處方 : 藿(huo)香根6克 厚樸6克 杏(xing)仁6克 茯苓皮6克 廣陳皮3克 神曲5克 麥(mai)芽5克 綿茵(yin)陳6克 大腹(fu)皮3克
功能主治 : 芳香化濕，理氣和中。治三焦(jiao)濕郁，升降失司，脘(wan)腹(fu)脹滿(man)，大便溏垢(gou)不爽。
用法用量 : 加(jia)水1升，煮(zhu)取400毫升，分二次溫服。
摘錄 : 《溫病條辨》卷二
藿香正氣散(san)來源于《和(he)劑(ji)局方(fang)》，其組方(fang)為：藿香90g紫蘇30g白(bai)芷30g大腹皮30g茯(fu)苓30g白(bai)術(shu)60g半夏(xia)曲60g,厚(hou)樸(pu)（姜(jiang)汁灸(jiu)）60g桔(jie)梗60g炙甘草75g，具有(you)解表(biao)化(hua)濕(shi)，理氣和(he)中之功效。本方(fang)為治(zhi)療(liao)家(jia)畜外感(gan)風寒、內傷濕(shi)滯的常用方(fang)劑(ji)。對暑天感(gan)冒，中暑，脾胃失(shi)和(he)者最為適宜。若(ruo)表(biao)邪偏(pian)重，惡寒無(wu)汗，可加(jia)(jia)香薷以(yi)助其解表(biao)；若(ruo)兼(jian)積食(shi)，可加(jia)(jia)萊菔子、焦三仙以(yi)消(xiao)食(shi)導滯；若(ruo)泄瀉(xie)嚴重，加(jia)(jia)白(bai)扁豆、薏苡仁以(yi)祛(qu)濕(shi)止瀉(xie)；若(ruo)小(xiao)便短少(shao)，可加(jia)(jia)澤(ze)瀉(xie)、車前(qian)子以(yi)利水(shui)除濕(shi)。現代獸醫(yi)臨床上常用本方(fang)加(jia)(jia)減治(zhi)療(liao)家(jia)畜急性胃腸炎、胃腸型感(gan)冒、消(xiao)化(hua)不良等屬于外感(gan)風寒、內傷濕(shi)滯者和(he)牛的流行(xing)熱等。
因為(wei)(wei)《素問：痹(bi)(bi)(bi)論》有“風寒(han)濕(shi)(shi)(shi)三氣(qi)雜至(zhi)，合而為(wei)(wei)痹(bi)(bi)(bi)也。其風氣(qi)勝者(zhe)(zhe)(zhe)為(wei)(wei)行(xing)痹(bi)(bi)(bi)，寒(han)氣(qi)勝者(zhe)(zhe)(zhe)為(wei)(wei)痛痹(bi)(bi)(bi)，濕(shi)(shi)(shi)氣(qi)勝者(zhe)(zhe)(zhe)為(wei)(wei)著痹(bi)(bi)(bi)”之論述，故后世論治痹(bi)(bi)(bi)證(zheng)，莫不以(yi)風寒(han)濕(shi)(shi)(shi)三氣(qi)為(wei)(wei)主。治行(xing)痹(bi)(bi)(bi)以(yi)散風為(wei)(wei)法(fa)，驅寒(han)利濕(shi)(shi)(shi)為(wei)(wei)輔(fu)，方(fang)用防(fang)風湯(tang)(tang)。治痛痹(bi)(bi)(bi)以(yi)散寒(han)為(wei)(wei)法(fa)，疏風燥濕(shi)(shi)(shi)為(wei)(wei)輔(fu)，方(fang)用烏(wu)頭湯(tang)(tang)、蠲(juan)痹(bi)(bi)(bi)湯(tang)(tang)。治著痹(bi)(bi)(bi)者(zhe)(zhe)(zhe)，以(yi)利濕(shi)(shi)(shi)為(wei)(wei)法(fa)，祛(qu)風解寒(han)為(wei)(wei)輔(fu)，方(fang)用薏苡仁湯(tang)(tang)。
從臨床實際情況看，當今民眾多食膏粱厚味，醫喜用性熱溫補之品，又有素體陽盛熱多之人，卒然感受風寒濕三邪，則從陽化而為濕熱，濕熱邪氣痹阻經絡關節，氣血不通，則形成濕熱痹。如《金匱翼·熱痹》說：“熱痹者，閉熱于內也…臟腑經絡，先有蓄熱，而復遇風寒濕氣客之，熱為寒郁，氣不得通，久之寒亦化熱，則羣痹熻然而悶也。”知其濕熱痹證，是濕熱相因為患，客于關節經絡之間，濕聚熱蒸，蘊郁不散，久而久之，經脈氣血受阻，運行不暢，因而成痹。臨床辨證多見肢節對稱性紅腫疼痛，活動不利，多伴口干而渴，小便黃短，或發熱，或大便干結，舌質紅或絳，舌苔黃膩，脈滑數或沉滑有力等。仲圣金匱要略謂：盛人脈澀小，短氣，自汗出，歷節疼，不可屈伸，此皆飲酒汗出當風所致。諸肢節疼痛，身體魁羸，腳腫如脫，頭眩短氣，溫溫欲吐，桂枝芍藥知母湯主之。《沈注金匱要略》：此久痹而出方也，乃脾胃肝腎俱虛，足三陰表里皆痹，難拘一經主治，故用桂枝、芍藥、甘草、術調和營衛，充益五臟之元；麻黃、防風、生姜開腠行痹而驅風外出；知母保肺清金以使治節；經謂風、寒、濕三氣合而為痹，以附子行陽燥濕除寒為佐也。