功能主治 : 清膽利濕，和胃化(hua)痰(tan)。治少陽濕熱痰(tan)濁證。癥見寒(han)熱如瘧，寒(han)輕熱重，口苦(ku)膈悶，吐酸苦(ku)水或嘔黃涎而粘，胸脅(xie)脹痛，舌紅苔白膩，脈(mo)濡數(shu)。現用于感受暑(shu)濕、瘧疾、急性黃疸性肝炎(yan)等證屬(shu)濕熱偏重者。
用法用量 : 水煎服。
備注 : 方中(zhong)青蒿清暑熱以透邪(xie)，黃芩化濕(shi)(shi)熱以利膽，共(gong)為君藥(yao)；竹茹、橘皮(pi)、半夏、枳殼理氣降逆，和胃化痰(tan)，均為臣藥(yao)；赤(chi)茯(fu)苓(ling)、碧玉散淡滲利濕(shi)(shi)，并導(dao)膽熱下(xia)行，為佐、使藥(yao)。合而成為清膽熱，化痰(tan)濕(shi)(shi)，暢(chang)氣機的要方。
摘錄 : 《重訂通俗傷寒論》
用法 : 水煎服。
功效 : 清膽利濕(shi)，和胃(wei)化(hua)痰(tan)。
主治 : 濕遏熱郁，寒熱如瘧，寒輕熱重，胸悶口苦(ku)，吐酸苦(ku)水，或嘔(ou)黃(huang)涎(xian)而黏，甚則(ze)干嘔(ou)呃逆，胸脅脹(zhang)痛，小(xiao)便短少黃(huang)赤(chi)，舌紅(hong)苔(tai)白，脈弦滑數(shu)。
臨床應用 : 臨(lin)床主(zhu)要用(yong)(yong)于治(zhi)(zhi)療(liao)(liao)(liao)(liao)外感發熱(re)(re)(re)、流(liu)(liu)(liu)行性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)感冒(mao)、系統性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)紅斑(ban)狼瘡(chuang)、病毒(du)(du)(du)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)肝炎(yan)(yan)、急(ji)(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)闌尾炎(yan)(yan)、膽(dan)(dan)(dan)(dan)汁(zhi)反流(liu)(liu)(liu)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)胃(wei)炎(yan)(yan)、膽(dan)(dan)(dan)(dan)囊炎(yan)(yan)等病癥(zheng)。1.系統性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)紅斑(ban)狼瘡(chuang)：以(yi)蒿(hao)(hao)(hao)芩(qin)(qin)清(qing)膽(dan)(dan)(dan)(dan)湯(tang)合(he)用(yong)(yong)潑尼(ni)松治(zhi)(zhi)療(liao)(liao)(liao)(liao)系統性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)紅斑(ban)狼瘡(chuang)活動期(qi)(qi)60例(li)(li)(li)，對(dui)照(zhao)組(zu)(zu)(zu)60例(li)(li)(li)予(yu)環磷(lin)酰胺和潑尼(ni)松，治(zhi)(zhi)療(liao)(liao)(liao)(liao)3個月，觀察SLE活動指(zhi)(zhi)數及各(ge)(ge)項免疫指(zhi)(zhi)標(biao)。結(jie)(jie)(jie)果(guo)(guo)：治(zhi)(zhi)療(liao)(liao)(liao)(liao)后(hou)總(zong)有(you)效(xiao)(xiao)率(lv)(lv)(lv)分別為(wei)(wei)(wei)82.7%、76.7%，兩(liang)(liang)組(zu)(zu)(zu)有(you)效(xiao)(xiao)率(lv)(lv)(lv)差(cha)異無顯(xian)(xian)著性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)意義(P>O.05)。(《中(zhong)(zhong)國中(zhong)(zhong)西(xi)醫(yi)(yi)(yi)結(jie)(jie)(jie)合(he)雜志(zhi)(zhi)》2006年(nian)(nian)(nian)(nian)(nian)第(di)(di)5期(qi)(qi))2.病毒(du)(du)(du)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)肝炎(yan)(yan)：以(yi)蒿(hao)(hao)(hao)芩(qin)(qin)清(qing)膽(dan)(dan)(dan)(dan)湯(tang)為(wei)(wei)(wei)主(zhu)聯合(he)拉(la)米(mi)夫(fu)定治(zhi)(zhi)療(liao)(liao)(liao)(liao)濕(shi)熱(re)(re)(re)并重(zhong)HBeAg陽性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)慢性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)乙型(xing)肝炎(yan)(yan)57例(li)(li)(li)，與(yu)單用(yong)(yong)拉(la)米(mi)夫(fu)定52例(li)(li)(li)治(zhi)(zhi)療(liao)(liao)(liao)(liao)相比(bi)(bi)。