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桂枝麻黃葛根湯會上火嗎?

藥哥明白 2024-01-07 00:09:25

桂枝麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)葛(ge)(ge)根(gen)湯(tang)會上火(huo)麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)每每先(xian)(xian)煎,且必(bi)言“去(qu)(qu)(qu)(qu)沫(mo)(mo)(mo)(mo)(mo)(mo)(mo)”,仲(zhong)師(shi)(shi)未(wei)(wei)(wei)述其(qi)(qi)(qi)理(li)(li)(li),古書不(bu)(bu)(bu)(bu)見(jian)(jian)旁證(zheng),雖(sui)屬小題(ti)(ti),竟成千(qian)古疑案(an)。由于(yu)(yu)(yu)(yu)(yu)(yu)牽扯到邏輯思維問(wen)(wen)(wen)(wen)題(ti)(ti),略作(zuo)分(fen)(fen)析。考(kao)證(zheng)前(qian)人(ren)注解,頗具影響者(zhe)(zhe)有兩(liang)說(shuo)(shuo):一是(shi)(shi)陶(tao)弘景(jing)認(ren)為“沫(mo)(mo)(mo)(mo)(mo)(mo)(mo)令(ling)人(ren)煩”。二是(shi)(shi)張錫純(chun)指(zhi)出“沫(mo)(mo)(mo)(mo)(mo)(mo)(mo)中(zhong)含有發(fa)(fa)(fa)(fa)表(biao)(biao)(biao)(biao)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)猛(meng)力(li)(li)(li)”。陶(tao)氏(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)說(shuo)(shuo)可(ke)(ke)能(neng)(neng)屬親歷(li)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)談(tan),因(yin)為麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)湯(tang)證(zheng)多(duo)是(shi)(shi)寒(han)邪(xie)閉(bi)(bi)表(biao)(biao)(biao)(biao),均有不(bu)(bu)(bu)(bu)同程度的(de)(de)(de)(de)陽(yang)氣(qi)(qi)郁(yu)(yu)遏因(yin)素(su),而(er)麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)又性(xing)屬辛溫,汗中(zhong)助(zhu)熱,在(zai)(zai)(zai)服藥(yao)(yao)(yao)(yao)將汗未(wei)(wei)(wei)汗之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)時,由于(yu)(yu)(yu)(yu)(yu)(yu)郁(yu)(yu)熱擾(rao)及(ji)心神,也(ye)可(ke)(ke)能(neng)(neng)會出現“令(ling)人(ren)煩”的(de)(de)(de)(de)現象。然而(er),這里尚(shang)存在(zai)(zai)(zai)三個問(wen)(wen)(wen)(wen)題(ti)(ti):其(qi)(qi)(qi)一,即(ji)是(shi)(shi)邏輯思維問(wen)(wen)(wen)(wen)題(ti)(ti),用(yong)(yong)(yong)(yong)麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)的(de)(de)(de)(de)方(fang)(fang)證(zheng)可(ke)(ke)謂(wei)多(duo)矣,不(bu)(bu)(bu)(bu)屬表(biao)(biao)(biao)(biao)證(zheng)、不(bu)(bu)(bu)(bu)具陽(yang)郁(yu)(yu)病機者(zhe)(zhe),難(nan)能(neng)(neng)生(sheng)煩,何以(yi)治表(biao)(biao)(biao)(biao)治里之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)皆“去(qu)(qu)(qu)(qu)沫(mo)(mo)(mo)(mo)(mo)(mo)(mo),’?其(qi)(qi)(qi)二,“令(ling)人(ren)煩”是(shi)(shi)否(fou)當(dang)責之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)于(yu)(yu)(yu)(yu)(yu)(yu)“沫(mo)(mo)(mo)(mo)(mo)(mo)(mo)”,證(zheng)據尚(shang)嫌(xian)不(bu)(bu)(bu)(bu)足(zu)。其(qi)(qi)(qi)三,今人(ren)煎服麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)諸湯(tang),皆不(bu)(bu)(bu)(bu)去(qu)(qu)(qu)(qu)沫(mo)(mo)(mo)(mo)(mo)(mo)(mo),也(ye)未(wei)(wei)(wei)見(jian)(jian)每每令(ling)人(ren)煩者(zhe)(zhe)。可(ke)(ke)見(jian)(jian),陶(tao)氏(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)說(shuo)(shuo)難(nan)以(yi)令(ling)人(ren)信服。張氏(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)說(shuo)(shuo),則(ze)更是(shi)(shi)于(yu)(yu)(yu)(yu)(yu)(yu)理(li)(li)(li)不(bu)(bu)(bu)(bu)通。麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)湯(tang)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)所(suo)以(yi)用(yong)(yong)(yong)(yong)麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang),就是(shi)(shi)針對(dui)寒(han)閉(bi)(bi)肌表(biao)(biao)(biao)(biao)的(de)(de)(de)(de)太陽(yang)病機開膜發(fa)(fa)(fa)(fa)汗.換言之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi),正(zheng)(zheng)是(shi)(shi)用(yong)(yong)(yong)(yong)的(de)(de)(de)(de)麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)“發(fa)(fa)(fa)(fa)表(biao)(biao)(biao)(biao)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)猛(meng)力(li)(li)(li)”.若果然“沫(mo)(mo)(mo)(mo)(mo)(mo)(mo)中(zhong)含有發(fa)(fa)(fa)(fa)表(biao)(biao)(biao)(biao)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)猛(meng)力(li)(li)(li)”的(de)(de)(de)(de)話,豈(qi)不(bu)(bu)(bu)(bu)正(zheng)(zheng)應(ying)其(qi)(qi)(qi)治?怎能(neng)(neng)去(qu)(qu)(qu)(qu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)呢?