補中益(yi)氣湯

《脾胃論》卷中：補中益氣湯

處方 : 黃耆 甘草（炙）各1.5克(ke)(ke) 人參（去(qu)(qu)蘆）0.9克(ke)(ke) 當歸身(shen)0.6克(ke)(ke)（酒焙干(gan)或曬干(gan)）橘皮（不去(qu)(qu)白）0.6～0.9克(ke)(ke) 升麻0.6～0.9克(ke)(ke) 柴胡0.6～0.9克(ke)(ke) 白術0.9克(ke)(ke)

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

《梅氏驗方新編》卷六：補中益氣湯

處方 : 黃耆2兩，人參1錢(qian)(qian)(qian)，炙(zhi)草8分，半夏1兩，炒(chao)白芍5錢(qian)(qian)(qian)，獨活(huo)5錢(qian)(qian)(qian)，防風5錢(qian)(qian)(qian)，炒(chao)白術3錢(qian)(qian)(qian)，茯(fu)苓3錢(qian)(qian)(qian)，澤(ze)瀉3錢(qian)(qian)(qian)，柴胡3錢(qian)(qian)(qian)，連(lian)翹(qiao)2錢(qian)(qian)(qian)，羌活(huo)1錢(qian)(qian)(qian)半。

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)

《片玉痘疹》卷十二：補中益氣湯

處方 : 人(ren)參、黃耆、甘草（炙）、柴胡（炙）、白術、升麻、陳(chen)皮、桂枝、當歸(gui)、木香(xiang)。

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

《外科正宗》卷一：補中益氣湯

處方 : 黃(huang)耆1錢(qian)5分，甘草（炙(zhi)）1錢(qian)，人參(can)1錢(qian)，當歸1錢(qian)，白術1錢(qian)，升(sheng)麻3分，柴胡(hu)3分，陳皮(pi)3分，麥門冬(dong)6分，五味子（炒）5分。

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

《回春》卷七：補中益氣湯

處方 : 當歸1錢(qian)(qian)，黃耆1錢(qian)(qian)，人(ren)參5分(fen)，白術8分(fen)，柴胡1錢(qian)(qian)，升麻1錢(qian)(qian)，干葛1錢(qian)(qian)，甘(gan)草(cao)5分(fen)。

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

《痘疹全書》卷下：補中益氣湯

處方 : 人(ren)參、白術、黃耆、陳皮(pi)(pi)、甘草、青皮(pi)(pi)、枳(zhi)實(shi)、木香、神(shen)曲（炒）、黃連(lian)、麥(mai)芽(ya)。

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

《種痘新書》卷九：補中益氣湯

處方 : 人(ren)參、黃耆(qi)、白術、茯(fu)苓、升麻、柴胡、炙草。

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

《杏苑》卷三：補中益氣湯

處方 : 黃耆4錢，甘草（炙）5分，白術1錢，人(ren)參3錢，升(sheng)麻2分，柴胡5分，陳皮8分，黃柏6分，當歸1錢，生姜3片。

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

《喉科種福》卷四：補中益氣湯

處方 : 牛(niu)蒡子1錢半(ban)(ban)(ban)，元參3錢，蜜耆3錢，白術1錢半(ban)(ban)(ban)（蜜炒），廣陳(chen)皮1錢半(ban)(ban)(ban)，當歸1錢半(ban)(ban)(ban)，甘草(cao)1錢，麥(mai)冬(dong)3錢半(ban)(ban)(ban)，苦桔(jie)梗1錢，紅棗1枚，生姜3片，柴胡(hu)2錢（酒(jiu)炒），升麻8分（酒(jiu)炒）。

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

《幼科金針》卷下：補中益氣湯

處方 : 人參(can)1錢(qian)(qian)，白術(shu)1錢(qian)(qian)，當歸1錢(qian)(qian)，陳皮1錢(qian)(qian)，甘草5分(fen)，黃耆1錢(qian)(qian)5分(fen)，升麻(ma)5分(fen)，柴胡5分(fen)。

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

《幼幼集成》卷六：補中益氣湯

處方 : 人參、炙(zhi)甘草、漂(piao)白術、廣陳皮(pi)、小枳實、杭(hang)青(qing)皮(pi)、南木香、六神(shen)曲、老麥芽、炙(zhi)黃耆。

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

《傅青主女科·產后編》卷下：補中益氣湯

處方 : 人參5分(fen)(fen)，當歸5分(fen)(fen)，白(bai)術(shu)5分(fen)(fen)，白(bai)茯(fu)苓1錢，川芎(xiong)4分(fen)(fen)，白(bai)芍4分(fen)(fen)，蘿(luo)卜(bu)子4分(fen)(fen)，木香3分(fen)(fen)。

