【組(zu)成】鱉甲（三(san)(san)(san)分(fen)(fen)(fen)）烏扇（三(san)(san)(san)分(fen)(fen)(fen)）黃(huang)芩（三(san)(san)(san)分(fen)(fen)(fen)）鼠婦（三(san)(san)(san)分(fen)(fen)(fen)）干姜（三(san)(san)(san)分(fen)(fen)(fen)）大黃(huang)（三(san)(san)(san)分(fen)(fen)(fen)）桂(gui)枝（三(san)(san)(san)分(fen)(fen)(fen)）石(shi)韋（三(san)(san)(san)分(fen)(fen)(fen)）厚樸（三(san)(san)(san)分(fen)(fen)(fen)）瞿麥（三(san)(san)(san)分(fen)(fen)(fen)）紫葳(wei)（三(san)(san)(san)分(fen)(fen)(fen)）阿膠（三(san)(san)(san)分(fen)(fen)(fen)）柴一(yi)胡(hu)一(yi)（六(liu)分(fen)(fen)(fen)）蜣螂（六(liu)分(fen)(fen)(fen)）芍藥（五(wu)分(fen)(fen)(fen)）牡丹（五(wu)分(fen)(fen)(fen)）A1A1蟲（五(wu)分(fen)(fen)(fen)）蜂(feng)巢（四分(fen)(fen)(fen)）赤硝（十二分(fen)(fen)(fen)）桃(tao)仁（二分(fen)(fen)(fen)）人參（一(yi)分(fen)(fen)(fen)）半(ban)夏（一(yi)分(fen)(fen)(fen)）葶藶（一(yi)分(fen)(fen)(fen)）
【功用(yong)】行氣(qi)活(huo)血，祛濕化痰，軟件消癥。
【主治】瘧母。瘧疾日久不愈，脅下癖塊，以及癥瘕積聚(ju)，腹(fu)中疼痛(tong)，肌肉消瘦，飲食減少，時有寒熱，或(huo)女子月一經閉止等(deng)。
【歌訣】鱉甲(jia)煎丸瘧母方，蟅蟲鼠婦及(ji)蜣(qiang)螂，蜂窠石(shi)韋人參射(she)，桂樸紫葳(wei)丹芍姜。
針灸培訓
哪些人不(bu)能吃醋鱉甲 孕婦及脾胃虛寒、食(shi)少便溏者忌(ji)服。
醋鱉甲(jia)的應(ying)用 1、肝腎(shen)陰(yin)(yin)虛(xu)(xu)(xu)(xu)證(zheng)。本(ben)品(pin)(pin)亦能滋養肝腎(shen)之陰(yin)(yin)，適用于肝腎(shen)陰(yin)(yin)虛(xu)(xu)(xu)(xu)所致陰(yin)(yin)虛(xu)(xu)(xu)(xu)內熱(re)、陰(yin)(yin)虛(xu)(xu)(xu)(xu)風動(dong)、陰(yin)(yin)虛(xu)(xu)(xu)(xu)陽亢諸證(zheng)。對(dui)陰(yin)(yin)虛(xu)(xu)(xu)(xu)內熱(re)證(zheng)，本(ben)品(pin)(pin)滋養之力不及(ji)龜甲(jia)，但長于退虛(xu)(xu)(xu)(xu)熱(re)、除骨蒸(zheng)，故尤為(wei)臨床(chuang)多(duo)用。治療溫病(bing)后期(qi)，陰(yin)(yin)液(ye)耗(hao)傷，邪伏陰(yin)(yin)分(fen)，夜(ye)熱(re)早涼，熱(re)退無汗者，常與丹皮(pi)(pi)、生(sheng)地、青(qing)蒿(hao)等品(pin)(pin)同(tong)用，如(ru)青(qing)蒿(hao)鱉甲(jia)湯(《溫病(bing)條辨(bian)》)。治療陰(yin)(yin)血虧虛(xu)(xu)(xu)(xu)，骨蒸(zheng)潮熱(re)者，常與秦艽、地骨皮(pi)(pi)等品(pin)(pin)同(tong)用。主治陰(yin)(yin)虛(xu)(xu)(xu)(xu)風動(dong)，手足瘈(ji)疭者，常與阿膠、生(sheng)地、麥冬等品(pin)(pin)同(tong)用。
2、癥瘕積聚。本品味咸(xian)，還(huan)長于(yu)(yu)軟(ruan)堅散結，適用于(yu)(yu)肝脾腫大等癥瘕積聚。常(chang)與活血化(hua)瘀(yu)、行(xing)氣化(hua)痰藥配伍(wu)，如鱉(bie)甲煎丸(wan)(《金匱要略》)以之與丹皮(pi)、桃(tao)仁、蟄蟲、厚樸(pu)、半(ban)夏等品同(tong)用，治瘧疾日(ri)久不愈，脅下痞硬(ying)成塊。
醋鱉甲的配伍應(ying)用(yong) 1、鱉甲配伍地(di)骨(gu)皮：鱉甲滋(zi)陰以除(chu)骨(gu)蒸;地(di)骨(gu)皮涼(liang)血(xue)退虛(xu)熱。二(er)者合用(yong)，有滋(zi)陰涼(liang)血(xue)、除(chu)蒸退虛(xu)熱之(zhi)功效，用(yong)于治(zhi)療邪伏陰分之(zhi)夜熱早涼(liang)、或陰虛(xu)血(xue)熱之(zhi)骨(gu)蒸潮(chao)熱。
2、鱉甲配伍三(san)棱：鱉甲軟堅散(san)結;三(san)棱破血行(xing)氣(qi)。二者伍用，有破血散(san)結、行(xing)氣(qi)消積之(zhi)功(gong)效，用于治療氣(qi)滯血淤(yu)之(zhi)癥(zheng)瘕痞塊或肝脾腫大等。
1、醋鱉甲是用醋炙后的鱉甲。味咸性寒，歸肝、腎經。具有軟堅散結的作用，常用于治療癥瘕積塊，血瘀經閉等癥狀。
2、如治療各種原因導致的脅下積塊(肝脾腫大)，可與蟄蟲、莪術、丹皮等活血消癥之品同用，如鱉甲煎丸；
3、用于(yu)治療腹中瘀塊、血瘀經閉等癥狀(zhuang)，可(ke)(ke)以大黃、琥(hu)珀等配伍應用。醋鱉甲含有(you)較多的鈣(gai)，可(ke)(ke)用于(yu)治療骨質疏松。脾(pi)胃(wei)虛寒(han)、食少(shao)便(bian)溏者禁用醋鱉甲，孕婦(fu)慎用。