《金匱要略心典》：桂枝、麻黃、防風，散寒濕于表；芍藥、知母、甘草，除熱于中；白術、附子，驅濕于下；而用生姜最多，以止嘔降逆。為濕熱外傷肢節，而復上沖心胃之治法也。 全方有溫陽散寒，祛風除濕．清利濕熱之作用，根據仲景之訓，窺竊前賢經驗，臨床中見面黃少華，或色微黃及青黑，苔白膩或黃膩，脈浮數，浮滑或弦滑，四肢畏冷怕熱，或沉重轉側不利．或灼熱腫脹，或在氣候變化時癥狀加重。臨床辨其為風寒濕雜至外閉，內有經絡郁熱的病機，投之可收異病同治之效。若濕寒重者，可重用麻黃、桂枝、附子以溫陽發敬，若熱重于寒者，重用芍藥、知母，加石膏、黃柏等以清熱利濕，若濕邪盛者，可加薏苡仁，蒼術以化濕邪，正虛者加黃芪益氣固正。 本方含麻黃附子湯 治寒 、芍藥甘草附子湯、甘草附子湯、桂枝加附子湯 治風 ， 白術附子湯治濕 之 合方，加知母治肢節浮腫，煩熱渴飲加石膏。加防風治頭眩痛，身體痛，骨節痛。自汗惡風，身重浮腫減加 麻黃、加 黃(huang)芪(qi)，防(fang)己(ji)(ji)則又是個方意。“風(feng)濕(shi)，脈浮身(shen)(shen)重(zhong)，汗出惡(e)風(feng)者，防(fang)己(ji)(ji)黃(huang)芪(qi)湯主之。”治風(feng)濕(shi)相搏，客(ke)在皮膚，一身(shen)(shen)盡重(zhong)，四(si)肢(zhi)少力，關節煩(fan)疼，時自(zi)汗出，灑(sa)淅惡(e)風(feng)，不(bu)欲(yu)去衣(yi)。及治風(feng)水客(ke)搏，腰(yao)腳(jiao)浮腫(zhong)，上輕下(xia)重(zhong)，不(bu)能(neng)屈伸。“此治衛陽不(bu)足，風(feng)濕(shi)乘虛(xu)客(ke)予表也。病因表虛(xu)而(er)來，若不(bu)振其衛陽，則雖用防(fang)己(ji)(ji)，亦不(bu)能(neng)使邪(xie)逕去而(er)病愈，故用黃(huang)芪(qi)助衛氣于(yu)外(wai)，白術(shu)、甘草補土德于(yu)中，佐以(yi)姜、棗通行營衛，使防(fang)己(ji)(ji)大(da)彰厥效(xiao)。
吳鞠通溫病條辨中焦篇論， 濕郁三焦， 脘悶便溏，中焦證也，身痛舌白，脈象模糊，則經絡證矣，用 二加減正氣散， 藿樸苓陳，苦辛淡法，加防己急走經絡中濕郁；以便溏不比大便不爽，故加通草、薏仁，利小便所以實大便也；大豆黃卷從濕熱蒸變而成，能化蘊釀之濕熱，而蒸變脾胃之氣也。 而以夏季風暑寒濕，雜感混淆， 病非一端， 氣不主宣，咳嗽頭脹，不饑舌白，肢體若廢，杏仁薏苡湯主之。 故以宣氣之藥為君。既兼雨濕中寒邪，自當變辛涼為辛溫。列于此者，以其為上條之對待也。 杏仁薏苡湯 苦辛溫之法。 六六條曰、濕郁經脈，身熱身痛，汗多自利，胸腹白疹，內外合邪，純辛走表，純苦清熱，皆在所忌，辛涼淡法，薏苡竹葉散主之。 痹在經脈，臟腑亦有(you)邪(xie)(xie)，汗(han)多則(ze)表陽(yang)開，身痛則(ze)表邪(xie)(xie)郁，表陽(yang)開而不(bu)(bu)解(jie)(jie)(jie)表邪(xie)(xie)，其為風濕(shi)(shi)無疑，蓋(gai)汗(han)之(zhi)解(jie)(jie)(jie)者(zhe)寒(han)邪(xie)(xie)也(ye)，風為陽(yang)邪(xie)(xie)，尚不(bu)(bu)能以汗(han)解(jie)(jie)(jie)，況濕(shi)(shi)為重濁之(zhi)陰邪(xie)(xie)，故雖(sui)有(you)汗(han)不(bu)(bu)解(jie)(jie)(jie)也(ye)。有(you)汗(han)出不(bu)(bu)解(jie)(jie)(jie)之(zhi)證，當識其非風則(ze)濕(shi)(shi)，或為風濕(shi)(shi)相搏也(ye)。自利者(zhe)小便必短，白疹者(zhe)，風濕(shi)(shi)郁于(yu)孫絡毛(mao)竅。此濕(shi)(shi)停熱郁之(zhi)證，故主以辛涼解(jie)(jie)(jie)肌表之(zhi)熱，辛淡滲在里(li)之(zhi)濕(shi)(shi)，俾表邪(xie)(xie)從(cong)氣化而散。里(li)邪(xie)(xie)從(cong)小便而驅，雙解(jie)(jie)(jie)表里(li)之(zhi)妙(miao)法也(ye)。