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

《胎產指南》卷七：補中益氣湯

別名 : 補中利水湯

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

《一盤珠》卷三：補中益氣湯

處方 : 黃(huang)耆3錢(qian)(qian)，當歸(gui)3錢(qian)(qian)，白(bai)術3錢(qian)(qian)，廣陳皮3錢(qian)(qian)，川升麻8分，人參6分，柴胡(hu)6分，甘(gan)草6分，桂(gui)枝(zhi)、防風、木(mu)通、木(mu)瓜(gua)。

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

《嵩屋尊生》卷八：補中益氣湯

處方 : 黃耆(qi)1錢(qian)，人(ren)參(can)1錢(qian)，白術1錢(qian)，當歸1錢(qian)，炙草(cao)5分(fen)，陳(chen)皮5分(fen)，升麻3分(fen)，柴胡3分(fen)，麻黃根1錢(qian)，浮(fu)麥1錢(qian)。

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

《活幼心法》卷四：補中益氣湯

處方 : 人參8分(fen)，蜜炙黃(huang)耆1錢，白術(shu)8分(fen)，當歸身8分(fen)，柴胡4分(fen)，升麻4分(fen)，川芎4分(fen)，炙甘草5分(fen)，陳皮4分(fen)，生姜(jiang)1片。

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

《內外傷辨》卷中：補中益氣湯

別名 : 醫王湯

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

《普濟方》卷二十四引《內外傷辨》：補中益氣湯

處方 : 黃耆半(ban)錢，人(ren)參（去(qu)蘆）3錢，甘(gan)草半(ban)錢，紅花1分(fen)(fen)，白芍藥3分(fen)(fen)（秋冬之月(yue)未有，只用白術3分(fen)(fen)，代之），葛(ge)根半(ban)錢，當歸身2分(fen)(fen)（酒洗(xi)，焙干），橘皮（不去(qu)白）2-3分(fen)(fen)，升麻2-3分(fen)(fen)，柴胡6分(fen)(fen)或3分(fen)(fen)，黃柏（酒洗(xi)，去(qu)皮）1-2分(fen)(fen)，黃芩2-3分(fen)(fen)，生甘(gan)草梢(shao)3分(fen)(fen)。

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》

《片玉痘疹》卷六：補中益氣湯

處方 : 人參、黃耆、白術、炙草、官桂、歸(gui)身、陳皮。

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

《幼幼集成》卷六：補中益氣湯

處方 : 人參、漂白術(shu)、北柴胡、綠升麻、廣陳皮、上(shang)薄桂、當歸身、南木(mu)香、炙甘草。

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

《丹溪心法》卷三：補中益氣湯

處方 : 黃耆1錢(qian)(qian)(qian)半(ban)(ban)，人參1錢(qian)(qian)(qian)，甘(gan)草（炙）1錢(qian)(qian)(qian)，當歸(gui)身（酒洗，焙干）半(ban)(ban)錢(qian)(qian)(qian)，柴(chai)胡半(ban)(ban)錢(qian)(qian)(qian)，陳皮半(ban)(ban)錢(qian)(qian)(qian)，白術半(ban)(ban)錢(qian)(qian)(qian)，升麻3分，葛根(gen)半(ban)(ban)錢(qian)(qian)(qian)。

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

元·李東垣《內外傷辨惑論》：補中益氣湯

配方組成 : 黃芪(qi)一錢(18克(ke)(ke)(ke))；炙(zhi)甘草五分(fen)(9克(ke)(ke)(ke))；人參，去(qu)蘆，三分(fen)(9克(ke)(ke)(ke))；當歸，酒焙(bei)干或(huo)(huo)曬干，二分(fen)(3克(ke)(ke)(ke))；橘皮(pi)，不去(qu)白(bai)，二分(fen)或(huo)(huo)三分(fen)(6克(ke)(ke)(ke))；升麻二分(fen)或(huo)(huo)三分(fen)(6克(ke)(ke)(ke))；柴胡二分(fen)或(huo)(huo)三分(fen)(6克(ke)(ke)(ke))；白(bai)術三分(fen)(9克(ke)(ke)(ke))。

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》

補中益氣湯(tang)的(de)12種以(yi)上的(de)妙(miao)用(yong)

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）。

加減補中益氣(qi)湯(tang)簡介

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

3.1組成

人參、炒白術各五(wu)錢(qian)，生黃芪、酒(jiu)當歸各三(san)錢(qian)，柴(chai)胡一(yi)錢(qian)，甘草一(yi)分(fen)，陳(chen)皮、升(sheng)麻各三(san)分(fen)，茯(fu)苓一(yi)兩[1]。

