制法 : 上藥研粗末。
功能主治 : 驅散風寒,化(hua)溫和中。主風寒濕邪(xie)侵入腸胃(wei),脾失(shi)健運,致成飧(sun)泄,完(wan)谷(gu)不化(hua)。現(xian)用于痹(bi)證、痢疾、水腫(zhong)證屬風寒濕邪(xie)而成者。
用法用量 : 每(mei)服(fu)30克,加生(sheng)姜7片,用水:500毫升(sheng)(sheng),煎至150毫升(sheng)(sheng),去(qu)滓溫服(fu)。
摘錄 : 《素問病機(ji)氣(qi)宜保(bao)命集》卷中
功能主治 : 痢疾。
用法用量 : 加生姜7片,水煎服。頭痛、身疼(teng)、發熱,加川芎、羌(qiang)活、柴胡黃芩各1錢;腹痛,加當歸、炒芍藥、砂仁各1錢;里急(ji)后重(zhong),加檳榔1錢。
摘錄 : 《明醫指掌》卷四
處方 : 蒼術(shu)2兩(liang),防風2兩(liang)。
制法 : 上銼。
功能主治 : 瀉痢(li)脈(mo)弦,頭微痛者。風濕攻走(zou),痹痛。
用法用量 : 蒼(cang)(cang)防湯(tang)(《醫學入(ru)門》卷七)、蒼(cang)(cang)防二妙湯(tang)(《癥因脈治》卷三)。
各家論述 : 《傷寒大白(bai)》:風濕(shi)疫邪,散表為(wei)捷,防風勝(sheng)濕(shi),蒼術燥(zao)濕(shi)。
摘錄 : 《保命集》卷中
制法 : 上切細,作一服。
功能主治 : 泄瀉,脈弦頭痛。
用法用量 : 加生(sheng)姜5片,水2盞,煎至1盞,食(shi)前服。
摘錄 : 《醫學正(zheng)傳》卷二(er)引《機要》
制法 : 上為粗末。
功能主治 : 飧泄,水(shui)谷不(bu)化(hua),不(bu)飲水(shui),谷完出。
用法用量 : 每服(fu)1兩,加生(sheng)姜7片,水2盞,煎至(zhi)1盞,去滓溫服(fu)。
摘錄 : 《保命集》卷中
一(yi))痿(wei)癥(zheng)(zheng)是指肢(zhi)(zhi)(zhi)(zhi)(zhi)體(ti)(ti)(ti)(ti)筋(jin)(jin)脈(mo)(mo)馳緩(huan),軟弱無力(li),日久(jiu)(jiu)(jiu)(jiu)不(bu)能隨意(yi)行(xing)動,或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)伴(ban)(ban)有(you)(you)(you)(you)麻(ma)木(mu)(mu)(mu),疼(teng)痛(tong)(tong)(tong),肌(ji)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)萎縮(suo)的(de)(de)(de)(de)(de)(de)一(yi)類病(bing)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng).痿(wei)癥(zheng)(zheng)最(zui)好(hao)的(de)(de)(de)(de)(de)(de)方(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)是中醫中藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao) 針(zhen)灸(jiu)和(he)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)物治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao) 針(zhen)灸(jiu)的(de)(de)(de)(de)(de)(de)穴位你可(ke)(ke)(ke)(ke)(ke)以(yi)(yi)找中醫查詢 這有(you)(you)(you)(you)幾(ji)味(wei)(wei)(wei)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)方(fang)(fang)(fang)(fang)(fang): 清(qing)燥(zao)救肺湯(tang)(tang)主(zhu)(zhu)要(yao)組(zu)成:人參(can)、麥(mai)冬(dong)、甘草(cao)(cao)(cao)、生(sheng)石(shi)(shi)膏、霜(shuang)桑葉(xie)、杏(xing)仁(ren)、枇(pi)杷葉(xie)、阿膠、胡麻(ma)仁(ren) 注(zhu)意(yi):①勿濫用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)苦(ku)寒(han)(han)燥(zao)濕(shi)(shi)(shi)(shi)(shi)之(zhi)(zhi)(zhi)品(pin),以(yi)(yi)防(fang)(fang)耗傷(shang)(shang)津液;②清(qing)熱(re)(re)(re)(re)(re)潤肺的(de)(de)(de)(de)(de)(de)同時(shi)(shi)(shi),注(zhu)意(yi)益(yi)胃養(yang)陰(yin)(yin)而清(qing)陽(yang)(yang)明(ming)之(zhi)(zhi)(zhi)熱(re)(re)(re)(re)(re);③若(ruo)(ruo)日久(jiu)(jiu)(jiu)(jiu)不(bu)愈(yu),傷(shang)(shang)及五臟,出(chu)現(xian)肝腎(shen)(shen)(shen)(shen)陰(yin)(yin)虧之(zhi)(zhi)(zhi)象(xiang),當(dang)(dang)兼(jian)養(yang)肝腎(shen)(shen)(shen)(shen)。加味(wei)(wei)(wei)二(er)妙(miao)散(san)主(zhu)(zhu)要(yao)組(zu)成:黃(huang)(huang)(huang)(huang)(huang)(huang)柏(bo)、蒼術(shu)、萆薢(xiao)、防(fang)(fang)己、當(dang)(dang)歸(gui)、牛(niu)膝(xi),龜版。臨(lin)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)加減(jian):若(ruo)(ruo)濕(shi)(shi)(shi)(shi)(shi)盛(sheng),伴(ban)(ban)胸(xiong)脘痞悶,肢(zhi)(zhi)(zhi)(zhi)(zhi)重(zhong)(zhong)(zhong)且(qie)腫者(zhe),可(ke)(ke)(ke)(ke)(ke)加厚(hou)樸、薏苡(yi)仁(ren)、茯(fu)苓、澤瀉;長(chang)夏(xia)雨季,可(ke)(ke)(ke)(ke)(ke)加藿香、佩蘭;若(ruo)(ruo)形(xing)體(ti)(ti)(ti)(ti)消瘦,足(zu)脛發熱(re)(re)(re)(re)(re),心(xin)煩,舌(she)(she)紅(hong)(hong)苔(tai)(tai)剝(bo)脫者(zhe),為(wei)(wei)(wei)熱(re)(re)(re)(re)(re)甚(shen)傷(shang)(shang)陰(yin)(yin),上方(fang)(fang)(fang)(fang)(fang)去(qu)蒼術(shu)加生(sheng)地(di)、麥(mai)冬(dong);肢(zhi)(zhi)(zhi)(zhi)(zhi)體(ti)(ti)(ti)(ti)麻(ma)木(mu)(mu)(mu),關(guan)(guan)(guan)(guan)節(jie)(jie)(jie)運動不(bu)利,加赤芍、丹(dan)(dan)參(can)、桃(tao)(tao)仁(ren)、紅(hong)(hong)花(hua)(hua)。注(zhu)意(yi):①本證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)因(yin)(yin)(yin)濕(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re)(re)浸(jin)淫所致(zhi),不(bu)可(ke)(ke)(ke)(ke)(ke)急(ji)(ji)于填(tian)補(bu)(bu)(bu)(bu),以(yi)(yi)免(mian)(mian)助(zhu)濕(shi)(shi)(shi)(shi)(shi)。②祛(qu)(qu)濕(shi)(shi)(shi)(shi)(shi)要(yao)慎用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)辛(xin)溫苦(ku)燥(zao)之(zhi)(zhi)(zhi)品(pin),以(yi)(yi)免(mian)(mian)傷(shang)(shang)陰(yin)(yin)。少(shao)(shao)食(shi)寒(han)(han)涼(liang),避(bi)免(mian)(mian)食(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)芥(jie)菜、蘿卜、綠豆、海(hai)帶、紫菜、西洋菜、黃(huang)(huang)(huang)(huang)(huang)(huang)花(hua)(hua)菜、劍(jian)花(hua)(hua)、西瓜(gua)、苦(ku)瓜(gua)之(zhi)(zhi)(zhi)寒(han)(han)涼(liang)品(pin)。少(shao)(shao)吃冷飲以(yi)(yi)免(mian)(mian)損傷(shang)(shang)脾胃,苦(ku)品(pin)也(ye)(ye)應少(shao)(shao)吃,苦(ku)能瀉熱(re)(re)(re)(re)(re)、容(rong)易(yi)傷(shang)(shang)胃。2、多(duo)(duo)(duo)(duo)(duo)食(shi)溫補(bu)(bu)(bu)(bu):患(huan)(huan)(huan)(huan)者(zhe)脾胃虛(xu)(xu)(xu)(xu)損,宜(yi)多(duo)(duo)(duo)(duo)(duo)食(shi)甘溫補(bu)(bu)(bu)(bu)益(yi)之(zhi)(zhi)(zhi)品(pin),能起到(dao)補(bu)(bu)(bu)(bu)益(yi)、和(he)中、緩(huan)急(ji)(ji)的(de)(de)(de)(de)(de)(de)作(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong),常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)補(bu)(bu)(bu)(bu)益(yi):①肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)類:牛(niu)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)、豬肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)、狗(gou)(gou)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)、兔肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)、雞(ji)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)等(deng);②魚類、雞(ji)蛋(dan)、牛(niu)奶、都是重(zhong)(zhong)(zhong)癥(zheng)(zheng)肌(ji)無力(li)患(huan)(huan)(huan)(huan)者(zhe)日常(chang)(chang)(chang)膳(shan)食(shi)中重(zhong)(zhong)(zhong)要(yao)的(de)(de)(de)(de)(de)(de);③蔬菜:菜心(xin)、韭菜、生(sheng)姜、蓮藕、番茄、土豆、栗子(zi)(zi)、核(he)桃(tao)(tao)仁(ren)、花(hua)(hua)生(sheng)等(deng)④患(huan)(huan)(huan)(huan)者(zhe)適(shi)合(he)食(shi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)以(yi)(yi)下(xia):蘋(pin)果、橙子(zi)(zi)、柚子(zi)(zi)、葡(pu)萄、楊梅(mei)、石(shi)(shi)榴、桃(tao)(tao)子(zi)(zi)、枇(pi)杷果、桂圓等(deng)。 二(er))痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)的(de)(de)(de)(de)(de)(de)概(gai)念比較廣(guang)泛主(zhu)(zhu)要(yao)是由風(feng)(feng)(feng)、寒(han)(han)、濕(shi)(shi)(shi)(shi)(shi)、熱(re)(re)(re)(re)(re)等(deng)病(bing)邪(xie)(xie)(xie)引(yin)起,以(yi)(yi)肢(zhi)(zhi)(zhi)(zhi)(zhi)體(ti)(ti)(ti)(ti)關(guan)(guan)(guan)(guan)節(jie)(jie)(jie)肌(ji)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)酸痛(tong)(tong)(tong)、麻(ma)木(mu)(mu)(mu)、重(zhong)(zhong)(zhong)著(zhu)(zhu)、屈(qu)伸(shen)(shen)不(bu)利或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)關(guan)(guan)(guan)(guan)節(jie)(jie)(jie)灼熱(re)(re)(re)(re)(re)、腫大等(deng)為(wei)(wei)(wei)主(zhu)(zhu)癥(zheng)(zheng)的(de)(de)(de)(de)(de)(de)一(yi)類病(bing)癥(zheng)(zheng)。可(ke)(ke)(ke)(ke)(ke)以(yi)(yi)分為(wei)(wei)(wei):風(feng)(feng)(feng)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)、寒(han)(han)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)、濕(shi)(shi)(shi)(shi)(shi)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)、熱(re)(re)(re)(re)(re)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)。 ,包括內(nei)臟痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)和(he)肢(zhi)(zhi)(zhi)(zhi)(zhi)體(ti)(ti)(ti)(ti)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)1、散(san)風(feng)(feng)(feng)宣(xuan)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)法(fa)(fa)(fa)(fa)(fa)(fa)即(ji)(ji)(ji)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)疏散(san)風(feng)(feng)(feng)邪(xie)(xie)(xie)的(de)(de)(de)(de)(de)(de)方(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)來(lai)(lai)(lai)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)由于風(feng)(feng)(feng)邪(xie)(xie)(xie)外襲(xi),邪(xie)(xie)(xie)留肌(ji)表(biao)(biao)、經(jing)絡(luo)(luo)所致(zhi)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)的(de)(de)(de)(de)(de)(de)方(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)。主(zhu)(zhu)要(yao)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)來(lai)(lai)(lai)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)行(xing)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)。