論濕 熱痹， 六五條曰， 痹之因于寒者固多，痹之兼乎熱者，亦復不少，寒痹勢重而治反易，熱痹勢緩而治反難，實者單病軀殼易治，虛者兼病臟腑夾痰飲腹滿等證，則難治矣，猶之傷寒兩感也。此條以舌灰目黃，知其為濕中生熱，寒戰熱熾，知其在經絡；骨骱疼痛，知其為痹證。若泛用治濕之藥，而不知循經入絡，則罔效矣。 濕聚熱蒸，蘊于經絡，寒戰熱熾，骨骱煩疼，舌色灰滯，面目萎黃，病名濕痹，宣痹湯主之。 以防(fang)己急(ji)走經絡之(zhi)濕(shi)，杏(xing)仁開肺(fei)(fei)氣(qi)之(zhi)先(xian)，連翹清氣(qi)分(fen)之(zhi)濕(shi)熱，赤豆(dou)清血(xue)分(fen)之(zhi)濕(shi)熱，滑(hua)石利竅而(er)(er)清熱中之(zhi)濕(shi)，山梔肅肺(fei)(fei)而(er)(er)瀉濕(shi)中之(zhi)熱，薏(yi)苡淡滲而(er)(er)主攣痹，半夏辛平而(er)(er)主寒熱，蠶砂化濁(zhuo)道中清氣(qi)，痛甚加片子姜黃、海桐(tong)皮者(zhe)，所以宣(xuan)絡而(er)(er)止痛也。
論暑濕痹者，用 辛溫辛涼復法， 加減木防己湯主之， 加(jia)(jia)(jia)(jia)(jia)減木防(fang)(fang)己湯是(shi)由《金匱要略(lve)》的(de)木防(fang)(fang)己湯去人(ren)參加(jia)(jia)(jia)(jia)(jia)通(tong)草、杏(xing)仁、滑石(shi)、薏(yi)苡仁而(er)組(zu)成。本方(fang)的(de)特點是(shi)重用石(shi)膏(gao)，以(yi)清(qing)熱為主，配以(yi)滑石(shi)、杏(xing)仁、苡米清(qing)利三焦之(zhi)濕(shi)熱；防(fang)(fang)己、桂枝(zhi)宣通(tong)經脈之(zhi)氣；通(tong)草能通(tong)利經關節之(zhi)氣血。全方(fang)共奏清(qing)熱利濕(shi)，宣氣通(tong)絡(luo)之(zhi)功，吳鞠通(tong)稱之(zhi)為“治痹之(zhi)祖(zu)方(fang)”。風勝則引(yin)，或上或下，四肢游走作痛，經謂行(xing)痹是(shi)，加(jia)(jia)(jia)(jia)(jia)桂枝(zhi)、桑葉。濕(shi)勝則腫，腫者(zhe)加(jia)(jia)(jia)(jia)(jia)滑石(shi)、萆薢(xiao)、蒼術。寒勝則痛，痛者(zhe)加(jia)(jia)(jia)(jia)(jia)防(fang)(fang)己、桂枝(zhi)、姜黃、海桐皮。胃熱面(mian)赤口涎自出者(zhe)重加(jia)(jia)(jia)(jia)(jia)石(shi)膏(gao)、知母。絕無汗者(zhe)，加(jia)(jia)(jia)(jia)(jia)羌活、蒼術，汗多(duo)者(zhe)加(jia)(jia)(jia)(jia)(jia)黃芪、炙甘草。兼痰飲者(zhe)，加(jia)(jia)(jia)(jia)(jia)半夏(xia)、濃樸、廣皮。因不能備載全文(wen)，故以(yi)祖(zu)方(fang)加(jia)(jia)(jia)(jia)(jia)減如(ru)此，聊示門徑而(er)已。
李東垣(yuan)當歸(gui)(gui)拈痛(tong)(tong)(tong)(tong)(tong)(tong)湯：有利(li)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)清(qing)(qing)(qing)熱(re)(re)(re)(re)，疏風(feng)(feng)(feng)止(zhi)(zhi)(zhi)痛(tong)(tong)(tong)(tong)(tong)(tong)之(zhi)(zhi)功效(xiao)。主(zhu)治(zhi)(zhi)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re)相(xiang)搏(bo)，外受風(feng)(feng)(feng)邪(xie)(xie)證(zheng)(zheng)(zheng)。遍(bian)身肢節(jie)煩痛(tong)(tong)(tong)(tong)(tong)(tong)，或肩(jian)背沉重(zhong)(zhong)，或腳(jiao)(jiao)氣(qi)(qi)腫(zhong)(zhong)痛(tong)(tong)(tong)(tong)(tong)(tong)，腳(jiao)(jiao)膝生瘡，舌(she)苔白(bai)膩微黃(huang)，脈(mo)弦數。