中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)聯(lian)(lian)(lian)(lian)(lian)鱉(bie)甲(jia)(jia)(jia)(jia)煎(jian)(jian)(jian)丸(wan)(wan)(wan)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)柴胡(hu)性(xing)(xing)(xing)微寒(han)、味苦(ku)(ku)、辛(xin)、歸肝(gan)經、膽經，中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)聯(lian)(lian)(lian)(lian)(lian)鱉(bie)甲(jia)(jia)(jia)(jia)煎(jian)(jian)(jian)丸(wan)(wan)(wan)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)柴胡(hu)具(ju)(ju)疏肝(gan)利膽、疏氣解郁、散火之功(gong)(gong)(gong)效(xiao)。中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)聯(lian)(lian)(lian)(lian)(lian)鱉(bie)甲(jia)(jia)(jia)(jia)煎(jian)(jian)(jian)丸(wan)(wan)(wan)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)柴胡(hu)主(zhu)(zhu)治(zhi)肝(gan)郁氣滯，胸(xiong)肋脹(zhang)痛，脫(tuo)肛，子(zi)宮脫(tuo)落，月(yue)經不(bu)調(diao)。中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)聯(lian)(lian)(lian)(lian)(lian)鱉(bie)甲(jia)(jia)(jia)(jia)煎(jian)(jian)(jian)丸(wan)(wan)(wan)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)黃(huang)芩具(ju)(ju)有(you)清熱(re)燥濕(shi)，涼(liang)血(xue)安胎，解毒功(gong)(gong)(gong)效(xiao)。中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)聯(lian)(lian)(lian)(lian)(lian)鱉(bie)甲(jia)(jia)(jia)(jia)煎(jian)(jian)(jian)丸(wan)(wan)(wan)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)黃(huang)芩主(zhu)(zhu)治(zhi)溫(wen)熱(re)病、上呼(hu)吸道感染、肺(fei)熱(re)咳嗽、濕(shi)熱(re)黃(huang)膽、肺(fei)炎、痢(li)疾、咳血(xue)、目赤、胎動不(bu)安、高(gao)血(xue)壓、癰腫(zhong)癤瘡等(deng)癥。中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)聯(lian)(lian)(lian)(lian)(lian)鱉(bie)甲(jia)(jia)(jia)(jia)煎(jian)(jian)(jian)丸(wan)(wan)(wan)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)黃(huang)芩的(de)(de)(de)(de)(de)(de)臨床(chuang)應用(yong)抗菌(jun)比黃(huang)連還好，而且不(bu)產(chan)生抗藥性(xing)(xing)(xing)。中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)聯(lian)(lian)(lian)(lian)(lian)鱉(bie)甲(jia)(jia)(jia)(jia)煎(jian)(jian)(jian)丸(wan)(wan)(wan)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)蜣螂(lang)(lang)的(de)(de)(de)(de)(de)(de)性(xing)(xing)(xing)味咸，寒(han)。有(you)毒。中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)聯(lian)(lian)(lian)(lian)(lian)鱉(bie)甲(jia)(jia)(jia)(jia)煎(jian)(jian)(jian)丸(wan)(wan)(wan)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)蜣螂(lang)(lang)具(ju)(ju)有(you)解毒，消腫(zhong)，通便(bian)(bian)的(de)(de)(de)(de)(de)(de)功(gong)(gong)(gong)效(xiao)。中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)聯(lian)(lian)(lian)(lian)(lian)鱉(bie)甲(jia)(jia)(jia)(jia)煎(jian)(jian)(jian)丸(wan)(wan)(wan)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)蜣螂(lang)(lang)用(yong)于瘡瘍腫(zhong)毒，痔漏(lou)，便(bian)(bian)秘(mi)。