結(jie)(jie)(jie)果(guo)(guo)：表(biao)明(ming)(ming)(ming)(ming)治(zhi)(zhi)療(liao)(liao)(liao)(liao)組(zu)(zu)(zu)ALT、AST、TBiL、HBV- DNA指(zhi)(zhi)標(biao)恢復(fu)正常優(you)于拉(la)米(mi)夫(fu)定治(zhi)(zhi)療(liao)(liao)(liao)(liao)。(《內(nei)蒙古(gu)中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)》2013年(nian)(nian)(nian)(nian)(nian)第(di)(di)33期(qi)(qi))3.急(ji)(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)闌尾炎(yan)(yan)：以(yi)本(ben)(ben)方(fang)(fang)(fang)治(zhi)(zhi)療(liao)(liao)(liao)(liao)濕(shi)熱(re)(re)(re)內(nei)郁型(xing)急(ji)(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)闌尾炎(yan)(yan)42例(li)(li)(li)，以(yi)癥(zheng)狀體(ti)征正常或(huo)消失為(wei)(wei)(wei)有(you)效(xiao)(xiao)，治(zhi)(zhi)療(liao)(liao)(liao)(liao)后(hou)總(zong)有(you)效(xiao)(xiao)率(lv)(lv)(lv)92.8%。(《陜西(xi)中(zhong)(zhong)醫(yi)(yi)(yi)》1995年(nian)(nian)(nian)(nian)(nian)第(di)(di)11期(qi)(qi))4.外感發熱(re)(re)(re)：以(yi)蒿(hao)(hao)(hao)芩(qin)(qin)清(qing)膽(dan)(dan)(dan)(dan)湯(tang)為(wei)(wei)(wei)基本(ben)(ben)方(fang)(fang)(fang)藥(yao)，治(zhi)(zhi)療(liao)(liao)(liao)(liao)在(zai)夏秋季節(jie)為(wei)(wei)(wei)主(zhu)發病的外感發熱(re)(re)(re)100例(li)(li)(li)。以(yi)24小時(shi)內(nei)體(ti)溫恢復(fu)正常，伴(ban)隨(sui)癥(zheng)狀緩(huan)(huan)解為(wei)(wei)(wei)痊(quan)愈(yu)；以(yi)服藥(yao)1劑，24小時(shi)內(nei)體(ti)溫下(xia)降(jiang)1～2℃，伴(ban)隨(sui)癥(zheng)狀緩(huan)(huan)解為(wei)(wei)(wei)顯(xian)(xian)效(xiao)(xiao)。結(jie)(jie)(jie)果(guo)(guo)：經(jing)(jing)治(zhi)(zhi)療(liao)(liao)(liao)(liao)臨(lin)床痊(quan)愈(yu)37例(li)(li)(li)，顯(xian)(xian)效(xiao)(xiao)58例(li)(li)(li)，無效(xiao)(xiao)5例(li)(li)(li)，總(zong)有(you)效(xiao)(xiao)率(lv)(lv)(lv)95%。(《中(zhong)(zhong)國中(zhong)(zhong)醫(yi)(yi)(yi)急(ji)(ji)癥(zheng)》1999年(nian)(nian)(nian)(nian)(nian)第(di)(di)4期(qi)(qi))5.流(liu)(liu)(liu)行性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)感冒(mao)：蒿(hao)(hao)(hao)芩(qin)(qin)清(qing)膽(dan)(dan)(dan)(dan)湯(tang)加(jia)減治(zhi)(zhi)療(liao)(liao)(liao)(liao)流(liu)(liu)(liu)行性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)感冒(mao)，治(zhi)(zhi)療(liao)(liao)(liao)(liao)組(zu)(zu)(zu)藥(yao)物(wu)組(zu)(zu)(zu)成(cheng)：青蒿(hao)(hao)(hao)25克(ke)，枳殼、竹茹、陳皮(pi)、茯苓、姜(jiang)半(ban)夏各(ge)(ge)12克(ke)，大(da)青葉、石膏、金(jin)(jin)銀花、黃芩(qin)(qin)各(ge)(ge)20克(ke)，麻(ma)黃6克(ke)，甘(gan)(gan)草(cao)(cao)3g。