lt;<上一篇:中藥的用法包括什么?下一篇:中醫如何評價西洋參?>>麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)湯(tang)(tang)(tang)(tang)(tang)的(de)(de)組(zu)成(cheng)(cheng)與(yu)(yu)功(gong)(gong)(gong)效?字體(ti):[大(da)(da)中(zhong)小(xiao)]打印(yin)問(wen)題詳述:最佳答案(an):麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)湯(tang)(tang)(tang)(tang)(tang)【方(fang)(fang)(fang)(fang)(fang)(fang)名】麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)湯(tang)(tang)(tang)(tang)(tang)【出處】《傷(shang)寒(han)(han)(han)(han)(han)(han)論》【分(fen)(fen)類】解(jie)(jie)(jie)(jie)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)劑(ji)(ji)(ji)-辛溫(wen)解(jie)(jie)(jie)(jie)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)【組(zu)成(cheng)(cheng)】麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)(9克(ke)(ke)(ke))桂(gui)(gui)枝(zhi)(zhi)(zhi)(6克(ke)(ke)(ke))杏(xing)仁(ren)(6克(ke)(ke)(ke))甘(gan)(gan)草(3克(ke)(ke)(ke))【方(fang)(fang)(fang)(fang)(fang)(fang)訣】【功(gong)(gong)(gong)用(yong)(yong)(yong)】發(fa)(fa)(fa)(fa)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)解(jie)(jie)(jie)(jie)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao),宣(xuan)(xuan)(xuan)肺(fei)(fei)(fei)(fei)平(ping)(ping)(ping)(ping)喘(chuan)(chuan)(chuan)(chuan)(chuan)。【主(zhu)(zhu)(zhu)治】外(wai)(wai)(wai)感風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han)。惡(e)寒(han)(han)(han)(han)(han)(han)發(fa)(fa)(fa)(fa)熱(re),頭痛身(shen)疼(teng)(teng),無汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)而(er)(er)(er)(er)喘(chuan)(chuan)(chuan)(chuan)(chuan),舌苔薄(bo)白(bai)(bai),脈(mo)浮(fu)(fu)緊。(本方(fang)(fang)(fang)(fang)(fang)(fang)常(chang)(chang)用(yong)(yong)(yong)于(yu)(yu)感冒、流行(xing)性(xing)感冒、急性(xing)支(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)管(guan)炎、支(zhi)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)管(guan)哮喘(chuan)(chuan)(chuan)(chuan)(chuan)等屬風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)實(shi)證(zheng)(zheng)(zheng)(zheng)者。)【用(yong)(yong)(yong)法(fa)】上四味(wei),以(yi)(yi)(yi)(yi)(yi)水九升,先煮麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang),減二升,去(qu)(qu)上沫,內諸藥(yao)(yao),煮取(qu)二升半,去(qu)(qu)滓,溫(wen)服八合(he)(he)。覆(fu)(fu)取(qu)微似汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han),不(bu)(bu)須(xu)啜粥,余(yu)如桂(gui)(gui)枝(zhi)(zhi)(zhi)法(fa)將息(現代用(yong)(yong)(yong)法(fa):水煎服,溫(wen)覆(fu)(fu)取(qu)微汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han))。【禁(jin)忌】本方(fang)(fang)(fang)(fang)(fang)(fang)為(wei)(wei)(wei)(wei)(wei)(wei)辛溫(wen)發(fa)(fa)(fa)(fa)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)之(zhi)(zhi)(zhi)(zhi)峻(jun)劑(ji)(ji)(ji),故(gu)《傷(shang)寒(han)(han)(han)(han)(han)(han)論》對“瘡(chuang)家(jia)”、“淋家(jia)”、“衄家(jia)”、“亡(wang)血(xue)家(jia)”,以(yi)(yi)(yi)(yi)(yi)及外(wai)(wai)(wai)感表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)虛(xu)自汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)、血(xue)虛(xu)而(er)(er)(er)(er)脈(mo)兼“尺中(zhong)遲(chi)”、誤(wu)下而(er)(er)(er)(er)見(jian)(jian)“身(shen)重心悸(ji)”等,雖(sui)有(you)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)寒(han)(han)(han)(han)(han)(han)證(zheng)(zheng)(zheng)(zheng),亦皆禁(jin)用(yong)(yong)(yong)。麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)湯(tang)(tang)(tang)(tang)(tang)藥(yao)(yao)味(wei)雖(sui)少,但發(fa)(fa)(fa)(fa)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)力(li)強,不(bu)(bu)可(ke)(ke)過(guo)服,否(fou)則(ze),汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)出過(guo)多(duo)必(bi)傷(shang)人正氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)。正如柯琴(qin)指出:“此(ci)乃純陽(yang)之(zhi)(zhi)(zhi)(zhi)劑(ji)(ji)(ji),過(guo)于(yu)(yu)發(fa)(fa)(fa)(fa)散(san)(san)(san),如單(dan)刀直入之(zhi)(zhi)(zhi)(zhi)將,投(tou)之(zhi)(zhi)(zhi)(zhi)恰當,一(yi)(yi)戰成(cheng)(cheng)功(gong)(gong)(gong)。不(bu)(bu)當則(ze)不(bu)(bu)戢而(er)(er)(er)(er)召(zhao)禍。故(gu)用(yong)(yong)(yong)之(zhi)(zhi)(zhi)(zhi)發(fa)(fa)(fa)(fa)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao),可(ke)(ke)一(yi)(yi)而(er)(er)(er)(er)不(bu)(bu)可(ke)(ke)再。”(《傷(shang)寒(han)(han)(han)(han)(han)(han)來蘇集·傷(shang)寒(han)(han)(han)(han)(han)(han)附(fu)(fu)翼》卷上)【方(fang)(fang)(fang)(fang)(fang)(fang)解(jie)(jie)(jie)(jie)】風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han)傷(shang)人肌(ji)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao),毛竅閉塞(sai),肺(fei)(fei)(fei)(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)不(bu)(bu)宣(xuan)(xuan)(xuan),衛氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)不(bu)(bu)得(de)外(wai)(wai)(wai)達(da),營(ying)(ying)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)澀而(er)(er)(er)(er)不(bu)(bu)暢,所以(yi)(yi)(yi)(yi)(yi)外(wai)(wai)(wai)見(jian)(jian)惡(e)寒(han)(han)(han)(han)(han)(han)發(fa)(fa)(fa)(fa)熱(re)、頭痛、身(shen)疼(teng)(teng)、無汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)、脈(mo)浮(fu)(fu),內見(jian)(jian)喘(chuan)(chuan)(chuan)(chuan)(chuan)逆。此(ci)時,當發(fa)(fa)(fa)(fa)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)解(jie)(jie)(jie)(jie)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao),宣(xuan)(xuan)(xuan)肺(fei)(fei)(fei)(fei)平(ping)(ping)(ping)(ping)喘(chuan)(chuan)(chuan)(chuan)(chuan),使(shi)肺(fei)(fei)(fei)(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)宣(xuan)(xuan)(xuan),毛竅開,營(ying)(ying)衛通暢,汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)出而(er)(er)(er)(er)在(zai)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)之(zhi)(zhi)(zhi)(zhi)風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han)得(de)解(jie)(jie)(jie)(jie),諸證(zheng)(zheng)(zheng)(zheng)悉除。麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)味(wei)苦辛性(xing)溫(wen),為(wei)(wei)(wei)(wei)(wei)(wei)肺(fei)(fei)(fei)(fei)經專藥(yao)(yao),能(neng)(neng)(neng)發(fa)(fa)(fa)(fa)越人體(ti)陽(yang)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),有(you)發(fa)(fa)(fa)(fa)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)解(jie)(jie)(jie)(jie)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)、宣(xuan)(xuan)(xuan)肺(fei)(fei)(fei)(fei)平(ping)(ping)(ping)(ping)喘(chuan)(chuan)(chuan)(chuan)(chuan)的(de)(de)作(zuo)(zuo)用(yong)(yong)(yong),所以(yi)(yi)(yi)(yi)(yi)是(shi)(shi)(shi)方(fang)(fang)(fang)(fang)(fang)(fang)中(zhong)的(de)(de)君藥(yao)(yao),并用(yong)(yong)(yong)來作(zuo)(zuo)為(wei)(wei)(wei)(wei)(wei)(wei)方(fang)(fang)(fang)(fang)(fang)(fang)名。由于(yu)(yu)營(ying)(ying)澀衛郁(yu)(yu)(yu)(yu)(yu),單(dan)用(yong)(yong)(yong)麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)發(fa)(fa)(fa)(fa)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han),但解(jie)(jie)(jie)(jie)衛氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)之(zhi)(zhi)(zhi)(zhi)郁(yu)(yu)(yu)(yu)(yu),所以(yi)(yi)(yi)(yi)(yi)又(you)(you)(you)(you)用(yong)(yong)(yong)溫(wen)經散(san)(san)(san)寒(han)(han)(han)(han)(han)(han),透營(ying)(ying)達(da)衛的(de)(de)桂(gui)(gui)枝(zhi)(zhi)(zhi)為(wei)(wei)(wei)(wei)(wei)(wei)臣(chen),加(jia)(jia)強發(fa)(fa)(fa)(fa)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)解(jie)(jie)(jie)(jie)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)而(er)(er)(er)(er)散(san)(san)(san)風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han),除身(shen)疼(teng)(teng)。本證(zheng)(zheng)(zheng)(zheng)之(zhi)(zhi)(zhi)(zhi)喘(chuan)(chuan)(chuan)(chuan)(chuan),是(shi)(shi)(shi)由肺(fei)(fei)(fei)(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)郁(yu)(yu)(yu)(yu)(yu)而(er)(er)(er)(er)上逆所致,麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)、桂(gui)(gui)枝(zhi)(zhi)(zhi)又(you)(you)(you)(you)都上行(xing)而(er)(er)(er)(er)散(san)(san)(san),所以(yi)(yi)(yi)(yi)(yi)再配降(jiang)肺(fei)(fei)(fei)(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)、散(san)(san)(san)風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han)的(de)(de)杏(xing)仁(ren)為(wei)(wei)(wei)(wei)(wei)(wei)佐藥(yao)(yao),同麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)一(yi)(yi)宣(xuan)(xuan)(xuan)一(yi)(yi)降(jiang),增(zeng)強解(jie)(jie)(jie)(jie)郁(yu)(yu)(yu)(yu)(yu)平(ping)(ping)(ping)(ping)喘(chuan)(chuan)(chuan)(chuan)(chuan)之(zhi)(zhi)(zhi)(zhi)功(gong)(gong)(gong)。炙甘(gan)(gan)草既(ji)(ji)能(neng)(neng)(neng)調和(he)宣(xuan)(xuan)(xuan)降(jiang)之(zhi)(zhi)(zhi)(zhi)麻(ma)(ma)(ma)(ma)(ma)(ma)、杏(xing),又(you)(you)(you)(you)能(neng)(neng)(neng)緩(huan)和(he)麻(ma)(ma)(ma)(ma)(ma)(ma)、桂(gui)(gui)相(xiang)(xiang)(xiang)(xiang)合(he)(he)的(de)(de)峻(jun)烈(lie)之(zhi)(zhi)(zhi)(zhi)性(xing),使(shi)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)出不(bu)(bu)致過(guo)猛(meng)而(er)(er)(er)(er)傷(shang)耗正氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),是(shi)(shi)(shi)使(shi)藥(yao)(yao)而(er)(er)(er)(er)兼佐藥(yao)(yao)之(zhi)(zhi)(zhi)(zhi)義(yi)。麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)得(de)桂(gui)(gui)枝(zhi)(zhi)(zhi),一(yi)(yi)發(fa)(fa)(fa)(fa)衛分(fen)(fen)之(zhi)(zhi)(zhi)(zhi)郁(yu)(yu)(yu)(yu)(yu),一(yi)(yi)透營(ying)(ying)分(fen)(fen)之(zhi)(zhi)(zhi)(zhi)邪(xie),所以(yi)(yi)(yi)(yi)(yi)柯琴(qin)評麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)湯(tang)(tang)(tang)(tang)(tang)曰(yue):“此(ci)為(wei)(wei)(wei)(wei)(wei)(wei)開表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)逐邪(xie)發(fa)(fa)(fa)(fa)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)之(zhi)(zhi)(zhi)(zhi)峻(jun)劑(ji)(ji)(ji)也。”方(fang)(fang)(fang)(fang)(fang)(fang)義(yi)2:本方(fang)(fang)(fang)(fang)(fang)(fang)證(zheng)(zheng)(zheng)(zheng)為(wei)(wei)(wei)(wei)(wei)(wei)外(wai)(wai)(wai)感風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han),肺(fei)(fei)(fei)(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)夫宣(xuan)(xuan)(xuan)所致。風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han)之(zhi)(zhi)(zhi)(zhi)邪(xie)外(wai)(wai)(wai)襲(xi)肌(ji)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao),使(shi)衛陽(yang)被遏(e),腠理(li)閉塞(sai),營(ying)(ying)陰郁(yu)(yu)(yu)(yu)(yu)滯,經脈(mo)不(bu)(bu)通,故(gu)見(jian)(jian)惡(e)寒(han)(han)(han)(han)(han)(han)、發(fa)(fa)(fa)(fa)熱(re)、無汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)、頭身(shen)痛;肺(fei)(fei)(fei)(fei)主(zhu)(zhu)(zhu)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)屬衛,外(wai)(wai)(wai)合(he)(he)皮毛,寒(han)(han)(han)(han)(han)(han)邪(xie)外(wai)(wai)(wai)束于(yu)(yu)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao),影響(xiang)肺(fei)(fei)(fei)(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)的(de)(de)宣(xuan)(xuan)(xuan)肅下行(xing),則(ze)上逆為(wei)(wei)(wei)(wei)(wei)(wei)喘(chuan)(chuan)(chuan)(chuan)(chuan);舌苔薄(bo)白(bai)(bai),脈(mo)浮(fu)(fu)緊皆是(shi)(shi)(shi)風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han)襲(xi)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)的(de)(de)反映。治當發(fa)(fa)(fa)(fa)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)解(jie)(jie)(jie)(jie)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao),宣(xuan)(xuan)(xuan)肺(fei)(fei)(fei)(fei)平(ping)(ping)(ping)(ping)喘(chuan)(chuan)(chuan)(chuan)(chuan)。方(fang)(fang)(fang)(fang)(fang)(fang)中(zhong)麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)苦辛性(xing)溫(wen),歸肺(fei)(fei)(fei)(fei)與(yu)(yu)膀胱經,善開腠發(fa)(fa)(fa)(fa)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han),祛(qu)(qu)(qu)在(zai)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)之(zhi)(zhi)(zhi)(zhi)風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han);宣(xuan)(xuan)(xuan)肺(fei)(fei)(fei)(fei)平(ping)(ping)(ping)(ping)喘(chuan)(chuan)(chuan)(chuan)(chuan),開閉郁(yu)(yu)(yu)(yu)(yu)之(zhi)(zhi)(zhi)(zhi)肺(fei)(fei)(fei)(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),故(gu)本方(fang)(fang)(fang)(fang)(fang)(fang)用(yong)(yong)(yong)以(yi)(yi)(yi)(yi)(yi)為(wei)(wei)(wei)(wei)(wei)(wei)君藥(yao)(yao)。