu)(xu)完全是(shi)(shi)可(ke)(ke)(ke)以(yi)(yi)(yi)用(yong)(yong)(yong)(yong)(yong)(yong)補(bu)(bu)(bu)(bu)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)益(yi)(yi)(yi)(yi)氣(qi)(qi)(qi)(qi)(qi)(qi)湯(tang)(tang)(tang)(tang)(tang)加(jia)(jia)(jia)減(jian)治(zhi)療(liao)的(de)(de)(de)(de)(de)(de)(de),只(zhi)是(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)時(shi)(shi)(shi)需斟酌升(sheng)降(jiang)浮沉。(高建忠 山(shan)西(xi)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)學(xue)院第(di)(di)二(er)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)醫(yi)(yi)(yi)(yi)院)
益氣聰明湯方 名:益氣聰明湯(補養之劑)
總 結:聰耳明目
編 號:040
組 成:黃耆、人參、白芍、黃柏、葛根、升麻、蔓荊子、炙甘草
主 治:治內障目昏、耳鳴耳聾。
歸 經:足太陰陽明少陰厥陰藥也。
方 義:(1)十二經清陽之氣,皆上于頭面而走空竅,因飲食勞役,脾胃受傷,心火太盛,則百脈沸騰,邪害空竅矣。
(2)參、耆甘溫,以補脾胃。甘草甘緩,以和脾胃。干葛、升麻、蔓荊,輕揚升發,能入陽明,鼓舞胃氣,上行頭目。中氣既足,清陽上升,則九竅通利,耳聰而目明矣。
(3)白芍斂陰和血,黃蘗補腎生水,蓋目為肝竅,耳為腎竅,故又用二者,平肝滋腎也。
煎服法:每四錢,臨臥服,五更再服。
補中益氣湯方 名:補中益氣湯(補養之劑)
總 結:補中升陽
編 號:027
組 成:黃耆、人參、白術、甘草、當歸、陳皮、升麻、柴胡、生姜、大棗
主 治:1.治煩勞內傷,身熱心煩,頭痛惡寒,懶言惡食,脈洪大而虛。
2.或喘或渴,或陽虛自汗,或氣虛不能攝血。
3.或瘧痢脾虛,久不能愈。
4.一切清陽下陷,中氣不足之證。
加 減:1.血不足-加當歸。
2.精神短少-加人參、五味。
3.肺熱欬嗽-去人參。
4.嗌干-加葛根。
5.頭痛-加蔓荊子,痛甚加川芎。
6.腦痛-加?本、細辛。
7.風濕相搏,一身盡痛-加羌活、防風。
8.有痰-加半夏、生姜。
9.胃寒氣滯-加青皮、蔻仁、木香、益智。
10.腹脹-加白芍、甘草。
12.熱痛-加黃連。
13.能食而心下痞-加黃連。
14.咽痛-加桔梗。
15.有寒-加肉桂。
16.濕勝-加蒼術。
17.陰火-加黃柏、加熟地、山藥。
18.陰虛-去升柴,加熟地、山茱、山藥。
19.大便秘-加酒煨大黃。
20.欬嗽:春加旋覆、款冬,夏加麥冬、五味,秋加麻黃、黃芩,冬加不去根節麻
黃,天寒加干姜。
21.泄瀉-去當歸,加茯苓、蒼術、益智。
歸 經:足太陰陽明藥
方 義:1.肺者氣之本,黃耆-補肺固表為君。
2.脾者肺之本,人參、甘草-補脾益氣,和中瀉火為臣。
3.白術燥濕強脾,當歸和血養陰為佐。
6.升麻-以升陽明清氣;柴胡-以升少陽清氣==陽升則萬物生,清升則陰濁降。
6.加陳皮者-以通利其氣。
7.生姜-辛溫;大-棘甘溫==用以和營?,開腠理,致津液諸虛不足。
先建其中,中者何?脾胃是也。
變化方:1.除當歸、白術,加木香、蒼術-名調中益氣湯,治脾胃不調,胸滿肢倦,食少短
氣,口不知味,及食入反出。
2.加白芍、五味子-亦名調中益氣湯,治氣虛多汗,余治同前。
3.加蒼術倍分,半夏、黃芩各三分-名參術益胃湯,治內傷勞倦,燥熱短氣,口渴
無味,大便溏黃。
4.去白術,加草蔻、神曲、半夏、黃柏-名升陽順氣湯,治欱食勞倦所傷,滿悶短
氣,不思食,不知味,時惡寒。
5.加炒芩、神曲-名益胃升陽湯,治婦人經水不調,或脫血后食少水瀉。
6.加黃柏、生地-名補中益氣加黃柏生地湯,治陰火乘陽發熱晝甚,自汗短氣,口
渴無味。
7.加白芍、細辛、川芎、蔓荊-名順氣和中湯,治清陽不升,頭痛惡風,脈弦微細。
8.加羌活、防風、細辛、川芎-名調榮養?湯,治勞力傷寒,體熱,惡寒,微渴,汗
出,身痛,脈浮無力。
煎服法:姜三斤,棗二枚,煎。
出處:《內外傷辨惑論》
補中益氣湯
【來源】《脾胃論》卷中,
【組成】黃耆 甘草(炙)各1.5克 人參(去蘆)0.9克 當歸身0.6克(酒焙干或曬干) 橘皮(不去白)0.6~0.9克 升麻0.6~0.9克 柴胡0.6~0.9克 白術0.9克
【用法】上藥哎咀,都作一服。用水300毫升,煎至150毫升,去滓,空腹時稍熱服。
【功用】補中益氣,升陽舉陷,
【主治】脾胃氣虛,少氣懶言,四肢無力,困倦少食,飲食乏味,不耐勞累,動則氣短;或氣虛發熱,氣高而喘,身熱而煩,渴喜熱飲,其脈洪大,按之無力,皮膚不任風寒,而生寒熱頭痛;或氣虛下陷,久瀉脫肛。現用于子宮下垂;胃下垂或其它內臟下垂者。