或(huo)曰:去(qu)(qu)(qu)(qu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)以(yi)防麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)發(fa)(fa)(fa)(fa)表(biao)(biao)(biao)(biao)太過(guo),那么,治寒(han)閉(bi)(bi)尤甚乃至遏陽(yang)生(sheng)熱的(de)(de)(de)(de)大青龍湯(tang),為了峻(jun)汗開表(biao)(biao)(biao)(biao),麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)一舉用(yong)(yong)(yong)(yong)至六兩(liang),可(ke)(ke)謂(wei)正(zheng)(zheng)需“猛(meng)力(li)(li)(li)”,為何也(ye)“去(qu)(qu)(qu)(qu)上沫(mo)(mo)(mo)(mo)(mo)(mo)(mo)”呢?可(ke)(ke)見(jian)(jian),張氏(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)說(shuo)(shuo)也(ye)屬臆斷.麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)先(xian)(xian)煎去(qu)(qu)(qu)(qu)沫(mo)(mo)(mo)(mo)(mo)(mo)(mo)問(wen)(wen)(wen)(wen)題(ti)(ti),應(ying)結合《內經》歷(li)史地看(kan)(kan)待。仲(zhong)師(shi)(shi)《傷(shang)(shang)寒(han)論(lun)(lun)》“撰(zhuan)用(yong)(yong)(yong)(yong)素(su)問(wen)(wen)(wen)(wen)九卷(juan)”,這說(shuo)(shuo)明在(zai)(zai)(zai)理(li)(li)(li)論(lun)(lun)上《傷(shang)(shang)寒(han)論(lun)(lun)》與(yu)《內經》有著(zhu)千(qian)絲萬縷的(de)(de)(de)(de)聯(lian)系(xi),《素(su)問(wen)(wen)(wen)(wen)·陰陽(yang)應(ying)象大論(lun)(lun)》中(zhong)說(shuo)(shuo):“清(qing)(qing)陽(yang)發(fa)(fa)(fa)(fa)滕理(li)(li)(li),濁(zhuo)陰走五臟”.又說(shuo)(shuo):“陰味(wei)出下竅,陽(yang)氣(qi)(qi)出上竅”。仲(zhong)師(shi)(shi)把這種(zhong)藥(yao)(yao)(yao)(yao)物(wu)氣(qi)(qi)味(wei)陰陽(yang)、清(qing)(qing)濁(zhuo)升(sheng)(sheng)降的(de)(de)(de)(de)理(li)(li)(li)論(lun)(lun)運(yun)用(yong)(yong)(yong)(yong)于(yu)(yu)(yu)(yu)(yu)(yu)經方(fang)(fang)的(de)(de)(de)(de)證(zheng)治之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)中(zhong),由此(ci)推論(lun)(lun),麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)的(de)(de)(de)(de)先(xian)(xian)煎去(qu)(qu)(qu)(qu)沫(mo)(mo)(mo)(mo)(mo)(mo)(mo),首先(xian)(xian)是(shi)(shi)麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)在(zai)(zai)(zai)煎煮過(guo)程中(zhong)出現“沫(mo)(mo)(mo)(mo)(mo)(mo)(mo)”,而(er)仲(zhong)師(shi)(shi)(或(huo)仲(zhong)師(shi)(shi)前(qian)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)醫(yi)家)憑(ping)直觀認(ren)為沫(mo)(mo)(mo)(mo)(mo)(mo)(mo)乃屬濁(zhuo)物(wu),必(bi)有礙于(yu)(yu)(yu)(yu)(yu)(yu)升(sheng)(sheng)發(fa)(fa)(fa)(fa),去(qu)(qu)(qu)(qu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)以(yi)取(qu)麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)氣(qi)(qi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)輕清(qing)(qing),而(er)有利于(yu)(yu)(yu)(yu)(yu)(yu)發(fa)(fa)(fa)(fa)腆理(li)(li)(li)、出上竅。誠(cheng)如(ru)柯韻伯所(suo)云:“去(qu)(qu)(qu)(qu)沫(mo)(mo)(mo)(mo)(mo)(mo)(mo)者(zhe)(zhe),止取(qu)其(qi)(qi)(qi)清(qing)(qing)陽(yang)發(fa)(fa)(fa)(fa)膝(xi)理(li)(li)(li)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)義也(ye)。”可(ke)(ke)謂(wei)一語(yu)中(zhong)的(de)(de)(de)(de)。聯(lian)系(xi)整個《傷(shang)(shang)寒(han)論(lun)(lun)》的(de)(de)(de)(de)用(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao),也(ye)可(ke)(ke)以(yi)證(zheng)實仲(zhong)師(shi)(shi)對(dui)《內經》的(de)(de)(de)(de)藥(yao)(yao)(yao)(yao)物(wu)清(qing)(qing)濁(zhuo)升(sheng)(sheng)降理(li)(li)(li)論(lun)(lun)十(shi)分(fen)(fen)重視,不(bu)(bu)(bu)(bu)唯(wei)麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)的(de)(de)(de)(de)“去(qu)(qu)(qu)(qu)沫(mo)(mo)(mo)(mo)(mo)(mo)(mo)”問(wen)(wen)(wen)(wen)題(ti)(ti)。在(zai)(zai)(zai)桂枝加葛(ge)(ge)根(gen)湯(tang)、葛(ge)(ge)根(gen)湯(tang)及(ji)葛(ge)(ge)根(gen)琴(qin)連湯(tang)中(zhong),葛(ge)(ge)根(gen)均強調先(xian)(xian)煎去(qu)(qu)(qu)(qu)沫(mo)(mo)(mo)(mo)(mo)(mo)(mo),道理(li)(li)(li)也(ye)在(zai)(zai)(zai)于(yu)(yu)(yu)(yu)(yu)(yu)此(ci).葛(ge)(ge)根(gen)在(zai)(zai)(zai)這幾個方(fang)(fang)中(zhong)均有解散(san)表(biao)(biao)(biao)(biao)邪(xie)、升(sheng)(sheng)提(ti)(ti)津(jin)液的(de)(de)(de)(de)作(zuo)用(yong)(yong)(yong)(yong),而(er)發(fa)(fa)(fa)(fa)揮這些外散(san)上達的(de)(de)(de)(de)作(zuo)用(yong)(yong)(yong)(yong)正(zheng)(zheng)需要葛(ge)(ge)根(gen)的(de)(de)(de)(de)輕清(qing)(qing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)氣(qi)(qi),所(suo)以(yi)也(ye)同樣(yang)去(qu)(qu)(qu)(qu)除了有礙升(sheng)(sheng)發(fa)(fa)(fa)(fa)的(de)(de)(de)(de)重濁(zhuo)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)沫(mo)(mo)(mo)(mo)(mo)(mo)(mo)。