臨床常(chang)(chang)用于(yu)治(zhi)(zhi)療(liao)風(feng)(feng)(feng)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)性關(guan)(guan)(guan)節(jie)炎、類風(feng)(feng)(feng)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)性關(guan)(guan)(guan)節(jie)炎屬(shu)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re)內蘊而(er)兼(jian)風(feng)(feng)(feng)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)表證(zheng)(zheng)(zheng)者(zhe)。風(feng)(feng)(feng)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re)邪(xie)(xie)留滯經(jing)(jing)脈(mo)，氣(qi)(qi)血運(yun)行不暢，故(gu)遍(bian)身肢節(jie)煩痛(tong)(tong)(tong)(tong)(tong)(tong)；且(qie)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)邪(xie)(xie)偏勝(sheng)，其(qi)性重(zhong)(zhong)濁(zhuo)，故(gu)肩(jian)背沉重(zhong)(zhong)；濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re)下注(zhu)，則腳(jiao)(jiao)氣(qi)(qi)腫(zhong)(zhong)痛(tong)(tong)(tong)(tong)(tong)(tong)、腳(jiao)(jiao)膝生瘡；舌(she)苔白(bai)膩微黃(huang)，脈(mo)弦數乃(nai)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re)內蘊之(zhi)(zhi)征。風(feng)(feng)(feng)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re)三邪(xie)(xie)合而(er)為(wei)(wei)(wei)患(huan)，但(dan)以(yi)(yi)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)邪(xie)(xie)偏重(zhong)(zhong)為(wei)(wei)(wei)其(qi)特點。治(zhi)(zhi)療(liao)宜(yi)以(yi)(yi)祛(qu)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)為(wei)(wei)(wei)主(zhu)，輔以(yi)(yi)清(qing)(qing)(qing)熱(re)(re)(re)(re)疏風(feng)(feng)(feng)止(zhi)(zhi)(zhi)痛(tong)(tong)(tong)(tong)(tong)(tong)。方中(zhong)重(zhong)(zhong)用羌活、茵陳為(wei)(wei)(wei)君(jun)。羌活辛散祛(qu)風(feng)(feng)(feng)，苦(ku)(ku)燥(zao)(zao)(zao)勝(sheng)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)，且(qie)善通(tong)痹(bi)(bi)止(zhi)(zhi)(zhi)痛(tong)(tong)(tong)(tong)(tong)(tong)；茵陳善能(neng)清(qing)(qing)(qing)熱(re)(re)(re)(re)利(li)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)，《本(ben)草(cao)拾遺(yi)》上(shang)言(yan)其(qi)能(neng)“通(tong)關(guan)(guan)(guan)節(jie)，去滯熱(re)(re)(re)(re)”。兩藥(yao)(yao)相(xiang)合，共成祛(qu)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)疏風(feng)(feng)(feng)，清(qing)(qing)(qing)熱(re)(re)(re)(re)止(zhi)(zhi)(zhi)痛(tong)(tong)(tong)(tong)(tong)(tong)之(zhi)(zhi)功。