由于(yu)(yu)本方(fang)(fang)(fang)(fang)(fang)(fang)證(zheng)(zheng)(zheng)(zheng)屬衛郁(yu)(yu)(yu)(yu)(yu)營(ying)(ying)滯,單(dan)用(yong)(yong)(yong)麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)發(fa)(fa)(fa)(fa)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han),只能(neng)(neng)(neng)解(jie)(jie)(jie)(jie)衛氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)之(zhi)(zhi)(zhi)(zhi)閉郁(yu)(yu)(yu)(yu)(yu),所以(yi)(yi)(yi)(yi)(yi)又(you)(you)(you)(you)用(yong)(yong)(yong)透營(ying)(ying)達(da)衛的(de)(de)桂(gui)(gui)枝(zhi)(zhi)(zhi)為(wei)(wei)(wei)(wei)(wei)(wei)臣(chen)藥(yao)(yao),解(jie)(jie)(jie)(jie)肌(ji)發(fa)(fa)(fa)(fa)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao),溫(wen)通經脈(mo),既(ji)(ji)助麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)解(jie)(jie)(jie)(jie)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao),使(shi)發(fa)(fa)(fa)(fa)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)之(zhi)(zhi)(zhi)(zhi)力(li)倍增(zeng);又(you)(you)(you)(you)暢行(xing)營(ying)(ying)陰,使(shi)疼(teng)(teng)痛之(zhi)(zhi)(zhi)(zhi)癥得(de)解(jie)(jie)(jie)(jie)。二藥(yao)(yao)相(xiang)(xiang)(xiang)(xiang)須(xu)為(wei)(wei)(wei)(wei)(wei)(wei)用(yong)(yong)(yong),是(shi)(shi)(shi)辛溫(wen)發(fa)(fa)(fa)(fa)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)的(de)(de)常(chang)(chang)用(yong)(yong)(yong)組(zu)合(he)(he)。杏(xing)仁(ren)降(jiang)利肺(fei)(fei)(fei)(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),與(yu)(yu)麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)相(xiang)(xiang)(xiang)(xiang)伍(wu)(wu)(wu),一(yi)(yi)宣(xuan)(xuan)(xuan)一(yi)(yi)降(jiang),以(yi)(yi)(yi)(yi)(yi)恢復肺(fei)(fei)(fei)(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)之(zhi)(zhi)(zhi)(zhi)宣(xuan)(xuan)(xuan)降(jiang),加(jia)(jia)強宣(xuan)(xuan)(xuan)肺(fei)(fei)(fei)(fei)平(ping)(ping)(ping)(ping)喘(chuan)(chuan)(chuan)(chuan)(chuan)之(zhi)(zhi)(zhi)(zhi)功(gong)(gong)(gong),是(shi)(shi)(shi)為(wei)(wei)(wei)(wei)(wei)(wei)宣(xuan)(xuan)(xuan)降(jiang)肺(fei)(fei)(fei)(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)的(de)(de)常(chang)(chang)用(yong)(yong)(yong)組(zu)合(he)(he),為(wei)(wei)(wei)(wei)(wei)(wei)佐藥(yao)(yao)。炙甘(gan)(gan)草既(ji)(ji)能(neng)(neng)(neng)調和(he)麻(ma)(ma)(ma)(ma)(ma)(ma)、杏(xing)之(zhi)(zhi)(zhi)(zhi)宣(xuan)(xuan)(xuan)降(jiang),又(you)(you)(you)(you)能(neng)(neng)(neng)緩(huan)和(he)麻(ma)(ma)(ma)(ma)(ma)(ma)、桂(gui)(gui)相(xiang)(xiang)(xiang)(xiang)合(he)(he)之(zhi)(zhi)(zhi)(zhi)峻(jun)烈(lie),使(shi)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)出不(bu)(bu)致過(guo)猛(meng)而(er)(er)(er)(er)耗傷(shang)正氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi),是(shi)(shi)(shi)使(shi)藥(yao)(yao)而(er)(er)(er)(er)兼佐藥(yao)(yao)之(zhi)(zhi)(zhi)(zhi)用(yong)(yong)(yong)。