【加減】病甚勞役、熱甚者,黃耆加至3克,咳嗽者,去人參;腹中痛者,加白芍藥1.5克、炙甘草1.5克;若惡熱喜寒而腹痛者;再加黃芩0.6~0.9克;惡寒冷痛,加桂心0.3~0.9克;頭痛,加蔓荊子0.6~0.9克;痛甚者加川芎0.6克;頂痛、腦痛,加藁本0.9~1.5克。
【禁忌】陰虛內熱者忌服。
【方論】方中黃耆補中益氣、升陽固表為君;人參、白術、甘草甘溫益氣,補益脾胃為臣;陳皮調理氣機,當歸補血和營為佐;升麻、柴胡協同參、耆升舉清陽為使。綜合全方,一則補氣健脾,使后天生化有源,脾胃氣虛諸證自可痊愈;一則升提中氣,恢復中焦升降之功能,使下脫、下垂之證自復其位。
【實驗研究】(1)對(dui)(dui)(dui)子宮(gong)、心肌(ji)、小(xiao)(xiao)(xiao)腸(chang)(chang)等(deng)不同(tong)器(qi)官的(de)藥(yao)理(li)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong) 《天(tian)津(jin)醫藥(yao)雜志》1960(1):4~12,本方對(dui)(dui)(dui)在(zai)體或離體子宮(gong)及(ji)其周圍(wei)組織有(you)選擇(ze)性(xing)興奮作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong),尤(you)其是加(jia)入益(yi)母草(cao)、枳殼等(deng)藥(yao)物(wu)(wu)(wu)時(shi),其作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)更為突(tu)(tu)出。小(xiao)(xiao)(xiao)量(liang)補中益(yi)氣(qi)湯可以(yi)興奮心肌(ji),過量(liang)則(ze)呈抑制作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)。對(dui)(dui)(dui)小(xiao)(xiao)(xiao)腸(chang)(chang)的(de)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)較復雜,當蠕動(dong)(dong)(dong)亢進時(shi)呈現抑制作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong),使之蠕動(dong)(dong)(dong)減(jian)慢,張(zhang)力降低(di);腸(chang)(chang)管處于抑制狀態時(shi),則(ze)使之蠕動(dong)(dong)(dong)增(zeng)強。從(cong)而(er)(er)證實了(le)本方具有(you)雙向(xiang)調(diao)節作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)。從(cong)實驗中還(huan)可看(kan)出,在(zai)有(you)升麻、柴胡的(de)制劑中,對(dui)(dui)(dui)動(dong)(dong)(dong)物(wu)(wu)(wu)的(de)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)明(ming)(ming)(ming)顯。而(er)(er)去(qu)掉升、柴時(shi),其作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)減(jian)弱,說明(ming)(ming)(ming)此二藥(yao)能增(zeng)強其它藥(yao)物(wu)(wu)(wu)之作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)強度,尤(you)以(yi)對(dui)(dui)(dui)腸(chang)(chang)蠕動(dong)(dong)(dong)作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong)更為明(ming)(ming)(ming)顯。(2)抗基因突(tu)(tu)變及(ji)抗腫瘤作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong) 《中成藥(yao)研究》1985(12):27,本方的(de)抗基因突(tu)(tu)變和抗腫瘤作(zuo)(zuo)(zuo)(zuo)(zuo)用(yong),強于四(si)君(jun)子湯。同(tong)時(shi),本方還(huan)能調(diao)節機體免疫功能,延(yan)長動(dong)(dong)(dong)物(wu)(wu)(wu)存(cun)活時(shi)間。提示在(zai)臨床上(shang)使用(yong)抗腫瘤化療藥(yao)物(wu)(wu)(wu)時(shi),配(pei)合(he)應用(yong)本方,可提高療效,降低(di)化療藥(yao)物(wu)(wu)(wu)毒副反應。
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