臨(lin)床(chuang)表(biao)(biao)現(xian)以(yi)(yi)肢(zhi)(zhi)(zhi)(zhi)(zhi)體(ti)(ti)(ti)(ti)關(guan)(guan)(guan)(guan)節(jie)(jie)(jie)、肌(ji)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)筋(jin)(jin)骨竄痛(tong)(tong)(tong)為(wei)(wei)(wei)特(te)點(dian)(dian),可(ke)(ke)(ke)(ke)(ke)伴(ban)(ban)有(you)(you)(you)(you)惡(e)風(feng)(feng)(feng)發熱(re)(re)(re)(re)(re)等(deng)表(biao)(biao)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)。脈(mo)(mo)象(xiang)多(duo)(duo)(duo)(duo)(duo)浮,舌(she)(she)苔(tai)(tai)正常(chang)(chang)(chang)。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)方(fang)(fang)(fang)(fang)(fang)劑(ji)(ji)有(you)(you)(you)(you)防(fang)(fang)風(feng)(feng)(feng)湯(tang)(tang),獨(du)活(huo)(huo)(huo)寄生(sheng)湯(tang)(tang)。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)中藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)如(ru)虎骨、白(bai)(bai)(bai)花(hua)(hua)蛇、獨(du)活(huo)(huo)(huo)、羌活(huo)(huo)(huo)、防(fang)(fang)風(feng)(feng)(feng)。2、祛(qu)(qu)寒(han)(han)通(tong)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)法(fa)(fa)(fa)(fa)(fa)(fa)即(ji)(ji)(ji)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)性溫熱(re)(re)(re)(re)(re),能祛(qu)(qu)除寒(han)(han)邪(xie)(xie)(xie)的(de)(de)(de)(de)(de)(de)方(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)來(lai)(lai)(lai)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)由于寒(han)(han)邪(xie)(xie)(xie)外襲(xi),或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)素體(ti)(ti)(ti)(ti)陽(yang)(yang)虛(xu)(xu)(xu)(xu)、寒(han)(han)邪(xie)(xie)(xie)乘虛(xu)(xu)(xu)(xu)深入所致(zhi)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)的(de)(de)(de)(de)(de)(de)方(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)。主(zhu)(zhu)要(yao)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)來(lai)(lai)(lai)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)痛(tong)(tong)(tong)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)。臨(lin)床(chuang)表(biao)(biao)現(xian)以(yi)(yi)肢(zhi)(zhi)(zhi)(zhi)(zhi)體(ti)(ti)(ti)(ti)關(guan)(guan)(guan)(guan)節(jie)(jie)(jie)、肌(ji)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)筋(jin)(jin)骨劇(ju)痛(tong)(tong)(tong),痛(tong)(tong)(tong)處固(gu)定(ding)為(wei)(wei)(wei)特(te)點(dian)(dian)自(zi)覺(jue)局部發涼(liang)或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)觸之(zhi)(zhi)(zhi)冰冷,得(de)(de)溫痛(tong)(tong)(tong)減(jian),遇寒(han)(han)痛(tong)(tong)(tong)增。脈(mo)(mo)象(xiang)多(duo)(duo)(duo)(duo)(duo)弦(xian)或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)緊或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)遲,舌(she)(she)體(ti)(ti)(ti)(ti)胖大,舌(she)(she)苔(tai)(tai)薄白(bai)(bai)(bai)或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)白(bai)(bai)(bai)潤。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)方(fang)(fang)(fang)(fang)(fang)劑(ji)(ji)有(you)(you)(you)(you)烏頭湯(tang)(tang),麻(ma)附(fu)(fu)子(zi)(zi)細(xi)(xi)辛(xin)湯(tang)(tang),當(dang)(dang)歸(gui)四(si)逆(ni)湯(tang)(tang)。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)中藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)如(ru)桂枝(zhi)(zhi)、麻(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)、附(fu)(fu)子(zi)(zi)烏頭、細(xi)(xi)辛(xin)。3、除濕(shi)(shi)(shi)(shi)(shi)蠲(juan)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)法(fa)(fa)(fa)(fa)(fa)(fa)即(ji)(ji)(ji)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)具(ju)有(you)(you)(you)(you)除濕(shi)(shi)(shi)(shi)(shi)作(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)(de)(de)(de)方(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)來(lai)(lai)(lai)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)以(yi)(yi)濕(shi)(shi)(shi)(shi)(shi)邪(xie)(xie)(xie)為(wei)(wei)(wei)主(zhu)(zhu)所致(zhi)之(zhi)(zhi)(zhi)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)的(de)(de)(de)(de)(de)(de)方(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)。主(zhu)(zhu)要(yao)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)來(lai)(lai)(lai)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)著(zhu)(zhu)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)。臨(lin)床(chuang)表(biao)(biao)現(xian)以(yi)(yi)肢(zhi)(zhi)(zhi)(zhi)(zhi)體(ti)(ti)(ti)(ti)關(guan)(guan)(guan)(guan)節(jie)(jie)(jie)、肌(ji)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)筋(jin)(jin)骨疼(teng)痛(tong)(tong)(tong)重(zhong)(zhong)(zhong)著(zhu)(zhu),痛(tong)(tong)(tong)有(you)(you)(you)(you)定(ding)處為(wei)(wei)(wei)特(te)點(dian)(dian)。脈(mo)(mo)象(xiang)濡(ru)緩(huan)或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)滑,舌(she)(she)胖有(you)(you)(you)(you)齒(chi)痕,苔(tai)(tai)白(bai)(bai)(bai)或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)白(bai)(bai)(bai)膩或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)水滑。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)方(fang)(fang)(fang)(fang)(fang)劑(ji)(ji)有(you)(you)(you)(you)薏苡(yi)仁(ren)湯(tang)(tang),麻(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)杏(xing)仁(ren)薏苡(yi)甘草(cao)(cao)(cao)湯(tang)(tang)。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)中藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)如(ru)薏苡(yi)仁(ren)、防(fang)(fang)已、蒼術(shu)、威靈(ling)仙、萆解、蠶(can)砂(sha)。4、清(qing)熱(re)(re)(re)(re)(re)散(san)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)法(fa)(fa)(fa)(fa)(fa)(fa)即(ji)(ji)(ji)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)除熱(re)(re)(re)(re)(re)燥(zao)濕(shi)(shi)(shi)(shi)(shi)、清(qing)熱(re)(re)(re)(re)(re)利濕(shi)(shi)(shi)(shi)(shi)、清(qing)熱(re)(re)(re)(re)(re)涼(liang)血(xue)(xue)(xue)方(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)來(lai)(lai)(lai)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)熱(re)(re)(re)(re)(re)邪(xie)(xie)(xie)為(wei)(wei)(wei)主(zhu)(zhu)所致(zhi)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)的(de)(de)(de)(de)(de)(de)方(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)。主(zhu)(zhu)要(yao)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)來(lai)(lai)(lai)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)熱(re)(re)(re)(re)(re)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi),當(dang)(dang)其它諸痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)在邪(xie)(xie)(xie)郁化(hua)熱(re)(re)(re)(re)(re)時(shi)(shi)(shi)也(ye)(ye)可(ke)(ke)(ke)(ke)(ke)配合(he)使用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)。臨(lin)床(chuang)表(biao)(biao)現(xian)以(yi)(yi)肢(zhi)(zhi)(zhi)(zhi)(zhi)體(ti)(ti)(ti)(ti)關(guan)(guan)(guan)(guan)節(jie)(jie)(jie)煩痛(tong)(tong)(tong),局部紅(hong)(hong)腫灼熱(re)(re)(re)(re)(re)為(wei)(wei)(wei)特(te)點(dian)(dian)。痛(tong)(tong)(tong)處游走,痛(tong)(tong)(tong)不(bu)可(ke)(ke)(ke)(ke)(ke)及,尤(you)如(ru)刀(dao)割,不(bu)能屈(qu)伸(shen)(shen),得(de)(de)冷則舒。脈(mo)(mo)多(duo)(duo)(duo)(duo)(duo)滑數,舌(she)(she)質(zhi)或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)紅(hong)(hong),舌(she)(she)苔(tai)(tai)黃(huang)(huang)(huang)(huang)(huang)(huang)或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)黃(huang)(huang)(huang)(huang)(huang)(huang)厚(hou)膩。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)方(fang)(fang)(fang)(fang)(fang)劑(ji)(ji)有(you)(you)(you)(you)白(bai)(bai)(bai)虎加桂枝(zhi)(zhi)湯(tang)(tang),二(er)妙(miao)散(san),三妙(miao)丸(wan),宣(xuan)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)湯(tang)(tang)。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)中藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)如(ru)生(sheng)石(shi)(shi)膏、知母(mu)、蒼術(shu)、黃(huang)(huang)(huang)(huang)(huang)(huang)柏(bo)、防(fang)(fang)已、薏苡(yi)仁(ren)、金(jin)銀藤(teng)、生(sheng)地(di)、亦芍、丹(dan)(dan)皮。