再聯(lian)系(xi)大黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)連瀉(xie)心湯(tang)的(de)(de)(de)(de)用(yong)(yong)(yong)(yong)“麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)沸湯(tang)漬之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)”,就能(neng)(neng)進(jin)一步說(shuo)(shuo)明仲(zhong)師(shi)(shi)是(shi)(shi)極善于(yu)(yu)(yu)(yu)(yu)(yu)運(yun)用(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)物(wu)的(de)(de)(de)(de)清(qing)(qing)濁(zhuo)升(sheng)(sheng)降理(li)(li)(li)論(lun)(lun)指(zhi)導處方(fang)(fang)用(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)的(de)(de)(de)(de)。大黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)連瀉(xie)心湯(tang)所(suo)“瀉(xie)”的(de)(de)(de)(de)是(shi)(shi)“氣(qi)(qi)痞”,“氣(qi)(qi)痞”就是(shi)(shi)無形之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)氣(qi)(qi)熱11聚心下所(suo)致,邪(xie)結當(dang)“瀉(xie)”,無形之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)邪(xie)又不(bu)(bu)(bu)(bu)當(dang)“瀉(xie)、邪(xie)結當(dang)治用(yong)(yong)(yong)(yong)大黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)連,無形之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)熱又不(bu)(bu)(bu)(bu)當(dang)徑(jing)用(yong)(yong)(yong)(yong)大黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)連。于(yu)(yu)(yu)(yu)(yu)(yu)是(shi)(shi)仲(zhong)師(shi)(shi)活(huo)用(yong)(yong)(yong)(yong)氣(qi)(qi)味(wei)厚(hou)薄升(sheng)(sheng)降出人(ren)的(de)(de)(de)(de)理(li)(li)(li)論(lun)(lun),從而(er)采取(qu)這種(zhong)不(bu)(bu)(bu)(bu)煎而(er)漬的(de)(de)(de)(de)特殊辦法,一方(fang)(fang)面取(qu)大黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)連輕清(qing)(qing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)氣(qi)(qi),以(yi)上行瀉(xie)心消痞;另(ling)一方(fang)(fang)面又可(ke)(ke)避免大黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)連之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)厚(hou)味(wei)致寒(han)中(zhong)傷(shang)(shang)正(zheng)(zheng)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)弊,可(ke)(ke)謂(wei)用(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)巧,與(yu)麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)葛(ge)(ge)根(gen)“去(qu)(qu)(qu)(qu)沫(mo)(mo)(mo)(mo)(mo)(mo)(mo)”異曲同工。除《金Ui》的(de)(de)(de)(de)厚(hou)樸麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)湯(tang)方(fang)(fang)后注未(wei)(wei)(wei)提(ti)(ti)及(ji)先(xian)(xian)煎去(qu)(qu)(qu)(qu)沫(mo)(mo)(mo)(mo)(mo)(mo)(mo)外(恐屬遺漏),其(qi)(qi)(qi)他用(yong)(yong)(yong)(yong)麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)、葛(ge)(ge)根(gen)者(zhe)(zhe),無一例外,足(zu)見(jian)(jian)仲(zhong)師(shi)(shi)對(dui)此(ci)問(wen)(wen)(wen)(wen)題(ti)(ti)的(de)(de)(de)(de)重視.那么我們今天應(ying)如(ru)何看(kan)(kan)待這個問(wen)(wen)(wen)(wen)題(ti)(ti)呢?首先(xian)(xian),應(ying)該(gai)承認(ren)并搞清(qing)(qing)《傷(shang)(shang)寒(han)論(lun)(lun)》麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)、葛(ge)(ge)根(gen)去(qu)(qu)(qu)(qu)沫(mo)(mo)(mo)(mo)(mo)(mo)(mo)的(de)(de)(de)(de)客觀存在(zai)(zai)(zai)及(ji)其(qi)(qi)(qi)涵義。至于(yu)(yu)(yu)(yu)(yu)(yu)麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)、葛(ge)(ge)根(gen)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)“沫(mo)(mo)(mo)(mo)(mo)(mo)(mo)”,是(shi)(shi)否(fou)屬于(yu)(yu)(yu)(yu)(yu)(yu)濁(zhuo)物(wu)?是(shi)(shi)否(fou)有礙于(yu)(yu)(yu)(yu)(yu)(yu)升(sheng)(sheng)清(qing)(qing)?當(dang)結合現代藥(yao)(yao)(yao)(yao)理(li)(li)(li)進(jin)一步探討。就目前(qian)的(de)(de)(de)(de)麻(ma)(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)(huang)(huang)、葛(ge)(ge)根(gen)用(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)經驗來看(kan)(kan),對(dui)去(qu)(qu)(qu)(qu)沫(mo)(mo)(mo)(mo)(mo)(mo)(mo)與(yu)否(fou),不(bu)(bu)(bu)(bu)必(bi)斤(jin)斤(jin)計較、泥古不(bu)(bu)(bu)(bu)化。