水煎服。對(dui)照(zhao)組(zu)(zu)(zu)給予(yu)抗病毒(du)(du)(du)顆粒(li)。兩(liang)(liang)組(zu)(zu)(zu)3日為(wei)(wei)(wei)一個療(liao)(liao)(liao)(liao)程(cheng)，結(jie)(jie)(jie)果(guo)(guo)：顯(xian)(xian)示(shi)，兩(liang)(liang)組(zu)(zu)(zu)差(cha)別對(dui)比(bi)(bi)有(you)統計學(xue)(xue)意義。(《中(zhong)(zhong)醫(yi)(yi)(yi)研究》2010年(nian)(nian)(nian)(nian)(nian)第(di)(di)3期(qi)(qi))6.急(ji)(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)肺(fei)(fei)炎(yan)(yan)：蒿(hao)(hao)(hao)芩(qin)(qin)清(qing)膽(dan)(dan)(dan)(dan)湯(tang)加(jia)減治(zhi)(zhi)療(liao)(liao)(liao)(liao)急(ji)(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)肺(fei)(fei)炎(yan)(yan)60例(li)(li)(li)，基礎(chu)方(fang)(fang)(fang)為(wei)(wei)(wei)：青蒿(hao)(hao)(hao)、淡竹茹、制半(ban)夏、生枳殼、荷葉各(ge)(ge)6克(ke)，茯苓、杏(xing)仁、桔梗各(ge)(ge)10克(ke)，陳皮(pi)、黃連(lian)(lian)各(ge)(ge)3克(ke)，黃芩(qin)(qin)15克(ke)，碧(bi)玉散(甘(gan)(gan)草(cao)(cao)2克(ke)，滑石30克(ke)，青黛3克(ke))。咳嗽膿血者(zhe)加(jia)魚(yu)腥草(cao)(cao)、三(san)七各(ge)(ge)10克(ke)。對(dui)照(zhao)組(zu)(zu)(zu)給頭(tou)孢哌(pai)酮鈉一舒巴坦鈉。結(jie)(jie)(jie)果(guo)(guo)：治(zhi)(zhi)療(liao)(liao)(liao)(liao)組(zu)(zu)(zu)總(zong)有(you)效(xiao)(xiao)率(lv)(lv)(lv)96.67%高于對(dui)照(zhao)組(zu)(zu)(zu)的80%(P7.膽(dan)(dan)(dan)(dan)囊炎(yan)(yan)：蒿(hao)(hao)(hao)芩(qin)(qin)清(qing)膽(dan)(dan)(dan)(dan)湯(tang)治(zhi)(zhi)療(liao)(liao)(liao)(liao)急(ji)(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)膽(dan)(dan)(dan)(dan)囊炎(yan)(yan)30例(li)(li)(li)，若(ruo)疼(teng)痛明(ming)(ming)(ming)(ming)顯(xian)(xian)者(zhe)加(jia)乳(ru)香(xiang)；白細胞(bao)過高者(zhe)加(jia)金(jin)(jin)銀花、連(lian)(lian)翹(qiao)；膽(dan)(dan)(dan)(dan)結(jie)(jie)(jie)石急(ji)(ji)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)發作者(zhe)加(jia)海金(jin)(jin)沙、金(jin)(jin)錢草(cao)(cao)、茵陳。結(jie)(jie)(jie)果(guo)(guo)：顯(xian)(xian)示(shi)治(zhi)(zhi)愈(yu)率(lv)(lv)(lv)達93.3%。(《河(he)(he)南中(zhong)(zhong)醫(yi)(yi)(yi)》2010年(nian)(nian)(nian)(nian)(nian)第(di)(di)9期(qi)(qi))8.膽(dan)(dan)(dan)(dan)汁(zhi)反流(liu)(liu)(liu)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)胃(wei)炎(yan)(yan)：蒿(hao)(hao)(hao)芩(qin)(qin)清(qing)膽(dan)(dan)(dan)(dan)湯(tang)加(jia)減治(zhi)(zhi)療(liao)(liao)(liao)(liao)膽(dan)(dan)(dan)(dan)汁(zhi)反流(liu)(liu)(liu)性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)胃(wei)炎(yan)(yan)160例(li)(li)(li)，對(dui)照(zhao)組(zu)(zu)(zu)給予(yu)多潘立(li)酮，并監測服藥(yao)前后(hou)的胃(wei)鏡，病理及幽門螺桿菌的改變。