5、化(hua)痰(tan)散(san)結(jie)(jie)法(fa)(fa)(fa)(fa)(fa)(fa)即(ji)(ji)(ji)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)具(ju)有(you)(you)(you)(you)祛(qu)(qu)痰(tan)或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)消痰(tan)作(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)(de)(de)(de)方(fang)(fang)(fang)(fang)(fang)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)來(lai)(lai)(lai)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)病(bing)人因(yin)(yin)(yin)痰(tan)濕(shi)(shi)(shi)(shi)(shi)流注(zhu)經(jing)絡(luo)(luo)、關(guan)(guan)(guan)(guan)節(jie)(jie)(jie)、四(si)肢(zhi)(zhi)(zhi)(zhi)(zhi)而出(chu)現(xian)的(de)(de)(de)(de)(de)(de)結(jie)(jie)節(jie)(jie)(jie)、囊(nang)腫及瘰塊(kuai)(kuai)的(de)(de)(de)(de)(de)(de)方(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa),是一(yi)種(zhong)輔(fu)助(zhu)療(liao)(liao)(liao)(liao)法(fa)(fa)(fa)(fa)(fa)(fa)。凡(fan)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)病(bing)人出(chu)現(xian)皮下(xia)結(jie)(jie)節(jie)(jie)(jie)、事(shi)前腫及瘰塊(kuai)(kuai)時(shi)(shi)(shi)均可(ke)(ke)(ke)(ke)(ke)配合(he)應用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)此(ci)(ci)法(fa)(fa)(fa)(fa)(fa)(fa)。臨(lin)床(chuang)表(biao)(biao)現(xian)為(wei)(wei)(wei)肢(zhi)(zhi)(zhi)(zhi)(zhi)體(ti)(ti)(ti)(ti)關(guan)(guan)(guan)(guan)節(jie)(jie)(jie)疼(teng)痛(tong)(tong)(tong)、關(guan)(guan)(guan)(guan)節(jie)(jie)(jie)周(zhou)(zhou)圍(wei)或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)肢(zhi)(zhi)(zhi)(zhi)(zhi)體(ti)(ti)(ti)(ti)伸(shen)(shen)側出(chu)現(xian)皮下(xia)結(jie)(jie)節(jie)(jie)(jie),或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)見(jian)關(guan)(guan)(guan)(guan)節(jie)(jie)(jie)周(zhou)(zhou)圍(wei)囊(nang)腫或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)關(guan)(guan)(guan)(guan)節(jie)(jie)(jie)腫大畸形(xing)而成瘰塊(kuai)(kuai)。脈(mo)(mo)象(xiang)多(duo)(duo)(duo)(duo)(duo)滑,舌(she)(she)質(zhi)或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)暗(an),舌(she)(she)苔(tai)(tai)白(bai)(bai)(bai)、白(bai)(bai)(bai)膩、水滑或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)黃(huang)(huang)(huang)(huang)(huang)(huang)。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)方(fang)(fang)(fang)(fang)(fang)劑(ji)(ji)有(you)(you)(you)(you)二(er)陳湯(tang)(tang)。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)中藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)如(ru)半(ban)夏(xia)、茯(fu)苓、陳皮、南星、白(bai)(bai)(bai)芥(jie)子(zi)(zi)、白(bai)(bai)(bai)附(fu)(fu)子(zi)(zi)、貝母(mu)、僵蠶(can)。6、活(huo)(huo)(huo)血(xue)(xue)(xue)祛(qu)(qu)淤(yu)(yu)法(fa)(fa)(fa)(fa)(fa)(fa)即(ji)(ji)(ji)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)活(huo)(huo)(huo)血(xue)(xue)(xue)祛(qu)(qu)淤(yu)(yu)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)來(lai)(lai)(lai)以(yi)(yi)治(zhi)(zhi)(zhi)定(ding)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)兼(jian)有(you)(you)(you)(you)血(xue)(xue)(xue)淤(yu)(yu)痰(tan)的(de)(de)(de)(de)(de)(de)結(jie)(jie)的(de)(de)(de)(de)(de)(de)方(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)。病(bing)人素有(you)(you)(you)(you)淤(yu)(yu)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng),又罹患(huan)(huan)(huan)(huan)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng),現(xian)久(jiu)(jiu)(jiu)(jiu)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)纏(chan)綿,氣(qi)(qi)(qi)(qi)滯血(xue)(xue)(xue)淤(yu)(yu),或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)痰(tan)結(jie)(jie),痰(tan)淤(yu)(yu)互阻者(zhe),皆可(ke)(ke)(ke)(ke)(ke)配合(he)此(ci)(ci)法(fa)(fa)(fa)(fa)(fa)(fa)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)。亦可(ke)(ke)(ke)(ke)(ke)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)于淤(yu)(yu)血(xue)(xue)(xue)征象(xiang)不(bu)明(ming)顯,但痛(tong)(tong)(tong)痛(tong)(tong)(tong)較劇(ju)者(zhe)。臨(lin)床(chuang)多(duo)(duo)(duo)(duo)(duo)見(jian)于病(bing)久(jiu)(jiu)(jiu)(jiu)不(bu)愈(yu),關(guan)(guan)(guan)(guan)節(jie)(jie)(jie)肢(zhi)(zhi)(zhi)(zhi)(zhi)體(ti)(ti)(ti)(ti)有(you)(you)(you)(you)明(ming)顯疼(teng)痛(tong)(tong)(tong),狀若(ruo)(ruo)針(zhen)刺,且(qie)部位固(gu)定(ding),夜間(jian)痛(tong)(tong)(tong)甚(shen)。或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)夜間(jian)定(ding)時(shi)(shi)(shi)痛(tong)(tong)(tong)者(zhe)。脈(mo)(mo)象(xiang)沉(chen)澀,舌(she)(she)質(zhi)暗(an)、有(you)(you)(you)(you)淤(yu)(yu)斑或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)淤(yu)(yu)點(dian)(dian),苔(tai)(tai)薄。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)方(fang)(fang)(fang)(fang)(fang)劑(ji)(ji)有(you)(you)(you)(you)桃(tao)(tao)紅(hong)(hong)四(si)物湯(tang)(tang),活(huo)(huo)(huo)絡(luo)(luo)妙(miao)靈(ling)丹(dan)(dan)。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)中藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)如(ru)紅(hong)(hong)花(hua)(hua)、桃(tao)(tao)仁(ren)、乳(ru)香、沒藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)、地(di)龍(long)、牛(niu)膝(xi)、赤芍、穿山甲(jia)。7、健(jian)脾益(yi)氣(qi)(qi)(qi)(qi)法(fa)(fa)(fa)(fa)(fa)(fa)即(ji)(ji)(ji)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)具(ju)有(you)(you)(you)(you)健(jian)脾益(yi)氣(qi)(qi)(qi)(qi)作(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)(de)(de)(de)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)物來(lai)(lai)(lai)扶助(zhu)正氣(qi)(qi)(qi)(qi),強壯(zhuang)(zhuang)身(shen)(shen)體(ti)(ti)(ti)(ti)以(yi)(yi)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)的(de)(de)(de)(de)(de)(de)一(yi)種(zhong)方(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)。凡(fan)病(bing)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng),脾虛(xu)(xu)(xu)(xu)氣(qi)(qi)(qi)(qi)虧、肢(zhi)(zhi)(zhi)(zhi)(zhi)體(ti)(ti)(ti)(ti)麻(ma)木(mu)(mu)(mu)者(zhe),即(ji)(ji)(ji)應輔(fu)此(ci)(ci)法(fa)(fa)(fa)(fa)(fa)(fa);蓍痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)患(huan)(huan)(huan)(huan)者(zhe),也(ye)(ye)應適(shi)當(dang)(dang)配合(he)此(ci)(ci)法(fa)(fa)(fa)(fa)(fa)(fa)以(yi)(yi)治(zhi)(zhi)(zhi)其本。久(jiu)(jiu)(jiu)(jiu)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)肌(ji)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)萎縮(suo)廢用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong),伴(ban)(ban)脾虛(xu)(xu)(xu)(xu)氣(qi)(qi)(qi)(qi)弱癥(zheng)(zheng)狀。脈(mo)(mo)象(xiang)軟弱,舌(she)(she)胖質(zhi)淡,有(you)(you)(you)(you)齒(chi)痕,舌(she)(she)苔(tai)(tai)薄、白(bai)(bai)(bai)、白(bai)(bai)(bai)膩或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)水滑。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)方(fang)(fang)(fang)(fang)(fang)劑(ji)(ji)有(you)(you)(you)(you)四(si)君子(zi)(zi)湯(tang)(tang),參(can)苓白(bai)(bai)(bai)術(shu)散(san)。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)中藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)如(ru)黃(huang)(huang)(huang)(huang)(huang)(huang)芪(qi)、黨參(can)、白(bai)(bai)(bai)術(shu)、甘草(cao)(cao)(cao)、茯(fu)苓。8、補(bu)(bu)(bu)(bu)腎(shen)(shen)(shen)(shen)壯(zhuang)(zhuang)骨法(fa)(fa)(fa)(fa)(fa)(fa)即(ji)(ji)(ji)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)具(ju)有(you)(you)(you)(you)溫補(bu)(bu)(bu)(bu)腎(shen)(shen)(shen)(shen)陽(yang)(yang),滋(zi)養(yang)腎(shen)(shen)(shen)(shen)陰(yin)(yin),強壯(zhuang)(zhuang)筋(jin)(jin)骨作(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)(de)(de)(de)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)來(lai)(lai)(lai)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)的(de)(de)(de)(de)(de)(de)一(yi)種(zhong)方(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)。主(zhu)(zhu)要(yao)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)素體(ti)(ti)(ti)(ti)腎(shen)(shen)(shen)(shen)虛(xu)(xu)(xu)(xu),罹患(huan)(huan)(huan)(huan)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng),纏(chan)綿不(bu)愈(yu)者(zhe),或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)久(jiu)(jiu)(jiu)(jiu)病(bing)傷(shang)(shang)腎(shen)(shen)(shen)(shen),形(xing)體(ti)(ti)(ti)(ti)虛(xu)(xu)(xu)(xu)衰,筋(jin)(jin)骨失養(yang)者(zhe)。臨(lin)床(chuang)表(biao)(biao)現(xian)為(wei)(wei)(wei)體(ti)(ti)(ti)(ti)質(zhi)柔弱,病(bing)程較長(chang),筋(jin)(jin)骨關(guan)(guan)(guan)(guan)節(jie)(jie)(jie)疼(teng)痛(tong)(tong)(tong)、變形(xing)、伴(ban)(ban)有(you)(you)(you)(you)腎(shen)(shen)(shen)(shen)陽(yang)(yang)虛(xu)(xu)(xu)(xu)或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)腎(shen)(shen)(shen)(shen)陰(yin)(yin)虛(xu)(xu)(xu)(xu)見(jian)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)。