桂枝麻黃葛根湯會上(shang)火

麻(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)每每先煎(jian),且必言“去(qu)(qu)(qu)沫(mo)(mo)”,仲(zhong)(zhong)師未述其(qi)理(li)(li),古(gu)書不(bu)(bu)(bu)見旁證(zheng)(zheng),雖屬小(xiao)題,竟成(cheng)千古(gu)疑案。由于(yu)(yu)(yu)牽扯到邏(luo)輯(ji)思(si)維(wei)問(wen)(wen)(wen)題,略作(zuo)(zuo)分(fen)析。考證(zheng)(zheng)前(qian)(qian)人(ren)(ren)注解(jie),頗(po)具影響者有(you)(you)兩(liang)說(shuo)(shuo)(shuo)(shuo)(shuo):一是(shi)(shi)陶(tao)弘景認為(wei)(wei)“沫(mo)(mo)令人(ren)(ren)煩(fan)”。二是(shi)(shi)張(zhang)(zhang)錫純指(zhi)出(chu)“沫(mo)(mo)中(zhong)(zhong)(zhong)含有(you)(you)發(fa)(fa)(fa)(fa)表之(zhi)(zhi)猛力(li)(li)(li)”。陶(tao)氏(shi)(shi)之(zhi)(zhi)說(shuo)(shuo)(shuo)(shuo)(shuo)可(ke)(ke)(ke)能(neng)屬親歷(li)之(zhi)(zhi)談,因(yin)為(wei)(wei)麻(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)湯(tang)證(zheng)(zheng)多(duo)是(shi)(shi)寒邪(xie)閉表,均(jun)(jun)有(you)(you)不(bu)(bu)(bu)同(tong)程(cheng)度(du)的(de)(de)(de)(de)陽(yang)氣(qi)(qi)(qi)郁(yu)(yu)遏(e)因(yin)素,而麻(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)又性(xing)屬辛溫(wen),汗(han)中(zhong)(zhong)(zhong)助熱(re)(re),在(zai)服藥將汗(han)未汗(han)之(zhi)(zhi)時,由于(yu)(yu)(yu)郁(yu)(yu)熱(re)(re)擾及(ji)心神,也(ye)(ye)可(ke)(ke)(ke)能(neng)會出(chu)現(xian)(xian)“令人(ren)(ren)煩(fan)”的(de)(de)(de)(de)現(xian)(xian)象。然而,這(zhe)里(li)尚存在(zai)三個問(wen)(wen)(wen)題:其(qi)一,即是(shi)(shi)邏(luo)輯(ji)思(si)維(wei)問(wen)(wen)(wen)題,用(yong)(yong)(yong)(yong)(yong)(yong)麻(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)的(de)(de)(de)(de)方(fang)(fang)證(zheng)(zheng)可(ke)(ke)(ke)謂(wei)(wei)(wei)多(duo)矣,不(bu)(bu)(bu)屬表證(zheng)(zheng)、不(bu)(bu)(bu)具陽(yang)郁(yu)(yu)病(bing)機者,難能(neng)生煩(fan),何以(yi)(yi)治表治里(li)之(zhi)(zhi)麻(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)皆(jie)“去(qu)(qu)(qu)沫(mo)(mo),’?其(qi)二,“令人(ren)(ren)煩(fan)”是(shi)(shi)否(fou)當(dang)(dang)責(ze)之(zhi)(zhi)于(yu)(yu)(yu)“沫(mo)(mo)”,證(zheng)(zheng)據尚嫌不(bu)(bu)(bu)足。其(qi)三,今人(ren)(ren)煎(jian)服麻(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)諸湯(tang),皆(jie)不(bu)(bu)(bu)去(qu)(qu)(qu)沫(mo)(mo),也(ye)(ye)未見每每令人(ren)(ren)煩(fan)者。可(ke)(ke)(ke)見,陶(tao)氏(shi)(shi)之(zhi)(zhi)說(shuo)(shuo)(shuo)(shuo)(shuo)難以(yi)(yi)令人(ren)(ren)信服。張(zhang)(zhang)氏(shi)(shi)之(zhi)(zhi)說(shuo)(shuo)(shuo)(shuo)(shuo),則更是(shi)(shi)于(yu)(yu)(yu)理(li)(li)不(bu)(bu)(bu)通(tong)。麻(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)湯(tang)之(zhi)(zhi)所以(yi)(yi)用(yong)(yong)(yong)(yong)(yong)(yong)麻(ma)(ma)黃(huang)(huang)(huang)(huang)(huang),就是(shi)(shi)針對(dui)寒閉肌表的(de)(de)(de)(de)太(tai)陽(yang)病(bing)機開膜發(fa)(fa)(fa)(fa)汗(han).換言之(zhi)(zhi),正是(shi)(shi)用(yong)(yong)(yong)(yong)(yong)(yong)的(de)(de)(de)(de)麻(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)“發(fa)(fa)(fa)(fa)表之(zhi)(zhi)猛力(li)(li)(li)”.若果然“沫(mo)(mo)中(zhong)(zhong)(zhong)含有(you)(you)發(fa)(fa)(fa)(fa)表之(zhi)(zhi)猛力(li)(li)(li)”的(de)(de)(de)(de)話,豈不(bu)(bu)(bu)正應其(qi)治?怎能(neng)去(qu)(qu)(qu)之(zhi)(zhi)呢?或曰:去(qu)(qu)(qu)之(zhi)(zhi)以(yi)(yi)防麻(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)發(fa)(fa)(fa)(fa)表太(tai)過,那么,治寒閉尤甚乃至遏(e)陽(yang)生熱(re)(re)的(de)(de)(de)(de)大(da)(da)青龍湯(tang),為(wei)(wei)了峻汗(han)開表,麻(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)一舉(ju)用(yong)(yong)(yong)(yong)(yong)(yong)至六兩(liang),可(ke)(ke)(ke)謂(wei)(wei)(wei)正需(xu)“猛力(li)(li)(li)”,為(wei)(wei)何也(ye)(ye)“去(qu)(qu)(qu)上(shang)沫(mo)(mo)”呢?可(ke)(ke)(ke)見,張(zhang)(zhang)氏(shi)(shi)之(zhi)(zhi)說(shuo)(shuo)(shuo)(shuo)(shuo)也(ye)(ye)屬臆(yi)斷.麻(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)先煎(jian)去(qu)(qu)(qu)沫(mo)(mo)問(wen)(wen)(wen)題,應結合《內經》歷(li)史地看待。仲(zhong)(zhong)師《傷(shang)寒論(lun)(lun)》“撰用(yong)(yong)(yong)(yong)(yong)(yong)素問(wen)(wen)(wen)九卷(juan)”,這(zhe)說(shuo)(shuo)(shuo)(shuo)(shuo)明在(zai)理(li)(li)論(lun)(lun)上(shang)《傷(shang)寒論(lun)(lun)》與《內經》有(you)(you)著(zhu)千絲萬(wan)縷(lv)的(de)(de)(de)(de)聯(lian)(lian)系(xi)(xi),《素問(wen)(wen)(wen)·陰陽(yang)應象大(da)(da)論(lun)(lun)》中(zhong)(zhong)(zhong)說(shuo)(shuo)(shuo)(shuo)(shuo):“清(qing)陽(yang)發(fa)(fa)(fa)(fa)滕理(li)(li),濁(zhuo)(zhuo)陰走五臟”.