結(jie)(jie)(jie)果(guo)(guo)：兩(liang)(liang)組(zu)(zu)(zu)臨(lin)床對(dui)照(zhao)比(bi)(bi)較，總(zong)有(you)效(xiao)(xiao)率(lv)(lv)(lv)分別為(wei)(wei)(wei)95%、51.96%，治(zhi)(zhi)療(liao)(liao)(liao)(liao)組(zu)(zu)(zu)療(liao)(liao)(liao)(liao)效(xiao)(xiao)明(ming)(ming)(ming)(ming)顯(xian)(xian)優(you)于對(dui)照(zhao)組(zu)(zu)(zu)(P2 010年(nian)(nian)(nian)(nian)(nian)第(di)(di)2期(qi)(qi))9.功能性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)消化不良：蒿(hao)(hao)(hao)芩(qin)(qin)清(qing)膽(dan)(dan)(dan)(dan)湯(tang)治(zhi)(zhi)療(liao)(liao)(liao)(liao)功能性(xing)(xing)(xing)(xing)(xing)(xing)(xing)(xing)消化不良35例(li)(li)(li)，若(ruo)出現上(shang)腹部飽脹明(ming)(ming)(ming)(ming)顯(xian)(xian)者(zhe)，加(jia)香(xiang)附、蘇梗；泛(fan)酸(suan)明(ming)(ming)(ming)(ming)顯(xian)(xian)加(jia)左(zuo)金(jin)(jin)丸；便溏加(jia)香(xiang)連(lian)(lian)丸；便秘加(jia)大(da)黃；口干(gan)加(jia)蘆根(gen)、天花粉；納(na)少者(zhe)加(jia)麥(mai)芽、山楂(zha)。結(jie)(jie)(jie)果(guo)(guo)：經(jing)(jing)上(shang)述方(fang)(fang)(fang)法治(zhi)(zhi)療(liao)(liao)(liao)(liao)后(hou)，總(zong)有(you)效(xiao)(xiao)率(lv)(lv)(lv)為(wei)(wei)(wei)85.7%：(《吉林中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)》2001年(nian)(nian)(nian)(nian)(nian)第(di)(di)6期(qi)(qi))10.帶(dai)狀疤(ba)疹(zhen)(zhen)：蒿(hao)(hao)(hao)芩(qin)(qin)清(qing)膽(dan)(dan)(dan)(dan)湯(tang)以(yi)伏暑論治(zhi)(zhi)秋冬季帶(dai)狀皰疹(zhen)(zhen)11例(li)(li)(li)，痊(quan)愈(yu)(皰疹(zhen)(zhen)消退，劇痛消失，無發熱(re)(re)(re)惡寒)11例(li)(li)(li)，有(you)效(xiao)(xiao)(皰疹(zhen)(zhen)消退，但仍疼(teng)痛，時(shi)有(you)心煩(fan)、寐差(cha))8例(li)(li)(li)，無效(xiao)(xiao)(經(jing)(jing)治(zhi)(zhi)癥(zheng)狀稍有(you)減輕，皰疹(zhen)(zhen)仍疼(teng)痛)2例(li)(li)(li)，總(zong)有(you)效(xiao)(xiao)率(lv)(lv)(lv)90.48%。(《河(he)(he)北中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)學(xue)(xue)報》2003年(nian)(nian)(nian)(nian)(nian)第(di)(di)3期(qi)(qi))11.心臟神(shen)(shen)經(jing)(jing)癥(zheng)(經(jing)(jing)驗)：宋云娟(juan)認為(wei)(wei)(wei)心臟神(shen)(shen)經(jing)(jing)癥(zheng)屬于膽(dan)(dan)(dan)(dan)郁痰(tan)熱(re)(re)(re)，內(nei)擾(rao)心神(shen)(shen)，臨(lin)床用(yong)(yong)本(ben)(ben)方(fang)(fang)(fang)治(zhi)(zhi)以(yi)清(qing)膽(dan)(dan)(dan)(dan)內(nei)濕(shi)熱(re)(re)(re)，化痰(tan)安神(shen)(shen)，在(zai)此方(fang)(fang)(fang)基礎(chu)上(shang)加(jia)遠(yuan)志(zhi)(zhi)、瓜萎祛痰(tan)安神(shen)(shen)，煅(duan)龍骨、牡蠣重(zhong)鎮安神(shen)(shen)。