腎(shen)(shen)(shen)(shen)陽(yang)(yang)虛(xu)(xu)(xu)(xu)者(zhe),舌(she)(she)淡苔(tai)(tai)白(bai)(bai)(bai),脈(mo)(mo)沉(chen)細(xi)(xi)無力(li),兩尺尤(you)弱。腎(shen)(shen)(shen)(shen)陰(yin)(yin)虛(xu)(xu)(xu)(xu)者(zhe),舌(she)(she)紅(hong)(hong)苔(tai)(tai)少(shao)(shao)而干,脈(mo)(mo)沉(chen)細(xi)(xi)數。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)方(fang)(fang)(fang)(fang)(fang)劑(ji)(ji)有(you)(you)(you)(you)腎(shen)(shen)(shen)(shen)氣(qi)(qi)(qi)(qi)丸(wan)、右歸(gui)丸(wan),六(liu)味(wei)(wei)(wei)地(di)黃(huang)(huang)(huang)(huang)(huang)(huang)丸(wan),右歸(gui)丸(wan),知柏(bo)地(di)黃(huang)(huang)(huang)(huang)(huang)(huang)丸(wan)。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)中藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)如(ru)地(di)黃(huang)(huang)(huang)(huang)(huang)(huang)、山萸、補(bu)(bu)(bu)(bu)腎(shen)(shen)(shen)(shen)脂、骨碎補(bu)(bu)(bu)(bu)、淫羊藿、肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)蓯蓉、狗(gou)(gou)脊、川(chuan)斷、桑寄生(sheng)。9、養(yang)肝補(bu)(bu)(bu)(bu)血(xue)(xue)(xue)法(fa)(fa)(fa)(fa)(fa)(fa)即(ji)(ji)(ji)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)具(ju)有(you)(you)(you)(you)養(yang)肝補(bu)(bu)(bu)(bu)血(xue)(xue)(xue)作(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)(de)(de)(de)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)物來(lai)(lai)(lai)養(yang)血(xue)(xue)(xue)濡(ru)筋(jin)(jin),以(yi)(yi)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)的(de)(de)(de)(de)(de)(de)一(yi)種(zhong)方(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa),用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)于平素血(xue)(xue)(xue)虛(xu)(xu)(xu)(xu),復(fu)又感邪(xie)(xie)(xie)而患(huan)(huan)(huan)(huan)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)者(zhe),或(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)(huo)久(jiu)(jiu)(jiu)(jiu)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)不(bu)已,日久(jiu)(jiu)(jiu)(jiu)氣(qi)(qi)(qi)(qi)虛(xu)(xu)(xu)(xu)血(xue)(xue)(xue)虧而肝血(xue)(xue)(xue)不(bu)足(zu)者(zhe),臨(lin)床(chuang)表(biao)(biao)現(xian)為(wei)(wei)(wei)肢(zhi)(zhi)(zhi)(zhi)(zhi)體(ti)(ti)(ti)(ti)麻(ma)木(mu)(mu)(mu),經(jing)脈(mo)(mo)攣急(ji)(ji),伴(ban)(ban)肝血(xue)(xue)(xue)虛(xu)(xu)(xu)(xu)癥(zheng)(zheng)狀。脈(mo)(mo)細(xi)(xi),舌(she)(she)質(zhi)淡。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)方(fang)(fang)(fang)(fang)(fang)劑(ji)(ji)有(you)(you)(you)(you)四(si)物湯(tang)(tang),當(dang)(dang)歸(gui)補(bu)(bu)(bu)(bu)血(xue)(xue)(xue)湯(tang)(tang)。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)中藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)如(ru)熟地(di)、當(dang)(dang)歸(gui)、白(bai)(bai)(bai)芍、川(chuan)芎、何首烏。10、通(tong)經(jing)活(huo)(huo)(huo)絡(luo)(luo)法(fa)(fa)(fa)(fa)(fa)(fa)即(ji)(ji)(ji)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)具(ju)有(you)(you)(you)(you)通(tong)經(jing)活(huo)(huo)(huo)絡(luo)(luo)作(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)(de)(de)(de)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)物來(lai)(lai)(lai)治(zhi)(zhi)(zhi)療(liao)(liao)(liao)(liao)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)的(de)(de)(de)(de)(de)(de)一(yi)種(zhong)方(fang)(fang)(fang)(fang)(fang)法(fa)(fa)(fa)(fa)(fa)(fa)。不(bu)論何種(zhong)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)證(zheng)(zheng)(zheng)(zheng)(zheng)(zheng)(zheng),除針(zhen)對(dui)病(bing)因(yin)(yin)(yin)施治(zhi)(zhi)(zhi)外,均應輔(fu)以(yi)(yi)通(tong)經(jing)活(huo)(huo)(huo)絡(luo)(luo)法(fa)(fa)(fa)(fa)(fa)(fa)。臨(lin)床(chuang)表(biao)(biao)現(xian)以(yi)(yi)肢(zhi)(zhi)(zhi)(zhi)(zhi)體(ti)(ti)(ti)(ti)關(guan)(guan)(guan)(guan)節(jie)(jie)(jie)、肌(ji)肉(rou)(rou)(rou)(rou)(rou)(rou)(rou)筋(jin)(jin)骨疼(teng)痛(tong)(tong)(tong)、麻(ma)木(mu)(mu)(mu)為(wei)(wei)(wei)特(te)點(dian)(dian)。常(chang)(chang)(chang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)中藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao):風(feng)(feng)(feng)濕(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re)(re)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)秦艽、稀簽草(cao)(cao)(cao)、絡(luo)(luo)石(shi)(shi)藤(teng)、金(jin)銀藤(teng);風(feng)(feng)(feng)寒(han)(han)濕(shi)(shi)(shi)(shi)(shi)痹(bi)(bi)(bi)(bi)(bi)(bi)(bi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)松節(jie)(jie)(jie)。另外,根據疼(teng)痛(tong)(tong)(tong)、麻(ma)木(mu)(mu)(mu)部位可(ke)(ke)(ke)(ke)(ke)選用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)適(shi)宜(yi)引(yin)經(jing)藥(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)(yao)。上肢(zhi)(zhi)(zhi)(zhi)(zhi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)羌活(huo)(huo)(huo)、川(chuan)芎、姜黃(huang)(huang)(huang)(huang)(huang)(huang)、桂枝(zhi)(zhi)、桑枝(zhi)(zhi)、下(xia)肢(zhi)(zhi)(zhi)(zhi)(zhi)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)牛(niu)膝(xi)、木(mu)(mu)(mu)瓜(gua)、防(fang)(fang)已、木(mu)(mu)(mu)通(tong);頸項(xiang)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)葛(ge)根;腰(yao)脊用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)寄生(sheng)、狗(gou)(gou)脊、杜(du)仲;全身(shen)(shen)用(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)(yong)雞(ji)血(xue)(xue)(xue)藤(teng)、金(jin)銀藤(teng)。
目錄(lu)1拼音2《幼幼集成》卷二:桂(gui)枝(zhi)防風湯(tang)(tang) 2.1處方(fang)(fang)2.2功能主治2.3桂(gui)枝(zhi)防風湯(tang)(tang)的用法用量2.4摘錄(lu) 3《傷寒大白》卷四 3.1方(fang)(fang)名3.2組成3.3主治3.4加減(jian)3.5各家論述 附:1古籍中的桂(gui)枝(zhi)防風湯(tang)(tang) 1拼音 guì zhī fáng fēng tāng
2《幼幼集(ji)成》卷(juan)二:桂枝防風湯
有痰,加(jia)北芥子3克,有嘔(ou)吐,加(jia)陳皮(pi)、半夏各3克,熱多,加(jia)柴胡3克,胸緊氣急(ji),加(jia)枳殼、桔梗各3克。
3《傷寒大白》卷四
古籍(ji)中(zhong)的桂(gui)枝防(fang)風(feng)湯 《傷寒大白》:[卷(juan)四]下(xia)利 惡風(feng)身痛,自汗脈(mo)浮,此風(feng)濕傷于太(tai)陽也(ye),北方用桂(gui)枝防(fang)風(feng)湯,江(jiang)南(nan)羌活防(fang)風(feng)湯。小便不(bu)利,蒼防(fang)四苓散(san)。若(ruo)額...
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《慈(ci)幼便覽(lan)》:[驚(jing)風(feng)辟(pi)妄]一曰誤搐 服(fu),仍欲微似有汗,則風(feng)邪自出,汗孔自閉。又,桂枝防風(feng)湯,見(jian)后乳子(zi)傷(shang)寒(han)。治太陽(yang)傷(shang)寒(han),頭痛身(shen)熱,身(shen)體頸...
《幼幼集成(cheng)》:[卷二(er)乳子傷(shang)寒(han)(han)證治]入方 桂(gui)枝防風湯(tang)治半周一歲以至三五歲幼兒,傷(shang)寒(han)(han)初(chu)起,惡寒(han)(han)發熱,體重面黃,或面白喘(chuan)急,口中氣(qi)熱,呵(he)欠(qian)頓悶,...
《幼幼集(ji)成》:[卷二(er)]乳子傷(shang)寒證治(zhi)
1.雌激素臨床可用于( )
A.子(zi)宮腫瘤 B.前列腺(xian)癌(ai)
C.先兆流產 D.消耗性疾(ji)病
E.習慣性流產
2.具有燥濕化痰,祛風止痙功(gong)效的藥是( )
A.白附子、天(tian)南星 B.半夏、防風
C.白僵蠶、牛黃 D.全蝎、蜈蚣(gong)
E.天麻、白芥子
3.善(shan)于補腎助陽,祛風除濕(shi)的藥物有( )
A.鹿茸、紫河車 B.淫羊藿、巴戟(ji)天(tian)
C.杜(du)仲、續斷 D.肉蓯蓉、鎖陽
E.補骨脂(zhi)、益智仁(ren)
4.夏季熱的病因是冒受( )
A.疫邪(xie) B.暑邪(xie)
C.暑氣(qi) D.風邪
E.熱邪
5.位于第2~第5指掌(zhang)側(ce),近端指關(guan)節的(de)中央的(de)奇穴是( )
A.四(si)縫 B.八(ba)邪
C.八風 D.二間(jian)
E.四關
6.酸棗(zao)仁(ren)湯(tang)中(zhong)酸棗(zao)仁(ren)配川芎的(de)意義是( )
A.疏肝活血 B.養心安神(shen)
C.養血(xue)調肝(gan) D.活血(xue)調經
E.斂陰止汗
7.《素問痿論》“治痿獨取陽(yang)明”的理(li)論依據是( )
A.胃主受納(na) B.脾主運化
C.大腸傳(chuan)導 D.肝主筋
E.脾胃納運
8.橈神經(jing)損傷(shang)的體征(zheng)是(shi)( )
A.拇(mu)指不(bu)能(neng)對掌 B.無(wu)名指、小指夾紙(zhi)試驗陽(yang)性
C.腕下垂 D.小指側(ce)感覺障礙(ai)
E.以上都不是
9.真虛假實證的(de)病機是( )
A.正(zheng)氣不足,邪氣亢盛 B.正(zheng)氣不足,推動無(wu)力
C.陰陽(yang)衰竭,外邪(xie)乘襲 D.氣(qi)血不(bu)足,實邪(xie)積聚
E.實邪(xie)內聚,耗傷(shang)正(zheng)氣
10.真武湯與實脾散的共同藥物( )
A.附(fu)子(zi)、干(gan)姜 B.附(fu)子(zi)、甘草
C.生姜(jiang)、大棗(zao) D.干姜(jiang)、生姜(jiang)
E.附子、白術
11.眼(yan)外觀正常,視(shi)力急降,眼(yan)底見有(you)視(shi)網膜靜脈粗大迂曲(qu),網膜火焰狀出(chu)血(xue),網膜有(you)黃白色滲(shen)出(chu)、絮狀水腫;兼見頭暈耳(er)鳴,面熱(re)潮紅(hong),失眠多夢,煩躁易怒,腰(yao)膝(xi)酸(suan)軟;舌紅(hong)少苔,脈弦細。以( )
A.理(li)氣解(jie)郁,化瘀(yu)止血(xue),血(xue)府(fu)逐瘀(yu)湯加減 B.益氣補血(xue),人參養榮(rong)湯加減
C.養心(xin)健脾,益氣(qi)攝血,歸(gui)脾湯加減 D.滋陰(yin)潛陽,天麻鉤藤飲加減
E.清熱除濕,化瘀通絡,桃紅四物湯(tang)合溫膽湯(tang)加減
12.具有先犯上(shang)焦(jiao)肺衛,易逆傳心包(bao)的病(bing)邪(xie)是( )
A.風熱病邪(xie) B.暑熱病邪(xie)
C.濕熱(re)病(bing)邪(xie) D.燥熱(re)病(bing)邪(xie)
E.溫熱病邪
13.能涼(liang)肝熄風,化痰開竅,清熱(re)解毒的藥物是( )
A.羚(ling)羊角 B.牛黃(huang)
C.珍珠 D.鉤藤
E.天麻
14.每張(zhang)處方不得超過幾種藥(yao)品( )
A.1 B.2
C.3 D.4
E.