又說(shuo)(shuo)(shuo)(shuo)(shuo):“陰味出(chu)下(xia)竅(qiao),陽(yang)氣(qi)(qi)(qi)出(chu)上(shang)竅(qiao)”。仲(zhong)(zhong)師把這(zhe)種藥物(wu)氣(qi)(qi)(qi)味陰陽(yang)、清(qing)濁(zhuo)(zhuo)升(sheng)(sheng)(sheng)(sheng)降的(de)(de)(de)(de)理(li)(li)論(lun)(lun)運用(yong)(yong)(yong)(yong)(yong)(yong)于(yu)(yu)(yu)經方(fang)(fang)的(de)(de)(de)(de)證(zheng)(zheng)治之(zhi)(zhi)中(zhong)(zhong)(zhong),由此推論(lun)(lun),麻(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)的(de)(de)(de)(de)先煎(jian)去(qu)(qu)(qu)沫(mo)(mo),首先是(shi)(shi)麻(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)在(zai)煎(jian)煮過程(cheng)中(zhong)(zhong)(zhong)出(chu)現(xian)(xian)“沫(mo)(mo)”,而仲(zhong)(zhong)師(或仲(zhong)(zhong)師前(qian)(qian)之(zhi)(zhi)醫(yi)家)憑直觀認為(wei)(wei)沫(mo)(mo)乃屬濁(zhuo)(zhuo)物(wu),必有(you)(you)礙于(yu)(yu)(yu)升(sheng)(sheng)(sheng)(sheng)發(fa)(fa)(fa)(fa),去(qu)(qu)(qu)之(zhi)(zhi)以(yi)(yi)取(qu)麻(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)氣(qi)(qi)(qi)之(zhi)(zhi)輕清(qing),而有(you)(you)利于(yu)(yu)(yu)發(fa)(fa)(fa)(fa)腆(tian)理(li)(li)、出(chu)上(shang)竅(qiao)。誠(cheng)如柯韻伯所云:“去(qu)(qu)(qu)沫(mo)(mo)者,止取(qu)其(qi)清(qing)陽(yang)發(fa)(fa)(fa)(fa)膝(xi)理(li)(li)之(zhi)(zhi)義也(ye)(ye)。”可(ke)(ke)(ke)謂(wei)(wei)(wei)一語中(zhong)(zhong)(zhong)的(de)(de)(de)(de)。聯(lian)(lian)系(xi)(xi)整(zheng)個《傷(shang)寒論(lun)(lun)》的(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)藥,也(ye)(ye)可(ke)(ke)(ke)以(yi)(yi)證(zheng)(zheng)實(shi)仲(zhong)(zhong)師對(dui)《內經》的(de)(de)(de)(de)藥物(wu)清(qing)濁(zhuo)(zhuo)升(sheng)(sheng)(sheng)(sheng)降理(li)(li)論(lun)(lun)十分(fen)重視(shi),不(bu)(bu)(bu)唯(wei)麻(ma)(ma)黃(huang)(huang)(huang)(huang)(huang)的(de)(de)(de)(de)“去(qu)(qu)(qu)沫(mo)(mo)”問(wen)(wen)(wen)題。在(zai)桂(gui)枝(zhi)加(jia)葛(ge)(ge)根(gen)湯(tang)、葛(ge)(ge)根(gen)湯(tang)及(ji)葛(ge)(ge)根(gen)琴連湯(tang)中(zhong)(zhong)(zhong),葛(ge)(ge)根(gen)均(jun)(jun)強調(diao)先煎(jian)去(qu)(qu)(qu)沫(mo)(mo),道理(li)(li)也(ye)(ye)在(zai)于(yu)(yu)(yu)此.葛(ge)(ge)根(gen)在(zai)這(zhe)幾個方(fang)(fang)中(zhong)(zhong)(zhong)均(jun)(jun)有(you)(you)解(jie)散表邪(xie)、升(sheng)(sheng)(sheng)(sheng)提(ti)津(jin)液(ye)的(de)(de)(de)(de)作(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong),而發(fa)(fa)(fa)(fa)揮(hui)這(zhe)些外散上(shang)達的(de)(de)(de)(de)作(zuo)(zuo)用(yong)(yong)(yong)(yong)(yong)(yong)正需(xu)要(yao)葛(ge)(ge)根(gen)的(de)(de)(de)(de)輕清(qing)之(zhi)(zhi)氣(qi)(qi)(qi),所以(yi)(yi)也(ye)(ye)同(tong)樣(yang)去(qu)(qu)(qu)除(chu)了有(you)(you)礙升(sheng)(sheng)(sheng)(sheng)發(fa)(fa)(fa)(fa)的(de)(de)(de)(de)重濁(zhuo)(zhuo)之(zhi)(zhi)沫(mo)(mo)。再聯(lian)(lian)系(xi)(xi)大(da)(da)黃(huang)(huang)(huang)(huang)(huang)黃(huang)(huang)(huang)(huang)(huang)連瀉心湯(tang)的(de)(de)(de)(de)用(yong)(yong)(yong)(yong)(yong)(yong)“麻(ma)(ma)沸湯(tang)漬之(zhi)(zhi)”,就能(neng)進一步說(shuo)(shuo)(shuo)(shuo)(shuo)明仲(zhong)(zhong)師是(shi)(shi)極善(shan)于(yu)(yu)(yu)運用(yong)(yong)(yong)(yong)(yong)(yong)藥物(wu)的(de)(de)(de)(de)清(qing)濁(zhuo)(zhuo)升(sheng)(sheng)(sheng)(sheng)降理(li)(li)論(lun)(lun)指(zhi)導(dao)處方(fang)(fang)用(yong)(yong)(yong)(yong)(yong)(yong)藥的(de)(de)(de)(de)。大(da)(da)黃(huang)(huang)(huang)(huang)(huang)黃(huang)(huang)(huang)(huang)(huang)連瀉心湯(tang)所“瀉”的(de)(de)(de)(de)是(shi)(shi)“氣(qi)(qi)(qi)痞(pi)”,“氣(qi)(qi)(qi)痞(pi)”就是(shi)(shi)無形之(zhi)(zhi)氣(qi)(qi)(qi)熱(re)(re)11聚(ju)心下(xia)所致,邪(xie)結當(dang)(dang)“瀉”,無形之(zhi)(zhi)邪(xie)又不(bu)(bu)(bu)當(dang)(dang)“瀉、邪(xie)結當(dang)(dang)治用(yong)(yong)(yong)(yong)(yong)(yong)大(da)(da)黃(huang)(huang)(huang)(huang)(huang)黃(huang)(huang)(huang)(huang)(huang)連,無形之(zhi)(zhi)熱(re)(re)又不(bu)(bu)(bu)當(dang)(dang)徑用(yong)(yong)(yong)(yong)(yong)(yong)大(da)(da)黃(huang)(huang)(huang)(huang)(huang)黃(huang)(huang)(huang)(huang)(huang)連。于(yu)(yu)(yu)是(shi)(shi)仲(zhong)(zhong)師活用(yong)(yong)(yong)(yong)(yong)(yong)氣(qi)(qi)(qi)味厚薄(bo)升(sheng)(sheng)(sheng)(sheng)降出(chu)人(ren)(ren)的(de)(de)(de)(de)理(li)(li)