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)。

3.2功能主治

《傅青主女科》卷下方(fang)之加減補中(zhong)益(yi)氣湯主治(zhi)妊娠浮腫[1]。

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。

3.3加減補中益氣湯的用法用量

水煎服[1]。

3.4各家論述

補(bu)(bu)中(zhong)(zhong)益氣(qi)(qi)(qi)湯原為(wei)(wei)升(sheng)提脾(pi)肺(fei)之(zhi)氣(qi)(qi)(qi)，血(xue)(xue)非氣(qi)(qi)(qi)不生，補(bu)(bu)氣(qi)(qi)(qi)即(ji)所以(yi)(yi)生血(xue)(xue)。今濕(shi)氣(qi)(qi)(qi)乘脾(pi)肺(fei)之(zhi)虛(xu)而(er)相犯(fan)，未便大補(bu)(bu)其血(xue)(xue)，恐陰(yin)太盛而(er)招陰(yin)也。只補(bu)(bu)氣(qi)(qi)(qi)而(er)助以(yi)(yi)利濕(shi)之(zhi)品，則氣(qi)(qi)(qi)升(sheng)而(er)水(shui)尤易散，血(xue)(xue)亦隨之(zhi)而(er)生矣。重(zhong)用茯(fu)苓一兩為(wei)(wei)君，于(yu)補(bu)(bu)氣(qi)(qi)(qi)之(zhi)中(zhong)(zhong)，雖(sui)曰(yue)滲濕(shi)，而(er)仍(reng)是(shi)健脾(pi)清肺(fei)之(zhi)意。且凡利水(shui)之(zhi)品，多(duo)是(shi)耗氣(qi)(qi)(qi)之(zhi)藥，而(er)茯(fu)苓與參(can)術合用，實補(bu)(bu)多(duo)于(yu)利，所以(yi)(yi)重(zhong)用之(zhi)以(yi)(yi)分濕(shi)邪(xie)，即(ji)以(yi)(yi)補(bu)(bu)氣(qi)(qi)(qi)血(xue)(xue)耳。

4《葉天士女科全書》方之加減補中益氣湯

4.1組成

人參(can)三錢(qian)，黃芪（蜜炙）、白術（蜜炙）、白芍藥（酒炒）、當歸（酒洗(xi)(xi)）、川(chuan)芎（酒洗(xi)(xi)）、陳皮(pi)各一錢(qian)，柴胡七分(fen)，炙甘(gan)草、炒神曲(qu)、炒麥芽各五分(fen)[1]。

4.2加減補中益氣湯的用法用量

加姜、棗，水(shui)煎服[1]。

4.3功能主治

《葉天士女科(ke)全書》方之加減(jian)補中(zhong)益氣湯主(zhu)治(zhi)脾胃損傷，飲(yin)食減(jian)少，氣耗(hao)血枯(ku)，月經不(bu)行[1]。

5《醫門八法》卷二方之加減補中益氣湯

5.1處方

黨(dang)參(can)3錢(qian)(qian)，口(kou)耆3錢(qian)(qian)（炙），炙升麻(ma)1錢(qian)(qian)，炙甘草1錢(qian)(qian)，歸身(shen)3錢(qian)(qian)（炒），熟地(di)3錢(qian)(qian)，烏梅3個（去(qu)骨(gu)），醋白(bai)芍(shao)3錢(qian)(qian)。

5.2功能主治

《醫(yi)門八法》卷(juan)二方之加(jia)減補中益(yi)氣(qi)湯(tang)主治噤口(kou)痢(li)(li)由于陰虧血少，肝(gan)燥克脾，痢(li)(li)而兼嘔(ou)(ou)，飲食不(bu)能入(ru)腹，服(fu)獨梅湯(tang)后(hou)，嘔(ou)(ou)止(zhi)而痢(li)(li)不(bu)止(zhi)者(zhe)。

5.3加減補中益氣湯的用法用量

生(sheng)姜3片，大棗2枚(mei)為引。

5.4摘錄

《醫門八法》卷二

6《醫門八法》卷三方之加減補中益氣湯

6.1處方

潞黨(dang)參5錢(qian)，炙(zhi)(zhi)口耆(qi)3錢(qian)，炙(zhi)(zhi)甘草2錢(qian)，炙(zhi)(zhi)升麻1錢(qian)，當歸(gui)身3錢(qian)（炒），熟(shu)地黃3錢(qian)，醋白芍2錢(qian)，烏梅肉3個(ge)（去核）。

6.2功能主治

《醫門八法》卷三方(fang)之(zhi)加減補中益氣湯主治年老虛弱之(zhi)人，氣虛不(bu)能(neng)收攝，小便煩數，滴瀝不(bu)止。

6.3摘錄

《醫門八法》卷三

7《醫門八法》卷四方之加減補中益氣湯

7.1處方

黨參(can)5錢(qian)，炙耆5錢(qian)，炙草1錢(qian)，歸身(shen)5錢(qian)（炒），升麻1錢(qian)（蜜炙），烏(wu)梅(mei)5個（去核(he)）。

7.2功能主治

《醫門八法》卷四方之加減(jian)補(bu)中(zhong)益氣(qi)(qi)湯(tang)功在補(bu)氣(qi)(qi)，斂(lian)肝。主治產后血(xue)(xue)崩(beng)，新血(xue)(xue)暴注，血(xue)(xue)脫氣(qi)(qi)陷者。