515.一患者頭(tou)搖(yao)不(bu)止,肢麻(ma)震顫(zhan),頭(tou)暈目眩,胸脘痞悶,口苦(ku)口黏,舌(she)體胖(pang)大,有齒(chi)痕,舌(she)質紅,苔黃(huang)膩,脈弦滑數,屬顫(zhan)證之(zhi)( )
A.陽氣虛(xu)衰證(zheng) B.氣血虧虛(xu)證(zheng)
C.痰熱風動證 D.髓海不足證
E.風陽內動證
16.張(zhang)仲(zhong)景治療(liao)虛勞最多用的法則是(shi)( )
A.溫補腎陽(yang) B.補益(yi)氣血
C.甘溫(wen)扶陽(yang) D.滋陰助陽(yang)
E.補脾益氣
17.下列哪味(wei)藥(yao)不是清胃湯組(zu)成成分( )
A.黃連 B.黃芩(qin)
C.丹(dan)參 D.丹(dan)皮
E.升麻
18.血痹病黃(huang)芪(qi)桂枝五物湯中,用量獨重的藥物是( )
A.黃芪 B.芍藥
C.生姜(jiang) D.大棗
E.桂枝
19.具(ju)有沉降(jiang)趨向的(de)是( )
A.解表藥 B.祛風藥
C.溫里藥(yao) D.平肝藥(yao)
E.開竅藥
20.一患(huan)者感受風(feng)寒,又(you)復(fu)冒雨,病延月余,癥見四肢關節(jie)游走疼痛,屈伸不利(li),舌(she)淡苔薄(bo),脈浮而緩(huan),投以(yi)防(fang)風(feng)湯,服后癥狀明(ming)顯(xian)緩(huan)解,此病當為( )
A.寒痹 B.濕痹
C.熱痹(bi)(bi) D.風痹(bi)(bi)
E.肌痹
21.春溫(wen)后期邪留陰(yin)分,癥見夜(ye)熱(re)早涼,熱(re)退無汗,能食形瘦,舌紅少苔(tai),脈沉細數。治宜( )
A.黃連阿膠(jiao)湯 B.青蒿鱉甲湯
C.三(san)甲復脈湯 D.三(san)甲散
E.清營湯
22.濕熱型經間期(qi)出血,治宜:( )
A.滋(zi)陰(yin)止(zhi)血(xue) B.化瘀止(zhi)血(xue)
C.清(qing)利濕熱 D.養陰(yin)清(qing)熱
E.清熱瀉火
23.徐靈胎認為生脈散是(shi)( )
A.治暑之方 B.養陰(yin)之方
C.益氣之方 D.清熱之方
E.傷暑之后(hou)存(cun)津液之方
24.尿(niao)(niao)頻伴真性尿(niao)(niao)失(shi)禁見于( )
A.前列腺增(zeng)生(sheng)癥(zheng) B.神(shen)經源(yuan)性膀胱
C.急性膀胱炎 D.前(qian)列腺炎
E.膀胱結核
25.疼痛獨見于足跟部(bu),應(ying)考(kao)慮( )
A.肝(gan)郁血瘀 B.肝(gan)血不足(zu)
C.脾虛精虧(kui) D.腎虛失養
E.寒凝肝脈
26.不是使用越(yue)婢(bi)加術湯的`臨床依據的是( )
A.全身浮腫 B.脈沉
C.小便不(bu)利 D.不(bu)惡風
E.腹滿而喘
27.腎陰虛經(jing)斷前后諸證的治療其最(zui)佳(jia)選(xuan)方是(shi)( )
A.二(er)至丸 B.一貫煎
C.左歸(gui)丸 D.六味地(di)黃(huang)丸
E.知柏地黃丸
28.“罷極之本”是指( )
A.腎 B.肝
C.心 D.脾
E.肺
29.流(liu)行性乙型腦炎邪(xie)入營血(xue)證的發熱特點為( )
A.發熱(re)微惡寒 B.但熱(re)不寒
C.高熱持續不退 D.不規則(ze)發熱
E.熱勢起(qi)伏,朝(chao)輕暮(mu)重
30.尿(niao)液呈濃茶色見(jian)于( )
A.阻塞性黃疸 B.腎(shen)結核
C.腎腫(zhong)瘤 D.腎結石
E.急性溶血
31.腹痛患(huan)者,為(wei)明(ming)確有無(wu)壓痛點應用( )
A.淺觸(chu)(chu)診(zhen) B.深部(bu)滑(hua)行觸(chu)(chu)診(zhen)
C.雙手(shou)對應觸(chu)診 D.深(shen)壓(ya)觸(chu)診
E.沖擊觸診
32.大定風珠的功效是( )
A.養血熄(xi)風 B.化痰熄(xi)風
C.涼肝(gan)(gan)熄(xi)風 D.鎮肝(gan)(gan)熄(xi)風
E.滋陰熄風
33.慢(man)性(xing)、周期性(xing)、節律性(xing)的上(shang)腹痛,見于( )
A.慢(man)性(xing)胃炎 B.慢(man)性(xing)胰腺炎
C.消化性(xing)潰(kui)瘍 D.慢性(xing)膽囊(nang)炎(yan)
E.胃癌
34.下(xia)列不(bu)屬頸椎病的(de)分型的(de)是( )
A.神經根型 B.脊(ji)髓型
C.交感型 D.椎動脈型
E.副交感型
35.既可燥濕健脾(pi),又能祛風散寒(han)的藥物是( )
A.藿(huo)香 B.白芷
C.白(bai)術 D.獨(du)活
E.蒼術
36.風濕病,初(chu)服白術(shu)附子湯可見( )
A.身痹 B.如冒狀
C.厭食(shi) D.復(fu)煩
E.如蟲行皮中
37.不屬(shu)大葉性肺(fei)炎并發癥的(de)是( )
A.蜂窩肺(fei) B.膿(nong)氣(qi)胸(xiong)
C.纖(xian)維素性胸膜炎(yan) D.肺肉(rou)質變
E.敗血癥(zheng)和(he)膿毒敗血癥(zheng)
38.具有(you)升(sheng)浮之性的藥(yao)物類(lei)別(bie)是(shi)( )
A.果實 B.種子
C.根莖 D.花
E.貝殼
39.黃疸伴寒顫(zhan)高熱,右(you)上腹絞痛(tong),考慮(lv)( )
A.急性(xing)肝炎 B.急性(xing)梗阻性(xing)膽管炎
C.急性溶(rong)血 D.肝硬化
E.鉤端螺旋體病
40.《金匱消渴(ke)小便不利病篇》“渴(ke)欲飲水,口干舌燥者”,治用(yong)( )
A.己椒藶(li)黃丸 B.文(wen)蛤散
C.白(bai)虎桂枝(zhi)湯 D.白(bai)虎加入參湯
E.五苓散
41.患(huan)者,男性,31歲,夏季發病,出現急性劇烈腹(fu)瀉伴(ban)嘔(ou)吐,無腹(fu)痛,糞便白(bai)色水(shui)樣,應考慮(lv)( )
A.急性腸胃(wei)炎 B.急性細菌性痢疾(ji)
C.霍亂 D.急性(xing)(xing)細菌性(xing)(xing)食(shi)物中毒
E.傷寒
42.以下(xia)關于循環免疫復合(he)物沉積的描(miao)述,不正確的是( )
A.抗原可(ke)以是(shi)內源性(xing)的 B.抗原也可(ke)以是(shi)外(wai)源性(xing)的
C.抗(kang)原可以(yi)(yi)是腫瘤抗(kang)原 D.抗(kang)原可以(yi)(yi)是感染(ran)產物
E.抗原可以是腎(shen)小球基底(di)膜
43.可(ke)出現(xian)中心性發紺(gan)的是( )
A.法洛四聯征 B.房間隔缺損
C.貧血 D.休克
E.右心功能不全
44.組成中沒有牛膝的(de)方劑是( )
A.血府(fu)逐瘀湯(tang) B.玉女煎
C.獨活(huo)寄生湯(tang) D.大秦艽湯(tang)
E.鎮肝熄風湯
45.阿(a)托品解除平滑肌痙(jing)攣效(xiao)果最好的是( )
A.支氣管平滑肌(ji) B.膽道平滑肌(ji)
C.胃(wei)腸(chang)道平滑(hua)肌(ji) D.胃(wei)幽(you)門括約肌(ji)
E.子宮平滑肌
46.下(xia)列關于麻(ma)子仁丸組成的論述,哪項是正確的( )
A.小承(cheng)氣湯加麻仁(ren)、杏(xing)仁(ren)、白芍(shao)、甘(gan)草
B.小承氣湯加麻仁(ren)(ren)、杏(xing)仁(ren)(ren)、白(bai)芍、蜂(feng)蜜(mi)
C.調胃承氣(qi)湯加(jia)麻仁、杏仁、白(bai)芍、蜂蜜(mi)
D.調(diao)胃承氣湯加麻仁、杏仁、白(bai)芍、甘草
E.大承氣湯加麻(ma)仁(ren)(ren)、杏(xing)仁(ren)(ren)、白芍
47.最(zui)常(chang)轉移(yi)到局部淋巴結的腫瘤是( )
A.骨肉(rou)瘤 B.淋(lin)巴管瘤
C.鱗(lin)狀細胞癌 D.基底細胞癌
E.原位癌
48.治療血(xue)熱夾瘀的出血(xue)證,宜選用( )
A.茜草 B.艾葉
C.仙鶴草 D.地榆
E.降香
49.最(zui)能(neng)提示心臟有器質(zhi)性病變的是( )
A.震顫(zhan) B.心律不齊
C.竇(dou)性心動過速 D.2級(ji)收(shou)縮期雜音(yin)
E.心音分裂
50.腹痛(tong)時輕時重,痛(tong)處不定,攻沖作痛(tong)屬于( )
A.氣滯痛 B.虛痛
C.寒痛(tong) D.血瘀痛(tong)
E.熱痛
51.巔頂痛(tong)屬于(yu)( )
A.太(tai)陽經 B.陽明(ming)經
C.少陽經 D.少陰經
E.厥陰經
52.在《金匱要(yao)略(lve)》中,張仲景認為虛勞的(de)病位主要(yao)在于( )
A.心肝(gan) B.脾腎(shen)
C.脾(pi)(pi)胃 D.肝脾(pi)(pi)
E.肝腎
53.身熱,心煩不得(de)臥,舌紅苔(tai)黃(huang),脈細數。治宜(yi)( )
A.黃芩湯(tang)加(jia)味 B.連梅湯(tang)
C.黃連阿膠湯 D.瀉心湯
E.加減復脈湯
54.據(ju)《素問痿論》所述,色白而毛敗(bai)的病(bing)機是( )
A.肺熱 B.肺寒(han)
C.肺陽(yang)虛(xu) D.肺氣虛(xu)
E.肺陰虛
55.魚腰位于( )
A.眉(mei)梢凹陷中(zhong) B.眉(mei)頭凹陷中(zhong)
C.兩(liang)眉(mei)頭(tou)連線(xian)的中點 D.眉(mei)梢(shao)與目(mu)外(wai)眥之間
E.眉毛的中點
56.發生醫療事(shi)故爭議時,封存(cun)的(de)病歷資(zi)料由(you)誰保管( )
A.患者 B.醫(yi)療(liao)機構
C.當(dang)地(di)(di)衛生(sheng)行(xing)政機構 D.當(dang)地(di)(di)醫(yi)學會
E.近親屬
57.具有祛瘀生新(xin)、溫(wen)經止痛功用的方是( )
A.溫經湯(tang) B.生(sheng)化湯(tang)
C.當歸四(si)逆湯 D.桂枝茯苓丸
E.復元活血湯
58.室性期前收縮(suo)的心電圖特征,一(yi)般無( )
A.提早出(chu)現(xian)的QRS波群寬大(da)畸形 B.QRS波群時限(xian)≥0.12秒
C.提(ti)早(zao)出現的QRS波群前(qian)有(you)相應的P波 D.繼發性ST-T改變
E.代償間歇完全
59.關(guan)于心(xin)(xin)室肥(fei)大(da)的心(xin)(xin)電圖診斷,不正確的是(shi)( )