臣(chen)以(yi)(yi)豬(zhu)(zhu)苓、澤瀉(xie)利(li)水滲(shen)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)；黃(huang)芩、苦(ku)(ku)參清(qing)(qing)(qing)熱(re)(re)(re)(re)燥(zao)(zao)(zao)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)；防風(feng)(feng)(feng)、升(sheng)麻、葛(ge)根解表疏風(feng)(feng)(feng)。分別從除濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)、疏風(feng)(feng)(feng)、清(qing)(qing)(qing)熱(re)(re)(re)(re)等方面(mian)助(zhu)君(jun)藥(yao)(yao)之(zhi)(zhi)力。佐(zuo)以(yi)(yi)白(bai)術(shu)(shu)、蒼術(shu)(shu)燥(zao)(zao)(zao)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)健(jian)脾，以(yi)(yi)運(yun)化水濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)邪(xie)(xie)氣(qi)(qi)；本(ben)證(zheng)(zheng)(zheng)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)邪(xie)(xie)偏勝(sheng)，所用諸除濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)藥(yao)(yao)性多苦(ku)(ku)燥(zao)(zao)(zao)，易傷(shang)(shang)及氣(qi)(qi)血陰津，以(yi)(yi)人參、當歸(gui)(gui)益(yi)氣(qi)(qi)養血；知母(mu)清(qing)(qing)(qing)熱(re)(re)(re)(re)養陰，能(neng)防諸苦(ku)(ku)燥(zao)(zao)(zao)藥(yao)(yao)物傷(shang)(shang)陰，使祛(qu)邪(xie)(xie)不傷(shang)(shang)正。使以(yi)(yi)炙甘草(cao)調和諸藥(yao)(yao)。若(ruo)腳(jiao)(jiao)膝腫(zhong)(zhong)甚，可加(jia)防己、木瓜以(yi)(yi)祛(qu)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)消(xiao)腫(zhong)(zhong)；若(ruo)身痛(tong)(tong)(tong)(tong)(tong)(tong)甚者(zhe)，可加(jia)姜黃(huang)、海桐皮以(yi)(yi)活血通(tong)絡止(zhi)(zhi)(zhi)痛(tong)(tong)(tong)(tong)(tong)(tong)。當歸(gui)(gui)拈痛(tong)(tong)(tong)(tong)(tong)(tong)湯與(yu)(yu)宣(xuan)痹(bi)(bi)湯均為(wei)(wei)(wei)治(zhi)(zhi)療(liao)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re)痹(bi)(bi)證(zheng)(zheng)(zheng)之(zhi)(zhi)常(chang)(chang)用方。前者(zhe)利(li)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)清(qing)(qing)(qing)熱(re)(re)(re)(re)而(er)兼(jian)能(neng)疏風(feng)(feng)(feng)，故(gu)適于(yu)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re)痹(bi)(bi)證(zheng)(zheng)(zheng)而(er)兼(jian)風(feng)(feng)(feng)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)表證(zheng)(zheng)(zheng)者(zhe)；后者(zhe)利(li)