7.3摘錄

《醫門八法》卷四

8《壽世保元》卷二方之加減補中益氣湯

8.1組成

補中益氣湯加(jia)柴(chai)胡8分，升麻1錢（蜜炒(chao)），白芍2錢（酒(jiu)炒(chao)），桂枝8分，酸棗(zao)仁2錢（炒(chao)），熟(shu)附8分，麻黃根8分，浮小(xiao)麥3錢，倍加(jia)黃耆。

8.2功能主治

《壽世保元》卷二方之(zhi)加減補中益氣(qi)湯主治(zhi)傷寒(han)誤(wu)投攻擊發(fa)表(biao)之(zhi)藥(yao)過多，發(fa)得(de)表(biao)虛，上(shang)氣(qi)喘急，口干(gan)不食(shi)，肢體昏沉，冷汗大出，以(yi)致亡(wang)陽。

9《壽世保元》卷三方之加減補中益氣湯

9.1處方

補中益氣湯去柴(chai)胡，加白(bai)芍（炒）、澤(ze)瀉、木(mu)香、砂仁、白(bai)豆蔻、地榆、御米(mi)殼（醋炒）3分。

9.2功能主治

《壽世保(bao)元》卷三方之(zhi)加(jia)減補中益氣湯主(zhu)治下痢(li)赤(chi)白，膿血相雜(za)，腹痛(tong)里(li)急(ji)后重(zhong)，晝夜無度，日久(jiu)不愈，不能起床，不思飲食，疲(pi)勞(lao)之(zhi)甚，或服寒涼峻利太(tai)過者。

9.3摘錄

《壽世保元》卷三

10《壽世保元》卷四方之加減補中益氣湯

10.1處方

黃耆（蜜炒(chao)）1錢(qian)(qian)，人參(can)1錢(qian)(qian)，白術(shu)（去(qu)油蘆，炒(chao)）1錢(qian)(qian)5分，當歸（酒洗）1錢(qian)(qian)，白茯苓（去(qu)皮(pi)）1錢(qian)(qian)，陳皮(pi)6分，白芍（酒炒(chao)）1錢(qian)(qian)，蓮肉1錢(qian)(qian)，懷山藥(yao)1錢(qian)(qian)，甘草（炙）3分半。

10.2制法

上銼。

10.3功能主治

《壽世保(bao)元》卷四方(fang)之加減補中(zhong)益氣湯主治虛(xu)勞發熱，口干咳嗽，吐痰喘急，自汗，四肢(zhi)困倦(juan)無力(li)，不思飲食，大便泄瀉，肚腹膨脹而腫(zhong)，六脈浮數無力(li)。

10.4加減補中益氣湯的用法用量

加生(sheng)姜、大棗、水煎服。

10.5運用

痰盛，加(jia)姜(jiang)制半夏(xia)；嗽甚，加(jia)五味子；口(kou)渴(ke)，加(jia)麥(mai)門冬，腹脹，加(jia)厚(hou)樸（姜(jiang)炒）；胸痞，加(jia)枳(zhi)實（麩(fu)炒）；泄(xie)瀉，加(jia)炒黑干姜(jiang)，嘔吐(tu)，加(jia)姜(jiang)炒半夏(xia)；腫滿，加(jia)豬苓、澤瀉、木通(tong)；憎寒發熱，加(jia)柴胡；元氣下陷(xian)，加(jia)升麻；元氣虛憊，加(jia)熟附(fu)子、肉桂。

10.6摘錄

《壽世保元》卷四

11《保命歌括》卷五方之加減補中益氣湯

11.1處方

白(bai)術1錢(qian)，黃(huang)耆5分(fen)，人參(can)5分(fen)，甘草2分(fen)，白(bai)芍2分(fen)，黃(huang)連2分(fen)，桑白(bai)皮2分(fen)。

11.2功能主治

《保命(ming)歌括》卷五方(fang)之(zhi)加減補中(zhong)益氣湯主治四(si)肢(zhi)發熱煩躁，口苦咽干，喘(chuan)嗽有(you)痰。

11.3加減補中益氣湯的用法用量

痰喘(chuan)，去參(can)，加半夏、生(sheng)姜。

11.4摘錄

《保命歌括》卷五

12《保命歌括》卷二十二方之加減補中益氣湯

12.1處方

白(bai)術1錢(qian)，白(bai)芍1錢(qian)，黃耆5分(fen)(fen)(fen)，人參5分(fen)(fen)(fen)，當歸7分(fen)(fen)(fen)，粟(su)殼（醋炒）3分(fen)(fen)(fen)，甘草（炙）3分(fen)(fen)(fen)，木香3分(fen)(fen)(fen)，白(bai)豆蔻(kou)3分(fen)(fen)(fen)，升(sheng)麻(ma)3分(fen)(fen)(fen)，陳皮1錢(qian)，地榆5分(fen)(fen)(fen)，縮砂5分(fen)(fen)(fen)，澤瀉5分(fen)(fen)(fen)。