A.左室(shi)面電壓增高是診斷左室(shi)肥(fei)大的必要條件 B.心室(shi)肥(fei)大可出現ST-T改(gai)變
C.心電圖對右室肥(fei)大(da)診斷的敏(min)感性高于左室肥(fei)大(da) D.心室肥(fei)大(da)可(ke)出(chu)現(xian)電軸偏移(yi)
E.心室肥大可出現QRS波時間改(gai)變
60.小兒泄瀉多見于( )
A.6月以內 B.1歲(sui)以內
C.2歲以內 D.4歲以內
E.7歲以內
參考答案
1.B 2.A 3.B 4.B 5.A 6.C 7.E 8.C 9.B 10.E
11.D 12.A 13.B 14.E 15.C 16.C 17.C 18.C 19.D 20.D
21.B 22.C 23.E 24.B 25.D 26.E 27.C 28.B 29.E 30.E
31.D 32.E 33.C 34.E 35.E 36.A 37.A 38.D 39.B 40.D
41.C 42.E 43.A 44.D 45.C 46.B 47.C 48.A 49.A 50.A
51.E 52.B 53.C 54.A 55.E 56.B 57.B 58.C 59.C 60.C
心身疾病是當今時代常見疾病,內傷導致濕濁阻滯者亦常見之。蓋因情志過極,臟腑損傷,氣機紊亂,三焦失調,水谷津液氣化輸布失常,致濕濁痰蘊、氣血失調,促進心身疾病的發生發展。
以往中醫對濕濁致病的認(ren)識與治療,多側重(zhong)外感濕濁、內(nei)傷(shang)飲食為主,情志因(yin)素(su)兼或(huo)述及。如《素(su)問·氣交變大論》載:“歲土太(tai)過,雨濕流(liu)行,腎水受邪,民病腹痛,清厥,意不(bu)樂,體重(zhong)煩冤。” 《素(su)問·奇病論》載:“有病口甘者(zhe)……名曰(yue)脾癉(dan)……肥(fei)者(zhe)令人內(nei)熱,甘者(zhe)令人中滿,故其氣上(shang)溢,轉為消渴。治之以蘭(lan),除陳氣也。”
對情(qing)志內傷作為獨(du)立因(yin)素,導致心身(shen)疾病(bing)三焦濕(shi)(shi)濁(zhuo)的機(ji)制及其治法(fa)的探討(tao)尚屬鮮見(jian)。實際上,無(wu)論外感或內傷,均可出(chu)現濕(shi)(shi)濁(zhuo)內蘊、阻滯三焦的共同(tong)病(bing)機(ji)。因(yin)此,外感、飲食所致濕(shi)(shi)濁(zhuo)阻滯證的治療(liao)思(si)路,也可為心身(shen)疾病(bing)所借鑒。其治法(fa)應在濕(shi)(shi)病(bing)常用治法(fa)基礎上,結合(he)情(qing)志致病(bing)特點加(jia)以 探索 ,進而完善(shan)其證治體系。
國醫大師路(lu)志正根據(ju)現代疾病(bing)(bing)譜(pu)的變化,發展濕病(bing)(bing)證(zheng)治,重視內傷濕濁(zhuo),今就其心身疾病(bing)(bing)常用祛除濕濁(zhuo)治法23種,梳理分述(shu)如(ru)下。
祛邪類
01 祛濕化濁類
芳化濕濁法
芳(fang)化濕(shi)濁法,是(shi)運(yun)用氣(qi)(qi)(qi)味芳(fang)香藥(yao)物(wu),具有醒(xing)脾(pi)化濕(shi),或和胃(wei)降濁,或芳(fang)香開竅功能,使脾(pi)運(yun)得健、胃(wei)氣(qi)(qi)(qi)和降、神清(qing)氣(qi)(qi)(qi)爽的治法。適用于(yu)濕(shi)濁困于(yu)脾(pi)胃(wei),脾(pi)失(shi)升清(qing),胃(wei)失(shi)降濁,或上(shang)蒙清(qing)竅,所致頭重(zhong)如裹、肢體困重(zhong)、脘腹痞滿、納呆嘔惡、大便溏黏或不暢、面色晦黃等。
常用藥物(wu),如(ru)藿(huo)香(xiang)(xiang)、藿(huo)梗、佩蘭、蘇葉(xie)、蘇梗、荷(he)葉(xie)、荷(he)梗、白豆蔻、砂仁、石菖蒲、厚樸花(hua)等(deng)。代表(biao)方(fang)劑,如(ru)藿(huo)樸夏苓湯(tang)、藿(huo)香(xiang)(xiang)正氣散等(deng)。
宣竅化濕法
宣竅化濕(shi)法,系運用氣(qi)味(wei)芳(fang)香藥物(wu),具有芳(fang)香醒神、宣竅化濕(shi)、解郁(yu)安神功(gong)能(neng),使氣(qi)機宣展(zhan)、舒(shu)心悅(yue)脾的治法。適用于情志不(bu)舒(shu),氣(qi)機郁(yu)結,濕(shi)濁(zhuo)阻滯,蒙(meng)塞心竅,所(suo)致情緒(xu)抑郁(yu)、頭昏身重、不(bu)寐或(huo)多(duo)寐、胸悶心悸、脘腹痞滿(man)、納呆嘔惡、大便溏黏或(huo)不(bu)暢(chang)、面色晦滯等。
常用藥物,如(ru)石菖蒲(pu)、郁(yu)(yu)金(jin)、遠志、合歡皮、合歡花、茯苓、半夏、藿香(xiang)、佩蘭、蘇葉(xie)(xie)、蘇梗、荷葉(xie)(xie)、荷梗、白豆蔻、厚樸花、甘松等(deng)。代表方劑,如(ru)菖蒲(pu)郁(yu)(yu)金(jin)湯(tang)、三仁湯(tang)等(deng)。
宣肺化濕法
宣(xuan)肺(fei)化濕(shi)法(fa)系運(yun)用氣味芳香,或辛散苦(ku)泄藥物,具有宣(xuan)降(jiang)肺(fei)氣、化濕(shi)祛痰功能,使(shi)肺(fei)氣宣(xuan)降(jiang)、痰濕(shi)水飲蠲除的治(zhi)法(fa)。適(shi)用于情(qing)志(zhi)不(bu)舒,脾胃濕(shi)濁(zhuo),上阻肺(fei)竅,肺(fei)失宣(xuan)肅(su),所致(zhi)情(qing)緒抑郁或焦慮、頭(tou)昏身重(zhong)、鼻(bi)塞(sai)流涕(ti)、咽部異物感、咳(ke)嗽痰白,或哮(xiao)喘、胸脘痞悶(men)、大便黏滯、面色暗滯、頭(tou)面如垢、面部痤瘡或皮疹(zhen)等。
常(chang)用藥物,如蒼耳(er)子(zi)、辛夷、白(bai)芷、桔梗、杏仁、薏(yi)苡仁、枇杷葉(xie)、蘆根、浮萍、蘇葉(xie)、蘇子(zi)、藿香、白(bai)豆蔻、厚樸花、半夏、橘紅、茯苓、香櫞、旋覆(fu)花等。代表方劑,如蒼耳(er)子(zi)散、三仁湯等。
蒼耳子
升陽除濕法
升(sheng)(sheng)陽(yang)(yang)(yang)除濕法,是運用清(qing)香或辛(xin)香升(sheng)(sheng)散祛(qu)風(feng)藥物(wu),具(ju)有升(sheng)(sheng)發肝膽、升(sheng)(sheng)舉脾陽(yang)(yang)(yang)、風(feng)以勝濕功能(neng),以助運脾升(sheng)(sheng)清(qing)、化濕祛(qu)濁的(de)治法。適用于(yu)情(qing)志不舒、肝膽氣郁、脾胃(wei)濕困(kun)、清(qing)陽(yang)(yang)(yang)不升(sheng)(sheng),或脾虛(xu)濕阻、脾陽(yang)(yang)(yang)下陷,所致(zhi)神(shen)倦(juan)肢(zhi)困(kun)、面色晦黃、頭(tou)昏(hun)頭(tou)沉、眩暈(yun)耳鳴、鼻塞(sai)流涕、咽癢咳(ke)嗽、咯吐白痰(tan)、納呆脘痞、大(da)便溏薄、脫肛(gang)陰挺、周身酸痛、諸(zhu)癥上午為甚等。
常用藥物,如荊芥穗、防(fang)風、羌(qiang)活、獨活、白芷、藁(gao)本、葛根、柴胡、升麻、桔梗、荷葉、青蒿、僵(jiang)蠶、蟬衣、蔓荊子等。代(dai)表方劑(ji),如升陽除(chu)濕湯(tang)、羌(qiang)活勝濕湯(tang)等。
燥濕化濁法
燥(zao)濕化(hua)濁(zhuo)法,是運用(yong)辛香苦(ku)溫,或(huo)辛溫燥(zao)烈藥物,具有燥(zao)濕運脾(pi)、辟穢化(hua)濁(zhuo)、行氣導(dao)滯功能,以燥(zao)濕化(hua)濁(zhuo)、健運脾(pi)胃、疏利氣機的治(zhi)法。適用(yong)于(yu)濕濁(zhuo)中阻,或(huo)伏于(yu)膜原,或(huo)寒濕困(kun)脾(pi),所致脘悶腹脹(zhang),或(huo)脘腹冷痛、嘔吐泄瀉,或(huo)大便不(bu)暢、口淡涎(xian)多、肢(zhi)體(ti)沉(chen)重、困(kun)倦思睡(shui),或(huo)寒熱往來、苔厚膩濁(zhuo)或(huo)如積粉等(deng)。
常(chang)用藥物(wu),如(ru)蒼(cang)術(shu)、厚樸、半夏、陳皮(pi)、草(cao)(cao)豆蔻、草(cao)(cao)果(guo)、薤白、大腹皮(pi)等。代表方劑,如(ru)平胃散、達原飲等。
蒼術
淡滲利濕法
淡(dan)滲(shen)利(li)濕(shi)(shi)(shi)法,是(shi)運用甘淡(dan)性平藥(yao)物,具有淡(dan)滲(shen)利(li)濕(shi)(shi)(shi)、通淋(lin)(lin)利(li)尿功(gong)能(neng),使體(ti)內尤其下焦濕(shi)(shi)(shi)邪從小便而利(li)的(de)治法。適(shi)用于三焦濕(shi)(shi)(shi)阻,或(huo)下焦蘊濕(shi)(shi)(shi),所致小便不(bu)利(li)、淋(lin)(lin)證、白濁、泄瀉、痰(tan)飲、肢體(ti)腫(zhong)脹(zhang)、關節腫(zhong)痛等。
常(chang)用藥物,如滑石、通草、薏(yi)苡仁、茯苓(ling)、豬苓(ling)、澤(ze)瀉、車前子、冬(dong)瓜皮、玉(yu)米須、赤小豆等。代表方(fang)劑,如茯苓(ling)皮湯、五(wu)苓(ling)散等。
宣清導濁法
宣(xuan)清導濁(zhuo)法(fa)(fa),是運用(yong)(yong)辛散咸潤(run)藥物,具有宣(xuan)清化濁(zhuo)、通(tong)便(bian)降濁(zhuo)功能,能使三焦濕(shi)(shi)(shi)濁(zhuo),尤其腸(chang)道濕(shi)(shi)(shi)濁(zhuo)得以宣(xuan)通(tong)導泄的治法(fa)(fa)。適用(yong)(yong)于三焦濕(shi)(shi)(shi)濁(zhuo)及腸(chang)道濕(shi)(shi)(shi)濁(zhuo)閉塞,所致大便(bian)不通(tong),或初硬后溏、少腹硬滿、小便(bian)短少、頭(tou)昏身困(kun)、脘腹脹滿、舌苔濁(zhuo)膩等。
常用藥物,如皂(zao)角(jiao)子、晚蠶沙、杏仁(ren)(ren)、桃仁(ren)(ren)、萊(lai)菔子、檳榔、大(da)腹(fu)皮(pi)、薏苡仁(ren)(ren)、敗(bai)醬草、虎杖(zhang)、大(da)黃等(deng)。代表方劑,如宣清導(dao)濁湯等(deng)。