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)與(yu)(yu)清(qing)(qing)(qing)熱(re)(re)(re)(re)并重(zhong)(zhong)，且(qie)能(neng)通(tong)絡止(zhi)(zhi)(zhi)痛(tong)(tong)(tong)(tong)(tong)(tong)，故(gu)主(zhu)治(zhi)(zhi)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re)阻于(yu)經(jing)(jing)絡之(zhi)(zhi)痹(bi)(bi)證(zheng)(zheng)(zheng)。汪(wang)昂(ang)《醫(yi)方集解·利(li)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)之(zhi)(zhi)劑》：“此足太陽、陽明藥(yao)(yao)也(ye)。原文(wen)曰羌活透關(guan)(guan)(guan)節(jie)，防風(feng)(feng)(feng)散風(feng)(feng)(feng)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)為(wei)(wei)(wei)君(jun)。升(sheng)、葛(ge)味薄引而(er)上(shang)行，苦(ku)(ku)以(yi)(yi)發之(zhi)(zhi)；白(bai)術(shu)(shu)甘溫(wen)和平，蒼術(shu)(shu)辛溫(wen)雄壯，健(jian)脾燥(zao)(zao)(zao)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)為(wei)(wei)(wei)臣(chen)。濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)熱(re)(re)(re)(re)相(xiang)合，肢節(jie)煩痛(tong)(tong)(tong)(tong)(tong)(tong)，苦(ku)(ku)參、黃(huang)芩、知母(mu)、茵陳，苦(ku)(ku)寒(han)以(yi)(yi)泄之(zhi)(zhi)，酒炒以(yi)(yi)為(wei)(wei)(wei)用；血壅不流則為(wei)(wei)(wei)痛(tong)(tong)(tong)(tong)(tong)(tong)，當歸(gui)(gui)辛溫(wen)以(yi)(yi)散之(zhi)(zhi)；人參、甘草(cao)甘溫(wen)補養正氣(qi)(qi)，使苦(ku)(ku)寒(han)不傷(shang)(shang)脾胃(wei)；治(zhi)(zhi)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)不利(li)小便，非(fei)其(qi)治(zhi)(zhi)也(ye)，豬(zhu)(zhu)苓、澤瀉(xie)甘淡咸平，導其(qi)留飲為(wei)(wei)(wei)佐(zuo)。上(shang)下分消(xiao)其(qi)濕(shi)(shi)(shi)(shi)(shi)(shi)(shi)(shi)，使壅滯得宣(xuan)通(tong)也(ye)。”
濕(shi)熱(re)痹(bi)在臨床治療(liao)(liao)的(de)過程中(zhong)，要注意濕(shi)熱(re)相因(yin)為邪，糾纏(chan)不清，難(nan)以速去，治療(liao)(liao)應(ying)抓住主要矛盾，守方守法(fa)。熱(re)甚者石膏配(pei)知母(mu)、金(jin)銀(yin)花等(deng)增其清熱(re)之功；痛甚者加(jia)(jia)(jia)片姜黃、海(hai)桐皮(pi)增其化(hua)瘀宣絡之效。在治療(liao)(liao)過程中(zhong)，常可根(gen)據兼證(zheng)加(jia)(jia)(jia)味治療(liao)(liao)。如熱(re)傷營(ying)血而(er)見皮(pi)下(xia)(xia)瘀斑者，加(jia)(jia)(jia)紫(zi)草、丹(dan)皮(pi)、生地等(deng)涼血之品(pin)；濕(shi)盛下(xia)(xia)注者加(jia)(jia)(jia)蒼術、黃柏、木通等(deng)利濕(shi)之藥；氣血瘀滯者加(jia)(jia)(jia)川芎、紅花活血行氣。氣血虛加(jia)(jia)(jia)黃芪，當歸(gui)，人參。
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