12.2功能主治

《保命歌括》卷(juan)二十二方(fang)之加減補中益氣湯主(zhu)治(zhi)下痢已(yi)久，不(bu)(bu)能起床，不(bu)(bu)食(shi)，瘦(shou)弱之甚者(zhe)。

12.3加減補中益氣湯的用法用量

上（口父）咀。水1盞半，煎1盞，去滓溫服(fu)。

12.4摘錄

《保(bao)命歌括》卷二十二

13《葉氏女科》方之加減補中益氣湯

13.1處方

人參(can)3錢(qian)(qian)，黃(huang)耆(qi)（蜜炙(zhi)）1錢(qian)(qian)，白(bai)(bai)術（蜜炙(zhi)）1錢(qian)(qian)，白(bai)(bai)芍（酒(jiu)炒(chao)(chao)）1錢(qian)(qian)，當歸身（酒(jiu)洗）1錢(qian)(qian)，川(chuan)芎1錢(qian)(qian)，陳皮1錢(qian)(qian)，柴(chai)胡7分(fen)，白(bai)(bai)芷7分(fen)，茯苓7分(fen)，黃(huang)柏（酒(jiu)炒(chao)(chao)）7分(fen)，知母（酒(jiu)炒(chao)(chao)）7分(fen)，生地黃(huang)7分(fen)，炙(zhi)甘草5分(fen)。

13.2功能主治

《葉(xie)氏女科》方之(zhi)加減(jian)補(bu)中益氣(qi)湯(tang)主治崩漏經亂(luan)，經用四物湯(tang)、十灰丸、地黃湯(tang)，崩漏既止，里熱已除，宜補(bu)氣(qi)血者(zhe)。

13.3加減補中益氣湯的用法用量

加生姜3片，大(da)棗2枚，水2鐘，煎7分，食前服(fu)。

13.4摘錄

《葉氏女科》

14《溫病條辨》卷二方之加減補中益氣湯

14.1處方

人參6克 黃耆6克 廣皮(pi)3克 炙甘草3克 歸身6克 炒白(bai)芍9克 防風1.5克 升麻0.9克

14.2功能主治

《溫病條辨》卷二方之加減補中益氣(qi)湯功在(zai)補氣(qi)升陽。主治氣(qi)虛下陷，門戶不藏，下利(li)不止(zhi)。

14.3加減補中益氣湯的用法用量

用水800毫升(sheng)，煮取(qu)300毫升(sheng)，分三次溫(wen)服。

14.4摘錄

《溫病條辨》卷二

15《萬氏女科》卷一方之加減補中益氣湯

15.1處方

人參2錢(qian)(qian)，白術2錢(qian)(qian)，黃耆（炙）7分，柴胡7分，炙草5分，歸身(shen)1錢(qian)(qian)，白芍(shao)1錢(qian)(qian)，川芎(xiong)1錢(qian)(qian)，陳(chen)皮(pi)1錢(qian)(qian)，神曲（炒）5分，麥芽（炒）5分。

15.2功能主治

《萬氏女科》卷一方之加減補中(zhong)益(yi)氣(qi)湯主治固脾胃損傷，血枯經閉不(bu)行者。

15.3加減補中益氣湯的用法用量

生姜、大棗(zao)為(wei)引(yin)。更(geng)宜服前參(can)術大補丸(wan)、烏雞丸(wan)。以經行為(wei)度。

15.4摘錄

《萬氏女科》卷一

16《實用正骨學》方之加減補中益氣湯

16.1處方

黃(huang)耆、白術(shu)、陳皮、升麻(ma)、柴胡、人(ren)參、甘草、當歸(gui)身、茯苓、熟(shu)地、破故紙、牛(niu)膝、杜(du)仲（分量(liang)隨癥酌用）。

16.2功能主治

《實用(yong)正(zheng)骨學》方之加減補中(zhong)益氣湯(tang)主治骨傷后，身體(ti)虛弱，中(zhong)氣不足(zu)，腰(yao)膝疼痛(tong)。

16.3加減補中益氣湯的用法用量

水煎服。

16.4摘錄

《實用正骨學》

17《程松崖眼科》方之加減補中益氣湯

17.1處方

黃芩2錢，柴(chai)胡3分(fen)，陳皮(pi)8分(fen)，茯苓2錢，升麻(ma)3分(fen)，枸杞1錢，川芎8分(fen)，炙甘草(cao)5分(fen)，白術1錢，歸身1錢。

17.2功能主治

《程(cheng)松崖(ya)眼科》方之加減(jian)補(bu)中益氣(qi)湯(tang)主治氣(qi)虛(xu)，眼胞(bao)下(xia)墜，視物(wu)不明，目無紅(hong)腫疼痛者。