中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)聯(lian)(lian)(lian)(lian)(lian)鱉(bie)甲(jia)(jia)(jia)(jia)煎(jian)(jian)(jian)丸(wan)(wan)(wan)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)干姜性(xing)(xing)(xing)味辛(xin)，性(xing)(xing)(xing)熱(re)。歸脾、胃、心(xin)(xin)、肺(fei)經。中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)聯(lian)(lian)(lian)(lian)(lian)鱉(bie)甲(jia)(jia)(jia)(jia)煎(jian)(jian)(jian)丸(wan)(wan)(wan)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)干姜具(ju)(ju)有(you)溫(wen)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)散寒(han)，回陽通脈(mo)，燥濕(shi)消痰(tan)(tan)，溫(wen)肺(fei)化飲(yin)的(de)(de)(de)(de)(de)(de)功(gong)(gong)(gong)效(xiao)。中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)聯(lian)(lian)(lian)(lian)(lian)鱉(bie)甲(jia)(jia)(jia)(jia)煎(jian)(jian)(jian)丸(wan)(wan)(wan)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)干姜用(yong)于脘腹冷痛；嘔吐；泄瀉，亡陽厥逆；寒(han)飲(yin)喘咳；寒(han)濕(shi)痹(bi)痛。中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)聯(lian)(lian)(lian)(lian)(lian)鱉(bie)甲(jia)(jia)(jia)(jia)煎(jian)(jian)(jian)丸(wan)(wan)(wan)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)厚樸(pu)(pu)性(xing)(xing)(xing)味苦(ku)(ku)；辛(xin)；性(xing)(xing)(xing)溫(wen)。中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)聯(lian)(lian)(lian)(lian)(lian)鱉(bie)甲(jia)(jia)(jia)(jia)煎(jian)(jian)(jian)丸(wan)(wan)(wan)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)厚樸(pu)(pu)具(ju)(ju)有(you)行氣消積；燥濕(shi)除(chu)滿(man)；降(jiang)逆平喘的(de)(de)(de)(de)(de)(de)功(gong)(gong)(gong)效(xiao)。中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)聯(lian)(lian)(lian)(lian)(lian)鱉(bie)甲(jia)(jia)(jia)(jia)煎(jian)(jian)(jian)丸(wan)(wan)(wan)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)厚樸(pu)(pu)用(yong)于食積氣滯；腹脹(zhang)便(bian)(bian)秘(mi)；濕(shi)阻中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)焦，脘痞(pi)吐瀉；痰(tan)(tan)壅氣逆；胸(xiong)滿(man)喘咳等(deng)。中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)聯(lian)(lian)(lian)(lian)(lian)鱉(bie)甲(jia)(jia)(jia)(jia)煎(jian)(jian)(jian)丸(wan)(wan)(wan)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)半夏(xia)具(ju)(ju)有(you)活血(xue)祛瘀(yu)，通經止(zhi)痛，清心(xin)(xin)除(chu)煩(fan)，涼(liang)血(xue)消癰之功(gong)(gong)(gong)效(xiao)。中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)聯(lian)(lian)(lian)(lian)(lian)鱉(bie)甲(jia)(jia)(jia)(jia)煎(jian)(jian)(jian)丸(wan)(wan)(wan)中(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)(zhong)的(de)(de)(de)(de)(de)(de)半夏(xia)用(yong)于胸(xiong)痹(bi)心(xin)(xin)痛，脘腹脅(xie)痛，瘕瘕積聚，熱(re)痹(bi)疼痛，心(xin)(xin)煩(fan)不(bu)眠，月(yue)經不(bu)調(diao)，痛經經閉，瘡瘍腫(zhong)痛。
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