(《中(zhong)(zhong)國中(zhong)(zhong)醫(yi)(yi)(yi)藥(yao)信息雜志(zhi)(zhi)》2008年(nian)(nian)(nian)(nian)(nian)第(di)(di)5期(qi)(qi))12.更年(nian)(nian)(nian)(nian)(nian)期(qi)(qi)綜合(he)征：本(ben)(ben)方(fang)(fang)(fang)治(zhi)(zhi)療(liao)(liao)(liao)(liao)婦(fu)女更年(nian)(nian)(nian)(nian)(nian)期(qi)(qi)頭(tou)面烘熱(re)(re)(re)癥(zheng)30例(li)(li)(li)，伴(ban)眩暈加(jia)天麻(ma)、鉤藤；伴(ban)失眠、心悸加(jia)石菖蒲、遠(yuan)志(zhi)(zhi)、酸(suan)棗仁；伴(ban)面目虛浮加(jia)白芍、檳榔(lang)；伴(ban)大(da)便干(gan)結(jie)(jie)(jie)難解加(jia)白術、生地黃。結(jie)(jie)(jie)果(guo)(guo)：治(zhi)(zhi)愈(yu)20例(li)(li)(li)，好轉6例(li)(li)(li)，無效(xiao)(xiao)4例(li)(li)(li)，總(zong)有(you)效(xiao)(xiao)率(lv)(lv)(lv)86.67%。(《光(guang)明(ming)(ming)(ming)(ming)中(zhong)(zhong)醫(yi)(yi)(yi)》2001年(nian)(nian)(nian)(nian)(nian)第(di)(di)2期(qi)(qi))
方解 : 蒿(hao)芩(qin)清(qing)(qing)(qing)膽(dan)湯(tang)用(yong)于治(zhi)療濕熱(re)(re)(re)郁(yu)阻少(shao)陽(yang)(yang)膽(dan)經之(zhi)證(zheng)，臨床應用(yong)以(yi)寒熱(re)(re)(re)如瘧、寒輕熱(re)(re)(re)重(zhong)、胸悶口苦、舌紅苔(tai)白為辨證(zheng)要(yao)點。方中(zhong)青蒿(hao)腦為青蒿(hao)新發嫩(nen)芽，性味(wei)苦寒而(er)氣味(wei)芳香，既(ji)能清(qing)(qing)(qing)透少(shao)陽(yang)(yang)邪熱(re)(re)(re)，領(ling)少(shao)陽(yang)(yang)之(zhi)邪外出(chu)(chu)，又擅(shan)長(chang)化(hua)濕辟穢(hui)，其辟穢(hui)宣(xuan)絡之(zhi)功尤(you)勝(sheng)于柴胡，伍以(yi)清(qing)(qing)(qing)少(shao)陽(yang)(yang)膽(dan)熱(re)(re)(re)之(zhi)竹茹、黃芩(qin)為君(jun)；以(yi)枳殼(ke)(ke)、半夏(xia)、陳皮(pi)行氣和(he)胃化(hua)痰(tan)；更(geng)用(yong)碧(bi)玉(yu)散引(yin)相火下(xia)泄；赤茯苓致濕熱(re)(re)(re)下(xia)出(chu)(chu)，以(yi)通暢下(xia)焦(jiao)之(zhi)氣機，使邪有去路。全(quan)方共(gong)奏清(qing)(qing)(qing)膽(dan)利(li)濕，和(he)胃化(hua)痰(tan)之(zhi)功。當(dang)代名(ming)中(zhong)醫朱良春(chun)在《湯(tang)頭歌訣詳解(jie)》中(zhong)論述本(ben)方：青蒿(hao)性味(wei)苦寒，專去肝、膽(dan)伏熱(re)(re)(re)，領(ling)邪外出(chu)(chu)，配(pei)合黃芩(qin)、竹茹，尤(you)擅(shan)清(qing)(qing)(qing)泄膽(dan)熱(re)(re)(re)，解(jie)除(chu)熱(re)(re)(re)重(zhong)寒輕之(zhi)癥；半夏(xia)、陳皮(pi)、枳殼(ke)(ke)不但能化(hua)痰(tan)濁、消痞閩，配(pei)合黃芩(qin)、竹茹，更(geng)能止嘔逆(ni)、除(chu)心煩;赤茯苓、碧(bi)玉(yu)散利(li)小便，清(qing)(qing)(qing)濕熱(re)(re)(re)，協同青蒿(hao)、黃芩(qin)可(ke)治(zhi)黃疸(dan)。
現代研究 : 臨床報道(dao)還用(yong)于(yu)治療(liao)(liao)流行性出血熱、乙型(xing)腦炎、支氣管哮喘、腦梗死(si)、胰腺炎、腫瘤、癌癥化療(liao)(liao)所致(zhi)惡心嘔吐、反流性食管炎、蕁麻疹、面(mian)部(bu)痤瘡、口腔潰(kui)瘍、盜汗、失眠等病癥。
方歌 : 蒿芩清(qing)膽枳竹(zhu)茹(ru)，陳夏茯苓加(jia)碧玉，熱重寒(han)輕痰挾濕，胸痞嘔(ou)惡(e)總能除。
摘錄 : 清·《重訂通俗(su)傷寒論》
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