17.3摘錄

《程松崖眼科》

18《萬氏家抄方》卷六方之加減補中益氣湯

18.1處方

黃(huang)耆(qi)（炙）、人參、白術（炒）、陳皮、枳(zhi)實、青(qing)皮、木香、麥芽（炒）、神曲(qu)（炒）、黃(huang)連（炒）、甘草(cao)。

18.2功能主治

《萬(wan)氏家抄方》卷六方之加(jia)減補中益氣湯主治傷食而(er)熱。

18.3加減補中益氣湯的用法用量

水煎服。

18.4摘錄

《萬氏家抄方》卷六

19《胎產心法》卷下方之加減補中益氣湯

19.1處方

補中益氣湯去(qu)升麻(ma)，加葛根、制半夏、茯苓、麩炒枳殼。

19.2功能主治

《萬氏(shi)家抄方(fang)》卷六方(fang)之(zhi)加(jia)減(jian)補中益氣湯主治產后右脅痛。

19.3加減補中益氣湯的用法用量

生姜為引。

19.4摘錄

《胎產心法》卷下

20《易氏醫案》方之加減補中益氣湯

20.1處方

人參1錢，黃耆8分(fen)(fen)(fen)，歸身8分(fen)(fen)(fen)，陳皮6分(fen)(fen)(fen)，白術(shu)8分(fen)(fen)(fen)，甘草5分(fen)(fen)(fen)，澤瀉6分(fen)(fen)(fen)，黃柏5分(fen)(fen)(fen)，牡丹皮6分(fen)(fen)(fen)。

20.2功能主治

《易氏醫案》方之(zhi)加減(jian)補中益氣湯主治潮熱病。每日申西2時身發寒熱，初以微寒，即作大熱而(er)躁，躁甚(shen)如狂(kuang)，過此2時，平復無恙，惟(wei)小(xiao)便赤黃而(er)澀。往(wang)時一有(you)心事，夜即夢遺，左尺脈浮中沉取之(zhi)皆(jie)洪數有(you)力，余(yu)部皆(jie)平。

20.3加減補中益氣湯的用法用量

水煎服。

20.4摘錄

《易氏醫案》

21《魯府禁方》卷二方之加減補中益氣湯

21.1處方

黃耆2錢(qian)（炒），人參4錢(qian)，白術3錢(qian)（土炒），當歸1錢(qian)，白芍(shao)1錢(qian)（酒炒），陳(chen)皮(pi)7分(fen)，柴胡(hu)5分(fen)，升麻3分(fen)，黃芩（酒炒）3分(fen)，黃連（姜炒）5分(fen)，木香3分(fen)，砂仁4分(fen)，茯苓5分(fen)，甘草5分(fen)。

21.2制法

上銼1劑。

21.3功能主治

《魯府禁(jin)方》卷二(er)方之加減補(bu)中(zhong)益氣湯功在補(bu)元氣，健脾胃、養心血，平肝火(huo)，清濕熱，消膨脹。

21.4加減補中益氣湯的用法用量

加生姜(jiang)3片，大棗1枚，水(shui)2鐘，煎至1鐘，溫服(fu)(fu)。人參4錢(qian)，服(fu)(fu)3劑(ji)后(hou)，每劑(ji)只(zhi)(zhi)用(yong)3錢(qian)，又服(fu)(fu)5劑(ji)后(hou)，只(zhi)(zhi)用(yong)2錢(qian)；黃耆服(fu)(fu)至30劑(ji)后(hou)，渾(hun)身不(bu)癢去之；升(sheng)麻服(fu)(fu)至20劑(ji)后(hou)去之。

21.5摘錄

《魯府禁方》卷二

22《方癥會要》卷二方之加減補中益氣湯

22.1組成

人參、黃耆、白術、當(dang)歸、升麻、陳皮(pi)、青皮(pi)、烏梅(mei)、柴胡、甘(gan)草。

22.2功能主治

《方癥會要》卷(juan)二方之(zhi)加減(jian)補中益(yi)氣湯(tang)主治久瘧，間(jian)13日一(yi)發，人虛不可用截(jie)法者(zhe)。

22.3加減補中益氣湯的用法用量

加生姜2片(pian)，大棗2枚，水煎服。

23《醫便》卷二方之加減補中益氣湯

23.1組成

人參1錢(qian)半(ban)（去(qu)蘆），黃耆1錢(qian)半(ban)（蜜炙），白術1錢(qian)，當歸1錢(qian)（酒洗），草（炙）7分，陳皮(pi)8分，升麻5分，柴(chai)胡5分，加半(ban)夏1錢(qian)2分，黃柏8分，茯神(shen)1錢(qian)2分，棗仁1錢(qian)2分，貝母1錢(qian)2分，甘枸(gou)杞1錢(qian)2分。