皂角子
利濕泄濁法
利(li)(li)濕(shi)泄濁法,是運用(yong)苦(ku)(ku)辛或苦(ku)(ku)寒降泄藥物,具有(you)通利(li)(li)二(er)便、排(pai)泄水(shui)(shui)濕(shi)或攻逐水(shui)(shui)飲(yin)(yin)功能(neng),能(neng)使三(san)焦停滯的水(shui)(shui)飲(yin)(yin)濕(shi)濁得以通利(li)(li)排(pai)泄的治法。適用(yong)于三(san)焦水(shui)(shui)飲(yin)(yin)濕(shi)濁停滯潴留(liu),所致水(shui)(shui)腫、懸飲(yin)(yin)、臌脹(zhang)、關格、二(er)便不(bu)利(li)(li)甚至不(bu)通。
常用藥(yao)物,如大(da)黃(huang)、牽牛子、水(shui)紅花(hua)子、葶藶子、椒(jiao)(jiao)目、螻蛄、蟋蟀(shuai)等。代表方劑,如舟車丸、己椒(jiao)(jiao)藶黃(huang)湯等。
行氣化濕法
行氣(qi)化(hua)濕(shi)(shi)法,是(shi)運用氣(qi)味芳(fang)香或辛散(san)苦泄藥物(wu),具(ju)有(you)行氣(qi)降氣(qi)、燥濕(shi)(shi)化(hua)痰(tan)、解(jie)郁散(san)結功能,能使肝肺、脾(pi)胃、三(san)焦氣(qi)機調暢,以助水濕(shi)(shi)運化(hua)的治(zhi)法。適用于情志(zhi)不舒(shu),肝肺、脾(pi)胃、三(san)焦氣(qi)滯,濕(shi)(shi)濁阻滯,所(suo)致胸悶太息、咽部異物(wu)感、咳嗽有(you)痰(tan)、脅肋脹(zhang)痛(tong)、脘(wan)悶腹痛(tong)、納呆噯(ai)氣(qi)、嘔吐泄瀉(xie),或二便不暢,或肢體腫脹(zhang),舌質暗滯、苔(tai)膩等。
常用藥物,如柴胡、香(xiang)附(fu)、青(qing)皮、陳(chen)皮、枳(zhi)實、枳(zhi)殼(ke)、蘇梗、厚樸、木香(xiang)、甘(gan)松、姜(jiang)黃、大腹皮等。代表方劑(ji),如半夏厚樸湯、實脾飲等。
溫化寒濕法
溫化(hua)寒(han)(han)濕(shi)(shi)(shi)法,是運(yun)用(yong)辛(xin)溫或辛(xin)熱藥物,具(ju)有溫里散寒(han)(han)、化(hua)濕(shi)(shi)(shi)燥濕(shi)(shi)(shi)功能,使體內寒(han)(han)濕(shi)(shi)(shi)得化(hua)的治法。適(shi)用(yong)于(yu)脾胃寒(han)(han)濕(shi)(shi)(shi)、肺(fei)寒(han)(han)痰飲、肝經寒(han)(han)濕(shi)(shi)(shi)、寒(han)(han)濕(shi)(shi)(shi)痹(bi)阻等,所致脘腹冷痛、嘔吐涎沫、便(bian)溏稀薄(bo)、咳嗽哮(xiao)喘、痰白清(qing)稀、頭痛身(shen)痛、腰背冷痛,或少腹冷痛、畏寒(han)(han)肢冷、舌苔白膩而(er)滑等。
常用藥物,如草(cao)豆蔻(kou)、草(cao)果、紅豆蔻(kou)、高良姜、干(gan)姜、益智仁(ren)、吳茱萸、小茴香、川椒、蓽茇(ba)、桂枝、肉桂、附子、川烏(wu)、草(cao)烏(wu)等。代(dai)表方(fang)劑,如厚(hou)樸溫中湯、實脾飲、腎著(zhu)湯、暖肝(gan)煎(jian)等。
清熱利濕法
清熱(re)利濕(shi)法(fa),是運用苦(ku)寒,或(huo)甘淡而寒藥(yao)物,具(ju)有苦(ku)寒降泄、清熱(re)利濕(shi),或(huo)清熱(re)通(tong)淋,或(huo)利膽退黃(huang)(huang)功(gong)能,使體內(nei)(nei)尤其下焦(jiao)(jiao)濕(shi)熱(re)清利的治法(fa)。適用于三焦(jiao)(jiao)濕(shi)熱(re),或(huo)下焦(jiao)(jiao)濕(shi)熱(re)內(nei)(nei)蘊,所(suo)致小(xiao)便短(duan)黃(huang)(huang)或(huo)混濁、淋證、白濁、帶下、泄瀉、黃(huang)(huang)疸、濕(shi)疹、肢體腫脹、關節(jie)紅(hong)腫疼痛(tong)等。
常用藥(yao)物,如(ru)木(mu)通、滑石(shi)、車前(qian)子(zi)、赤茯苓、扁蓄、瞿(ju)麥、石(shi)韋、海金沙、梔(zhi)子(zi)、茵陳、金錢草、苦參(can)、地膚子(zi)、土茯苓、萆薢、防己等。代表方(fang)劑,如(ru)八正散、萆薢滲濕湯、龍膽瀉肝湯等。
清熱化濕法
清熱(re)化(hua)濕(shi)(shi)(shi)(shi)(shi)法,是運用(yong)苦寒藥物,具有苦寒降泄(xie)、清熱(re)燥濕(shi)(shi)(shi)(shi)(shi)功能,使體內濕(shi)(shi)(shi)(shi)(shi)熱(re)或(huo)濕(shi)(shi)(shi)(shi)(shi)火壅結清瀉的治(zhi)法。適用(yong)于三焦濕(shi)(shi)(shi)(shi)(shi)熱(re)或(huo)濕(shi)(shi)(shi)(shi)(shi)火壅結,所致自覺身熱(re)、煩躁(zao)、胸悶、脘腹脹(zhang)滿、脅(xie)腹脹(zhang)痛(tong)、嘔(ou)吐、泄(xie)瀉,或(huo)下(xia)利(li)膿血,或(huo)大便秘結、小(xiao)便短(duan)赤(chi)、熱(re)淋灼痛(tong)、帶下(xia)色(se)黃(huang)、黃(huang)疸、濕(shi)(shi)(shi)(shi)(shi)疹、濕(shi)(shi)(shi)(shi)(shi)瘡(chuang)、耳腫(zhong)流膿、痔瘡(chuang)腫(zhong)痛(tong)、肢體或(huo)關節紅腫(zhong)熱(re)痛(tong)等。
常用藥物,如(ru)黃芩、黃連(lian)、黃柏、梔子、龍膽草、秦皮(pi)、苦參、白鮮皮(pi)、椿根皮(pi)等。代表方劑,如(ru)半(ban)夏瀉(xie)心湯(tang)、白頭翁(weng)湯(tang)、四妙丸等。
辛開苦降法
辛(xin)開苦(ku)降(jiang)(jiang)法,是(shi)運用(yong)(yong)辛(xin)散(san)與苦(ku)寒藥物配伍,具有辛(xin)開散(san)結、苦(ku)寒降(jiang)(jiang)泄(xie)、清熱化濕功能(neng),能(neng)使脾胃升降(jiang)(jiang)樞機恢(hui)復、中焦濕熱蘊(yun)結或寒熱互結解(jie)除的治法。適用(yong)(yong)于中焦濕熱蘊(yun)結,或脾虛(xu)胃熱、寒熱互結,脾胃升降(jiang)(jiang)失司(si),所(suo)致(zhi)脘腹痞(pi)滿、納呆(dai)噯(ai)氣、嘔吐泄(xie)瀉、舌苔黃膩等。
常(chang)用藥物(wu),如(ru)黃(huang)(huang)芩、黃(huang)(huang)連、大黃(huang)(huang)、半夏、干(gan)姜、生姜、姜黃(huang)(huang)、蘇(su)葉、厚(hou)樸、吳茱萸(yu)、草豆蔻等(deng)。代表方劑,如(ru)仲景五(wu)瀉(xie)心(xin)湯(tang)、蘇(su)葉黃(huang)(huang)連湯(tang)等(deng)。
黃連
分消走泄法
分消走(zou)泄法(fa),是綜合運用辛散、芳(fang)化、苦(ku)燥、淡滲、苦(ku)寒等藥物,具有宣肺調(diao)氣(qi)、祛濕(shi)(shi)化濁(zhuo)、滲濕(shi)(shi)清熱(re)、疏利(li)和解功能,使三焦氣(qi)機調(diao)暢(chang)、三焦濕(shi)(shi)濁(zhuo)或(huo)濕(shi)(shi)熱(re)分消的治法(fa)。適(shi)用于少陽(yang)三焦濕(shi)(shi)濁(zhuo)或(huo)濕(shi)(shi)熱(re)內蘊,所致頭暈耳鳴、口苦(ku)口黏(nian)、汗(han)出而黏(nian)、心煩(fan)急躁、少寐(mei)多(duo)夢、胸悶心悸、咳嗽(sou)有痰、納呆惡心、脘悶脅脹、大便(bian)黏(nian)滯、小便(bian)短(duan)黃(huang)、肢(zhi)體腫(zhong)脹,或(huo)關節(jie)腫(zhong)痛,或(huo)寒熱(re)往來(lai)、舌苔白膩或(huo)黃(huang)膩等。
常用藥物,如青蒿、黃(huang)芩、黃(huang)連、半夏(xia)、藿香、佩蘭、蘇(su)(su)葉(xie)、蘇(su)(su)梗(geng)、荷(he)葉(xie)、荷(he)梗(geng)、杏仁(ren)(ren)(ren)、白蔻仁(ren)(ren)(ren)、厚樸(pu)花、菖(chang)蒲(pu)、茯苓、薏苡仁(ren)(ren)(ren)、滑石(shi)、通草、金錢草、茵陳、苦(ku)參(can)、蘆根、枇杷(pa)葉(xie)、竹葉(xie)、竹茹(ru)等(deng)。代表方劑(ji),如蒿芩清膽(dan)湯(tang)、三仁(ren)(ren)(ren)湯(tang)、甘露消毒丹等(deng)。
02 兼化痰、活血、消食類
祛濕化痰法
祛濕(shi)(shi)化(hua)痰(tan)(tan)法是(shi)運用辛散(san)苦燥(zao)藥物(wu),具有(you)燥(zao)濕(shi)(shi)健脾(pi)、宣肺化(hua)痰(tan)(tan)功能,使肺脾(pi)痰(tan)(tan)濕(shi)(shi)蠲除的治法。適用于脾(pi)胃濕(shi)(shi)困(kun)(kun),濕(shi)(shi)蘊(yun)化(hua)痰(tan)(tan),上阻于肺,所(suo)致咳嗽、哮喘(chuan)、痰(tan)(tan)多(duo)色白、頭(tou)暈身困(kun)(kun)、脘腹脹滿、大便(bian)溏軟(ruan)、舌(she)苔膩(ni)濁等。
常(chang)用藥物,如半夏(xia)、橘(ju)紅、茯苓、杏(xing)(xing)仁、薏苡仁、旋覆花(hua)、蘇子(zi)(zi)、白芥子(zi)(zi)、萊菔子(zi)(zi)、車前子(zi)(zi)等。代表方劑(ji),如二陳湯、杏(xing)(xing)蘇散等。
薏苡仁
溫膽化痰法
溫(wen)膽化(hua)痰法(fa)是運用(yong)辛散(san)苦燥(zao)與(yu)性(xing)寒而(er)滑(hua)藥物,具有燥(zao)濕(shi)化(hua)痰、肅肺(fei)降濁、溫(wen)膽和胃、清(qing)心滌痰功能,使心膽肺(fei)胃痰熱滌除的治法(fa)。適用(yong)于情志不舒、膽胃不和、痰熱擾心,所致心悸而(er)煩、少寐(mei)多(duo)夢、焦慮驚恐、中風、癲癇、咽(yan)部(bu)有痰、胸悶太息、惡(e)心脘痞(pi)、口干唇紅、舌邊尖紅、苔(tai)黃膩(ni)等。