論,從(cong)而(er)采取(qu)這種不煎(jian)而(er)漬(zi)的特殊辦法,一方面取(qu)大黃(huang)黃(huang)連(lian)輕清(qing)(qing)(qing)之氣,以上行瀉心(xin)消痞;另一方面又可避免(mian)大黃(huang)黃(huang)連(lian)之厚味致(zhi)寒(han)中(zhong)傷正之弊,可謂用藥(yao)之巧,與(yu)麻(ma)黃(huang)葛(ge)(ge)根(gen)“去(qu)沫(mo)(mo)(mo)”異(yi)曲(qu)同(tong)工。除《金(jin)Ui》的厚樸麻(ma)黃(huang)湯(tang)方后注未提及(ji)先煎(jian)去(qu)沫(mo)(mo)(mo)外(wai)(恐屬遺漏),其他(ta)用麻(ma)黃(huang)、葛(ge)(ge)根(gen)者,無一例外(wai),足見仲師對(dui)此問題(ti)的重視.那么我(wo)們今天應如何看待這個(ge)問題(ti)呢?首先,應該(gai)承(cheng)認并搞清(qing)(qing)(qing)《傷寒(han)論》麻(ma)黃(huang)、葛(ge)(ge)根(gen)去(qu)沫(mo)(mo)(mo)的客觀存在及(ji)其涵義。至于(yu)麻(ma)黃(huang)、葛(ge)(ge)根(gen)之“沫(mo)(mo)(mo)”,是(shi)否(fou)屬于(yu)濁物?是(shi)否(fou)有礙于(yu)升清(qing)(qing)(qing)?當結合現代藥(yao)理進一步(bu)探討。就目(mu)前(qian)的麻(ma)黃(huang)、葛(ge)(ge)根(gen)用藥(yao)經驗(yan)來看,對(dui)去(qu)沫(mo)(mo)(mo)與(yu)否(fou),不必斤(jin)斤(jin)計較、泥古不化。

葛根湯概述總結

葛根湯之病機

1.葛根湯是一個能夠驅散太陽經的風邪,同時也是一個可以驅散陽明經的風邪。當一個人的身體津液不夠,太干了,這個病會特別容易從太陽變到陽明,水是我們營衛二氣的源頭,營衛二氣是我們的主戰場,如果身體里的水不夠,也就是營衛之氣不夠的時候,身體自然就會挑另一個地方跟病毒打,就很容易轉到陽明。

2.葛根湯很適用于熱感冒,就是平時曬曬太陽,比如熬夜,比如年輕人看色情網站,等等損耗身體津液的事,相當于是桑身體的精與津都有所虧損的時候,其實很容易把邪氣吸進來,身體越虛弱越容易把邪氣吸進來。邪之所湊,其氣必虛。當在海邊玩時,出了很多汗,之后就在游覽車上吹了冷氣就感冒了;坐飛機時會把人身體的津液抽得很干,所以就很容易得津液不足的葛根湯證;外感的邪氣大體上來說分風邪跟寒邪,中風或者是傷寒。寒氣是比較讓人身體感覺比較激烈的邪氣,一進來身體就被嚇到馬上把所有的毛孔都關起來,才會有流不出汗的狀態。標準的麻黃湯證是這個病人無論高燒到多少度,都一直要蓋棉被,就是好冷好冷。葛根可以把痘疹發出來,不然皮膚凹掉了就會毀容。葛根最主要的藥效是升津,可以把身體的水分再拖上來一點,能夠把身體津液虧損的感覺封住,不然身體一直干在那兒,身體會把病邪粘進來。 太陽感冒的不同風格1.桂枝湯證的邪氣是慢慢滲透,當身體松松的、邪氣也松松的,逛著逛著不小心勾搭上了。2.麻黃湯證的邪氣好像一個針一樣,在身體找個縫鉆進來,寒邪與風邪的不一樣就在這里。