23.2功能主治

《醫便》卷二方(fang)之(zhi)(zhi)加減補(bu)中益氣湯主治飲食(shi)勞(lao)力(li)，讀書刻苦(ku)，勤政傷(shang)神，饑飽失時，癥(zheng)類(lei)瘧狀(zhuang)，發熱頭疼惡寒，身強體痛，苦(ku)勞(lao)極復感風寒，則頭疼如破，全似外感傷(shang)寒之(zhi)(zhi)癥(zheng)，誤表傷(shang)正者。

23.3加減補中益氣湯的用法用量

加生姜3片，大(da)棗1枚，水2鐘，煎8分，食遠服(fu)。或加黃柏5分。如身大(da)熱，只(zhi)1服(fu)，氣和(he)微汗(han)而愈。

23.4運用

夏(xia)月神短(duan)，加(jia)(jia)(jia)麥(mai)門冬(dong)、五味子(zi)；口干，加(jia)(jia)(jia)葛根；身刺(ci)痛乃(nai)少(shao)血，加(jia)(jia)(jia)當(dang)歸(gui)；頭(tou)痛，加(jia)(jia)(jia)川芎(xiong)、蔓荊(jing)子(zi)，頭(tou)頂痛，加(jia)(jia)(jia)藁本(ben)、細辛，諸頭(tou)痛并(bing)用此四味；有(you)痰加(jia)(jia)(jia)半(ban)夏(xia)、生(sheng)姜(jiang)；咳嗽，春(chun)加(jia)(jia)(jia)川芎(xiong)、佛耳(er)草(cao)，夏(xia)加(jia)(jia)(jia)黃(huang)芩、麥(mai)門冬(dong)、五味子(zi)，秋(qiu)(qiu)加(jia)(jia)(jia)黃(huang)芩、麻黃(huang)、金佛草(cao)，冬(dong)加(jia)(jia)(jia)款冬(dong)花、馬兜鈴；久(jiu)嗽，乃(nai)肺(fei)中伏火，去(qu)參、耆(qi)；飲(yin)食不下，乃(nai)胃中有(you)寒(han)，或(huo)氣滯，春(chun)加(jia)(jia)(jia)青皮(pi)、陳皮(pi)、木香(xiang)，冬(dong)加(jia)(jia)(jia)益(yi)智仁(ren)、草(cao)豆(dou)蔻仁(ren)，夏(xia)加(jia)(jia)(jia)芩、連，秋(qiu)(qiu)加(jia)(jia)(jia)檳榔、砂(sha)(sha)仁(ren)；心下痞，加(jia)(jia)(jia)枳實、黃(huang)連、白芍(shao)藥(yao)；腹(fu)脹，加(jia)(jia)(jia)枳實、木香(xiang)、砂(sha)(sha)仁(ren)、厚樸，天寒(han)，加(jia)(jia)(jia)姜(jiang)、桂；腹(fu)痛，加(jia)(jia)(jia)白芍(shao)藥(yao)、炙甘草(cao)，有(you)寒(han)，加(jia)(jia)(jia)桂心，夏(xia)月加(jia)(jia)(jia)黃(huang)芩、甘草(cao)、芍(shao)藥(yao)，冬(dong)加(jia)(jia)(jia)半(ban)夏(xia)、益(yi)智仁(ren)、草(cao)豆(dou)蔻；脅痛，加(jia)(jia)(jia)砂(sha)(sha)仁(ren)、柴胡、甘草(cao)、白芍(shao)藥(yao)；如臍下痛，加(jia)(jia)(jia)熟地(di)黃(huang)，不止乃(nai)是寒(han)，加(jia)(jia)(jia)官桂；腳軟(ruan)，加(jia)(jia)(jia)黃(huang)柏、防己。

24《丹臺玉案》卷二方之加減補中益氣湯

24.1組成

人參、黃耆、當歸、生(sheng)地、川芎、柴胡、陳(chen)皮、甘草、細辛(xin)、羌(qiang)活、防風、白術。

24.2功能主治

《丹臺玉案》卷二方之加(jia)減補中益氣湯(tang)主(zhu)治(zhi)勞力傷寒，頭痛發(fa)熱惡寒，但微(wei)渴自(zi)汗(han)，身(shen)腿酸(suan)軟無(wu)力，此(ci)內傷氣血，外感(gan)風(feng)寒故也(ye)。

24.3加減補中益氣湯的用法用量

加生姜、大棗、蔥，水煎(jian)，溫服。

24.4運用

如元氣不足，加(jia)(jia)升麻少許(xu)；咳(ke)嗽，加(jia)(jia)杏仁；汗不止，去(qu)細辛，加(jia)(jia)芍藥；胸中(zhong)煩熱(re)，加(jia)(jia)山梔、竹(zhu)茹(ru)；干嘔，加(jia)(jia)姜汁(zhi)炒半夏；胸中(zhong)飽悶，去(qu)生地(di)、甘草、黃耆(qi)、白術(shu)，加(jia)(jia)枳殼、桔(jie)梗；痰(tan)盛，去(qu)防風、細辛、加(jia)(jia)瓜蔞(lou)仁、貝母；腹痛(tong)，去(qu)耆(qi)、術(shu)，加(jia)(jia)芍藥、干姜。