常用(yong)藥物,如竹茹(ru)、竹瀝、天(tian)竺(zhu)黃(huang)、膽南星、瓜蔞(lou)、半夏、陳皮、茯苓、旋覆(fu)花、菖蒲、遠志等。代表方劑,如溫膽湯(tang)、滌痰湯(tang)等。如痰熱生風,酌加羚(ling)羊角、天(tian)麻、鉤藤(teng)、僵蠶、蟬蛻、地龍、全蝎、蜈蚣等。
祛濕活血法
祛濕(shi)活(huo)血法,是運用(yong)辛散苦泄藥(yao)物,具有行氣活(huo)血、祛濕(shi)利水功(gong)能,以助氣機調暢、祛濕(shi)利水而兼活(huo)血通(tong)絡的(de)治法。適用(yong)于心身(shen)疾病濕(shi)濁阻(zu)滯日久,波及血分,瘀血阻(zu)絡,所致眩暈頭痛(tong)、頑固不寐、胸痹心痛(tong)、脘腹脅痛(tong)、痛(tong)如(ru)錐刺(ci)或固定不移、癥積(ji)腫(zhong)塊、肢體腫(zhong)痛(tong)或水腫(zhong)、舌質暗紫、苔膩(ni)等。
常(chang)用藥(yao)物(wu),如(ru)(ru)姜黃、莪術、川芎(xiong)、澤(ze)蘭、益(yi)母草(cao)、蒲黃、劉(liu)寄奴、王不留行、牛膝、絲瓜絡等(deng)。代表(biao)方(fang)劑,如(ru)(ru)當歸芍藥(yao)散、桂枝茯(fu)苓丸等(deng)。
益母草
消食化積法
消食(shi)化積(ji)法(fa)是運(yun)用消食(shi)導滯、運(yun)脾開胃(wei)(wei)藥物,能使飲食(shi)積(ji)滯、內蘊濕濁化解的治法(fa)。適用于情志失調、暴(bao)飲暴(bao)食(shi)、脾胃(wei)(wei)不(bu)運(yun)、食(shi)滯化濁,所致脘腹脹滿或脹痛、噯腐吞酸、大便酸臭、舌苔(tai)膩(ni)濁等。
常用藥物,如建曲(qu)、神曲(qu)、麥芽、谷芽、稻芽、山(shan)楂、雞(ji)內金、萊菔(fu)子、檳榔、雞(ji)矢藤、五谷蟲等。代表方劑(ji),如保和丸、越鞠保和丸等。
03 兼祛散風寒、清暑類
祛風除濕法
祛風除濕(shi)法(fa)是運用(yong)味(wei)辛行散苦燥類(lei)藥物,具(ju)有祛風散寒(han)除濕(shi)、通經活絡功能,使(shi)外感風寒(han)濕(shi)之邪(xie)蠲除的治法(fa)。本法(fa)結(jie)合健(jian)脾(pi)化濕(shi),或(huo)升陽除濕(shi),或(huo)理氣(qi)解(jie)郁,或(huo)分消走泄等(deng)法(fa),適用(yong)于素體脾(pi)弱(ruo)濕(shi)蘊,又情(qing)志不(bu)舒、思慮過度(du),致(zhi)氣(qi)機(ji)失調、三焦濕(shi)阻(zu),易(yi)受(shou)風寒(han)濕(shi)邪(xie)侵襲,留(liu)著筋肉關節,阻(zu)滯(zhi)經絡營衛(wei)氣(qi)血,所致(zhi)周身或(huo)關節疼痛、麻木、酸脹沉重、冷熱異常,筋脈拘攣,關節發僵(jiang)、腫大、畸形(xing),肢體痿弱(ruo),抑郁或(huo)焦慮,頭昏(hun)神困,胸悶脘脹,大便溏薄,舌苔膩等(deng)。
常用藥物,如(ru)防風(feng)、防己(ji)、羌活(huo)、獨活(huo)、蒼術、白術、薏苡仁(ren)、秦艽、威靈仙、豨薟草、木瓜、晚蠶沙、青風(feng)藤、海(hai)風(feng)藤、海(hai)桐(tong)皮等(deng)。代表方(fang)劑,如(ru)麻杏苡甘湯、防風(feng)湯、羌活(huo)勝濕湯、當(dang)歸拈(nian)痛湯等(deng)。
防風
清暑化濕法
清暑(shu)化(hua)(hua)濕(shi)(shi)(shi)法是運(yun)用(yong)(yong)芳(fang)香(xiang)清涼藥物,具有清暑(shu)化(hua)(hua)濕(shi)(shi)(shi)功能,使(shi)外(wai)(wai)受(shou)暑(shu)濕(shi)(shi)(shi)證得解(jie)的治法。本(ben)法結(jie)合補益(yi)氣陰、運(yun)脾化(hua)(hua)濕(shi)(shi)(shi)、分(fen)消走泄等法,適用(yong)(yong)于素脾弱濕(shi)(shi)(shi)蘊、情志不舒、思(si)慮過度,遇暑(shu)季外(wai)(wai)受(shou)風邪(xie)暑(shu)濕(shi)(shi)(shi)、內蘊暑(shu)熱濕(shi)(shi)(shi)邪(xie),所致發熱、口渴、汗多、頭暈(yun)倦怠、多夢少(shao)寐、心煩急躁、納呆惡心、胸悶脘(wan)脹、大便溏薄、小溲短(duan)赤、舌苔膩等。
常(chang)用藥物,如(ru)青蒿(hao)、荷葉(xie)、香(xiang)(xiang)薷、藿香(xiang)(xiang)、佩蘭、厚樸花、半夏、茯苓、杏仁、薏(yi)苡仁、扁豆、滑(hua)石、竹葉(xie)、通草、茵(yin)陳、蘆根、西(xi)瓜翠衣、銀花、連翹(qiao)等。代(dai)表方劑,如(ru)新加香(xiang)(xiang)薷飲、東垣(yuan)清暑(shu)益氣湯、王氏清暑(shu)益氣湯、蒿(hao)芩(qin)清膽湯等。
扶正祛邪類
益氣健脾祛濕法
益氣健脾(pi)(pi)(pi)祛濕法系(xi)運用(yong)甘溫或(huo)甘平(ping)藥物(wu),具有健脾(pi)(pi)(pi)益肺(fei)、補益宗氣功能,使脾(pi)(pi)(pi)健濕運、肺(fei)司治節、三焦通調、水濕輸布的(de)治法。適用(yong)于心(xin)身疾病濕濁(zhuo)阻(zu)滯日久,脾(pi)(pi)(pi)肺(fei)氣虛,治節升降失司,所(suo)致(zhi)神倦乏力、氣短(duan)懶言、自汗(han)惡風、眩(xuan)暈耳鳴、咳(ke)嗽胸痹、納呆脘悶(men)、大便溏軟、肢體浮腫、面色萎黃、舌質淡胖、苔(tai)白膩(ni)等。
常用藥物,如人參(can)、黨參(can)、太(tai)子參(can)、西洋參(can)、黃(huang)芪、白術(shu)、茯(fu)苓、薏苡仁(ren)、扁豆等。代表方劑,如六(liu)君子湯、防(fang)己黃(huang)芪湯、實脾飲等。
黃芪
溫陽益腎化濕法
溫陽(yang)益(yi)腎(shen)化(hua)濕(shi)法系運(yun)用辛甘咸、性(xing)溫熱(re)藥物(wu),具有(you)溫腎(shen)陽(yang)、益(yi)精(jing)血、補元氣功(gong)能,以(yi)振奮心脾陽(yang)氣、溫助腎(shen)陽(yang)氣化(hua)的(de)治法。適用于心身疾病濕(shi)濁(zhuo)阻(zu)滯日久(jiu)(jiu),臟腑虛衰,久(jiu)(jiu)病及腎(shen),氣化(hua)無(wu)權,三焦水濕(shi)愈甚,所(suo)致(zhi)神(shen)倦嗜臥、畏(wei)寒肢冷、多寐或不寐、健忘癡呆、眩暈心悸、咳嗽胸痹、脘腹冷涼、大便稀溏(tang)、小便不利、肢體水腫、腰酸背(bei)寒、面色黧黑、舌質(zhi)淡暗胖大、苔白膩滑等。
常用藥物,如(ru)附(fu)子、肉桂、桂枝、干姜、益智仁、補骨脂、淫羊藿(huo)、巴戟天、肉蓯蓉(rong)、杜(du)仲、續(xu)斷、紫石英(ying)、遠志(zhi)等(deng)。代表方劑,如(ru)真(zhen)武湯、還少丹等(deng)。
養陰清潤化濕法
養陰清(qing)潤(run)化(hua)濕(shi)法系(xi)運(yun)用(yong)辛(xin)潤(run)淡滲(shen)、輕清(qing)甘潤(run)藥物,具有開宣肅肺、滲(shen)濕(shi)清(qing)熱、養陰生(sheng)津(jin)功能(neng),治(zhi)(zhi)(zhi)濕(shi)不(bu)礙(ai)(ai)燥(zao)(zao)、治(zhi)(zhi)(zhi)燥(zao)(zao)不(bu)礙(ai)(ai)濕(shi),以使氣(qi)陰復、燥(zao)(zao)濕(shi)除(chu)的治(zhi)(zhi)(zhi)法。適用(yong)于思(si)慮或焦慮過度(du)、氣(qi)結濕(shi)阻、肺不(bu)布(bu)津(jin)、郁熱傷陰、燥(zao)(zao)濕(shi)共存(cun),所致口干(gan)(gan)(gan)鼻燥(zao)(zao)、口渴欲(yu)飲(yin)(yin)、飲(yin)(yin)不(bu)解渴,或口干(gan)(gan)(gan)不(bu)欲(yu)飲(yin)(yin)、眼干(gan)(gan)(gan)目澀、皮膚干(gan)(gan)(gan)燥(zao)(zao)、咽部(bu)異物感、干(gan)(gan)(gan)咳少痰(tan)、咯痰(tan)白(bai)黏、少寐多(duo)夢(meng)、心悸而煩、焦慮不(bu)安、胃脘痞(pi)悶、大便溏(tang)軟黏滯(zhi)、腰膝酸痛(tong)、肢體關(guan)節腫(zhong)痛(tong)、白(bai)帶(dai)及月經減少、舌裂、苔薄膩而干(gan)(gan)(gan)等。
常用藥(yao)物,如桑(sang)葉(xie)(xie)、薄(bo)荷、杏(xing)仁(ren)、枇杷葉(xie)(xie)、前胡(hu)、紫菀、百(bai)部(bu)、青蒿、荷葉(xie)(xie)、佩蘭、蘆根(gen)、白(bai)茅(mao)根(gen)、冬(dong)瓜皮、絲瓜絡、通草、滑石、竹葉(xie)(xie)、玉(yu)米須(xu)、薏苡仁(ren)、生山藥(yao)、石斛、百(bai)合(he)、玉(yu)竹、沙參、麥(mai)冬(dong)等。代(dai)表方劑,如蘆根(gen)五葉(xie)(xie)湯、薏苡竹葉(xie)(xie)散、清燥救肺湯等。
鄭重申明:
由于每個人的(de)(de)體質和(he)(he)病情(qing)不同,本案(an)中(zhong)的(de)(de)方(fang)(fang)藥和(he)(he)劑(ji)量僅適用于本案(an)病人當(dang)時的(de)(de)病情(qing)。未(wei)經中(zhong)醫辨證(zheng)診治,不得照搬使(shi)用本案(an)中(zhong)的(de)(de)處方(fang)(fang)和(he)(he)劑(ji)量。廣(guang)大讀者如有需要,應(ying)前(qian)往正規醫院診治,以免貽誤病情(qing)。
【內容(rong)整理自(zi):《中(zhong)國中(zhong)醫(yi)藥報》2017年3月30日(ri)第四版,作(zuo)者:中(zhong)國中(zhong)醫(yi)科學院(yuan)廣安門(men)醫(yi)院(yuan) 楊(yang)鳳珍 劉宗(zong)蓮 國醫(yi)大師路志正傳(chuan)承工作(zuo)室】
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