3.大青龍湯證的邪氣很像是八國聯軍,因為邪氣很強,所以硬的就打進來了,沒有力道抵抗病邪。

4.小青龍湯比較像是邪氣進來了,在身體逛著逛著,忽然發現肺里有很多的濕氣,感覺找到了同伙就在里面大鬧。5.葛根湯是一個對巫婆忘恩負義的長發公主,垂下她的頭發把壞王子引進來,也就是說葛根湯的邪氣往往是身體虛了就被身體吸進來了,所以預防葛根湯證一定要睡飽,不能太操勞,也不要熬夜太多與失精。這個湯不用喝粥了,因為里面有麻黃,非常強有力的發汗力,但還要蓋多被子和衣服的。仲景方里的麻黃與細辛具有開發性質的藥,通常都是不能吃到很油的東西,效果會減弱。麻黃是可以宣發陽氣的藥,還是宣發陽氣最強的幾種。麻黃是一種能夠讓人血壓高一點的藥,葛根是一種能夠讓人血壓降一點的藥。兩者結合除了醫治感冒之外,葛根能夠把津液補充上來,然后麻黃把寒邪發掉,因為用到麻黃就會知道邪氣進來得比較深比較里面。葛根湯的特征就是沒有受到多寒的寒邪,是因為身體太虛就把邪氣拉得進來。

葛根湯的應用:

1.是一個能讓人緊繃的精神放松的藥,有助眠的效果,除了最標準的能夠放松后腦勺、肩膀之外,其實全身都松,松的效果一直松掃頭腦的思維系統。放松精神的緊張、神經的緊張、肉體的緊張。

2.先傷了津液再感冒,有口渴或燥熱的感覺就用葛根湯。

3.如果剛感冒鼻塞、流鼻涕,可以用葛根湯加川穹茶調散,泡一杯茶來喝。

4.鼻竇炎,上半身的各種發炎

5.感冒造成的中耳有點痛、.沙眼結膜炎

6.病毒引起的頭部、上半身發炎 太陽病的特征是口中和,桂枝湯麻黃湯證一般來講嘴巴不渴,但是如果摻雜了口渴,不然就是葛根湯的太陽陽明合病,不然就是大青龍湯的太陽陽明合并。

【7.2】太陽與陽明太陽與陽明合病者,必自下利,葛根湯主之;若不下利,但嘔者,葛根加半夏湯主之。 葛根湯與下利一個人在感冒的時候,胃口不開,甚至嚴重時會想要嘔吐的感覺。當感冒快要好時,就吃東西吃到飽,所有的能量都被拉去消化食物了,那么身體的抵抗力就垮掉了,誰也不能多喝。葛根湯不僅可以把太陽的邪氣推散,還可以把進入陽明區塊的病邪拉出來。如果是消化系統的停擺不顯現成下利,反而顯現成嘔吐的話就要加半夏。 所以身體陽氣不足時,不要做太多消耗陽氣的事情。

下利之六經辯證1.太陰病的感冒一般是拉稀,但不會有燙屁股的感覺。

2.厥陰病的白頭翁湯證是會又熱,又粘,又臭,然后又有拉完大便一樣覺得肛門還塞了一坨什么東西的不干凈的感覺。

3.少陰病的拉肚子是桃花湯證,拉膿血;還有少陰病的黃連阿膠湯的拉肚子,很痛很痛,拉出來的血塊是象雞肝、豬肝一樣的顏色。

4.葛根黃芩黃連湯的下利時會熱、會臭、會粘屁股,會感覺拉出來的東旭比較偏燙。

5.黃芩湯的拉肚子會熱,會臭,而且肚子會絞痛。肚子絞痛,還有用小建中湯。

6.太陰、少陰的四逆湯的拉肚子是下利清谷,拉出來的東西還有原來的形狀。太陰病理中湯的拉肚子是脈沉沉塌塌的,沉在底下,把起來有鈍鈍慢慢的一種脈。葛根湯的拉肚子是太陽陽明合病,脈是浮的,就是有表證,這個人可能還會有惡風寒、流不出汗等現象,還有口干舌燥或者是眼眶痛,眉棱骨痛。