25《中醫婦科治療學》方之加減補中益氣湯

25.1組成

黃耆3錢(qian)，黨參3錢(qian)，白術2錢(qian)，陳皮2錢(qian)，升麻1錢(qian)，柴胡1錢(qian)，阿(a)膠（沖化）2錢(qian)，焦艾2錢(qian)，甘(gan)草1錢(qian)。

25.2功效主治

《中醫婦科治療(liao)學》方(fang)之加(jia)減補(bu)中益氣(qi)(qi)湯功(gong)在補(bu)氣(qi)(qi)安胎。主(zhu)治平(ping)素體質不(bu)強，妊(ren)娠45月(yue)，忽然腰(yao)酸腹脹，或有下墜感，精神疲乏(fa)，胎動不(bu)安， *** 有少許出血，脈(mo)滑無力，屬氣(qi)(qi)虛下陷(xian)者(zhe)。

25.3加減補中益氣湯的用法用量

水煎服。

25.4運用

大便(bian)溏薄(bo)，胃(wei)納不(bu)佳，加砂仁2錢，扁豆4錢。

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26《醫林繩墨大全》卷四方之加減補中益氣湯

26.1組成

人參2錢，黃耆(qi)（蜜炙）1錢5分，當(dang)歸身1錢5分，麥冬1錢5分，陳皮(pi)（去(qu)(qu)白）5分，炙甘草5分，柴胡5分，白術（去(qu)(qu)蘆，去(qu)(qu)皮(pi)）6分，北五味子（大顆者，研碎）9粒(li)。

26.2功能主治

《醫林(lin)繩墨(mo)大全》卷四(si)方之(zhi)加減補中益氣湯主治(zhi)內傷挾外感，發汗后體虛甚者。

26.3加減補中益氣湯的用法用量

加生姜1片，好(hao)膠(jiao)棗1枚(mei)，洗(xi)凈同煎。

27《濟陽綱目》卷三十七方之加減補中益氣湯

27.1組成

黃(huang)耆、人參、甘(gan)草(cao)、陳皮、當歸(gui)、白術(shu)、升麻、柴胡(hu)、黃(huang)連、枳實、芍藥(yao)。

27.2制備方法

上銼1劑。

27.3功能主治

《濟陽(yang)綱(gang)目》卷三(san)十七方之加減(jian)補中益氣(qi)湯主(zhu)治內傷勞疫，濁氣(qi)上(shang)泛，清氣(qi)下陷，虛痞(pi)者。

27.4加減補中益氣湯的用法用量

水煎服。

27.5運用

如便秘，加大(da)黃；嘔吐，加黃連、生(sheng)姜、陳皮；冬(dong)月加黃連、丁香。

28《醫略六書》卷二十六方之加減補中益氣湯

28.1組成

人參1錢(qian)(qian)(qian)半(ban)，黃(huang)耆(qi)3錢(qian)(qian)(qian)（蜜炙(zhi)），白(bai)術3錢(qian)(qian)(qian)（制），升麻5分，當歸3錢(qian)(qian)(qian)，柴胡5分，白(bai)芍1錢(qian)(qian)(qian)半(ban)（炒），龍骨3錢(qian)(qian)(qian)（煅），牡蠣3錢(qian)(qian)(qian)（煅），熟地5錢(qian)(qian)(qian)。

28.2功能主治

《醫略(lve)六(liu)書》卷二(er)十六(liu)方之加減補中益氣湯(tang)主治(zhi)陰(yin)中挺(ting)出，脈(mo)軟者。

28.3加減補中益氣湯的用法用量

水煎，去滓溫服。

28.4各家論述

氣(qi)血大虛，元(yuan)氣(qi)不能收攝于下(xia)，故(gu)陰(yin)(yin)(yin)中挺出。熟地滋陰(yin)(yin)(yin)補血，人參補氣(qi)扶(fu)元(yuan)，黃耆補中益氣(qi)，白術培土益脾，當歸(gui)養血脈以(yi)榮經，白芍斂肝陰(yin)(yin)(yin)以(yi)和血，升麻升陽(yang)明清氣(qi)，柴胡升少陽(yang)清氣(qi)，龍骨澀(se)精秘氣(qi)，牡(mu)蠣澀(se)精固陰(yin)(yin)(yin)。水煎溫服，使氣(qi)陰(yin)(yin)(yin)內充(chong)，則(ze)清陽(yang)不復下(xia)陷，而陰(yin)(yin)(yin)挺自收也(ye)。

29《古今醫鑒》卷七方之加減補中益氣湯

29.1組成

補中益氣湯加木香(xiang)、大附子(zi)、麥門(men)冬、防風、羌活(huo)、烏(wu)藥。

29.2功能主治

補中益氣湯該(gai)如何用

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)

益氣聰明湯補中益氣湯的區別

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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