葛根系的推廣應用

1.葛根系的藥,不止是葛根湯,就連葛根黃芩黃連湯就用來治療上半身的發炎都很有效,眼睛腫,耳朵痛都很有效。

2.鼻(bi)竇(dou)是(shi)(shi)(shi)面(mian)部(bu)(bu)臉(lian)頰兩(liang)邊(bian)的(de)(de)骨頭(tou)(tou),骨頭(tou)(tou)里(li)邊(bian)是(shi)(shi)(shi)有(you)一(yi)些(xie)空(kong)洞(dong)(dong)的(de)(de),有(you)些(xie)人(ren)(ren)的(de)(de)空(kong)洞(dong)(dong)里(li)不(bu)(bu)干(gan)凈,然(ran)后里(li)面(mian)就有(you)水臭(chou)掉(diao),就像膿一(yi)樣(yang)影響到(dao)鼻(bi)腔(qiang),鼻(bi)腔(qiang)會(hui)(hui)流出(chu)黃(huang)(huang)(huang)黃(huang)(huang)(huang)的(de)(de)象膿一(yi)樣(yang)的(de)(de)東西,用(yong)葛根(gen)(gen)(gen)湯的(de)(de)加(jia)減改造出(chu)的(de)(de)鼻(bi)良湯就可(ke)(ke)以(yi)(yi)(yi)解決這個(ge)問題,還(huan)有(you)鼻(bi)下糜爛,肥厚性鼻(bi)炎(yan)(yan)。鼻(bi)良湯里(li)面(mian)要(yao)加(jia)一(yi)些(xie)清熱消炎(yan)(yan)的(de)(de)藥,會(hui)(hui)加(jia)一(yi)些(xie)黃(huang)(huang)(huang)芩、石膏(gao);要(yao)加(jia)一(yi)些(xie)通竅(qiao)(qiao)的(de)(de)藥,比如(ru)會(hui)(hui)從鼻(bi)子滴出(chu)的(de)(de)東西說(shuo)(shuo)是(shi)(shi)(shi)被腦(nao)(nao)部(bu)(bu)的(de)(de)邪(xie)(xie)氣影響,要(yao)加(jia)辛(xin)夷把腦(nao)(nao)部(bu)(bu)的(de)(de)邪(xie)(xie)氣通出(chu)來,但(dan)是(shi)(shi)(shi)吃太(tai)多(duo)腦(nao)(nao)會(hui)(hui)虛;加(jia)一(yi)些(xie)排膿就加(jia)桔梗;如(ru)果是(shi)(shi)(shi)額頭(tou)(tou)痛加(jia)點白(bai)芷(zhi)。在(zai)(zai)臨床上三(san)叉神經(jing)痛或(huo)者(zhe)是(shi)(shi)(shi)上肢神經(jing)痛,加(jia)白(bai)術(shu)跟附子可(ke)(ke)以(yi)(yi)(yi)驅風邪(xie)(xie);日(ri)本治療(liao)鼻(bi)竇(dou)炎(yan)(yan)是(shi)(shi)(shi)加(jia)薏(yi)苡仁或(huo)者(zhe)地(di)骨皮(枸杞子的(de)(de)根(gen)(gen)(gen)),辛(xin)夷通常(chang)也會(hui)(hui)加(jia)。 葛根(gen)(gen)(gen)湯加(jia)石膏(gao)跟桔梗治頭(tou)(tou)部(bu)(bu)各(ge)種小發(fa)(fa)炎(yan)(yan),尤其是(shi)(shi)(shi)病(bing)毒引起(qi)的(de)(de)。針眼(yan)、角(jiao)膜炎(yan)(yan)、腮腺炎(yan)(yan)、咽喉炎(yan)(yan)、內耳炎(yan)(yan)、中耳炎(yan)(yan)、牙齦肉發(fa)(fa)炎(yan)(yan)的(de)(de),就是(shi)(shi)(shi)頭(tou)(tou)部(bu)(bu)九竅(qiao)(qiao)發(fa)(fa)炎(yan)(yan)的(de)(de)都會(hui)(hui)有(you)用(yong)。痙病(bing)是(shi)(shi)(shi)說(shuo)(shuo)這個(ge)人(ren)(ren)在(zai)(zai)發(fa)(fa)高燒(shao)然(ran)后全(quan)身僵(jiang)直(zhi)僵(jiang)硬,以(yi)(yi)(yi)中醫(yi)的(de)(de)角(jiao)度來看是(shi)(shi)(shi)說(shuo)(shuo)這個(ge)人(ren)(ren)津液不(bu)(bu)夠,所以(yi)(yi)(yi)發(fa)(fa)燒(shao)人(ren)(ren)就燒(shao)干(gan)掉(diao),所以(yi)(yi)(yi)牙齒咬(yao)的(de)(de)緊(jin)緊(jin)的(de)(de),整個(ge)人(ren)(ren)抽(chou)搐僵(jiang)直(zhi),以(yi)(yi)(yi)西醫(yi)的(de)(de)角(jiao)度來看,就是(shi)(shi)(shi)腦(nao)(nao)膜炎(yan)(yan)之類的(de)(de)病(bing),這時(shi)就可(ke)(ke)以(yi)(yi)(yi)用(yong)葛根(gen)(gen)(gen)湯了。葛根(gen)(gen)(gen)湯的(de)(de)效果還(huan)可(ke)(ke)以(yi)(yi)(yi)治療(liao)打呼(hu),就是(shi)(shi)(shi)鼻(bi)腔(qiang)的(de)(de)呼(hu)吸,當疾病(bing)要(yao)從太(tai)陽(yang)區塊(kuai)轉到(dao)陽(yang)明區塊(kuai)的(de)(de)時(shi)候(hou),呼(hu)吸聲(sheng)會(hui)(hui)變得(de)很粗(cu),如(ru)果是(shi)(shi)(shi)用(yong)解剖學(xue)角(jiao)度來觀察(cha),說(shuo)(shuo)是(shi)(shi)(shi)鼻(bi)腔(qiang)的(de)(de)黏膜比較(jiao)腫,所以(yi)(yi)(yi)鼻(bi)腔(qiang)變小了。這個(ge)不(bu)(bu)是(shi)(shi)(shi)絕對有(you)效,但(dan)會(hui)(hui)改善。

求介紹位元堂葛根湯

位元堂葛(ge)根(gen)湯以傳統方(fang)法(fa)提煉精華(hua),經過(guo)先進噴霧造(zao)粒法(fa)所(suo)制成(cheng)的濃縮顆粒,其(qi)最(zui)大優點是(shi)保(bao)留原(yuan)藥(yao)精華(hua),更有(you)效(xiao)地發揮藥(yao)效(xiao),入口甘香,容(rong)易(yi)吸收。葛(ge)根(gen)湯主(zhu)要(yao)成(cheng)分有(you)葛(ge)根(gen)、麻黃、生姜、桂枝、白芍及(ji)其(qi)他(ta)中藥(yao)材(cai)等(deng),適(shi)用于因外(wai)感(gan)風邪(xie)所(suo)引致的感(gan)冒(mao)初(chu)起(qi)的不適(shi),如頸膊疼痛、肌肉酸痛、怕冷、頭痛發熱及(ji)鼻塞等(deng)癥(zheng)狀。

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