四藥(yao)(yao)配伍(wu)(wu)(wu),表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)寒(han)(han)(han)(han)(han)(han)得(de)散(san)(san)(san),營(ying)(ying)衛得(de)通,肺(fei)(fei)(fei)(fei)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)得(de)宣(xuan)(xuan)(xuan),則(ze)諸癥可(ke)(ke)愈。【化(hua)裁】若(ruo)喘(chuan)(chuan)(chuan)(chuan)(chuan)急胸悶、咳嗽痰(tan)(tan)多(duo)、表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)證(zheng)(zheng)(zheng)(zheng)不(bu)(bu)甚(shen)者,去(qu)(qu)桂(gui)(gui)枝(zhi)(zhi)(zhi),加(jia)(jia)蘇子、半夏以(yi)(yi)(yi)(yi)(yi)化(hua)痰(tan)(tan)止咳平(ping)(ping)(ping)(ping)喘(chuan)(chuan)(chuan)(chuan)(chuan)。若(ruo)鼻塞(sai)、流涕重者,加(jia)(jia)蒼(cang)耳(er)子、辛夷以(yi)(yi)(yi)(yi)(yi)宣(xuan)(xuan)(xuan)通鼻竅。若(ruo)夾(jia)濕(shi)邪(xie)而(er)(er)(er)(er)兼見(jian)(jian)骨節酸痛,加(jia)(jia)蒼(cang)術(shu)(shu)(shu)、薏苡(yi)仁(ren)以(yi)(yi)(yi)(yi)(yi)祛(qu)(qu)(qu)風(feng)(feng)(feng)(feng)(feng)除濕(shi)。兼里熱(re)之(zhi)(zhi)(zhi)(zhi)煩躁、口干,酌加(jia)(jia)石膏(gao)、黃(huang)(huang)(huang)芩以(yi)(yi)(yi)(yi)(yi)清瀉郁(yu)(yu)(yu)(yu)(yu)熱(re)。【附(fu)(fu)方(fang)(fang)(fang)(fang)(fang)(fang)】麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)加(jia)(jia)術(shu)(shu)(shu)湯(tang)(tang)(tang)(tang)(tang)、麻(ma)(ma)(ma)(ma)(ma)(ma)杏(xing)苡(yi)甘(gan)(gan)湯(tang)(tang)(tang)(tang)(tang)、大(da)(da)青(qing)龍湯(tang)(tang)(tang)(tang)(tang)、三(san)(san)拗(ao)湯(tang)(tang)(tang)(tang)(tang)、華(hua)(hua)蓋散(san)(san)(san)【附(fu)(fu)注(zhu)】本方(fang)(fang)(fang)(fang)(fang)(fang)是(shi)(shi)(shi)治療外(wai)(wai)(wai)感風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)實(shi)證(zheng)(zheng)(zheng)(zheng)的(de)(de)基(ji)礎(chu)方(fang)(fang)(fang)(fang)(fang)(fang)。臨床應用(yong)(yong)(yong)以(yi)(yi)(yi)(yi)(yi)惡(e)寒(han)(han)(han)(han)(han)(han)發(fa)(fa)(fa)(fa)熱(re),無寒(han)(han)(han)(han)(han)(han)而(er)(er)(er)(er)喘(chuan)(chuan)(chuan)(chuan)(chuan),脈(mo)浮(fu)(fu)緊為(wei)(wei)(wei)(wei)(wei)(wei)辨證(zheng)(zheng)(zheng)(zheng)要點(dian)。本方(fang)(fang)(fang)(fang)(fang)(fang)配伍(wu)(wu)(wu)特點(dian)有(you)二:一(yi)(yi)為(wei)(wei)(wei)(wei)(wei)(wei)麻(ma)(ma)(ma)(ma)(ma)(ma)、桂(gui)(gui)相(xiang)(xiang)(xiang)(xiang)須(xu),發(fa)(fa)(fa)(fa)衛氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)之(zhi)(zhi)(zhi)(zhi)閉以(yi)(yi)(yi)(yi)(yi)開腠理(li),透營(ying)(ying)分(fen)(fen)之(zhi)(zhi)(zhi)(zhi)郁(yu)(yu)(yu)(yu)(yu)以(yi)(yi)(yi)(yi)(yi)暢營(ying)(ying)陰,則(ze)發(fa)(fa)(fa)(fa)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)解(jie)(jie)(jie)(jie)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)之(zhi)(zhi)(zhi)(zhi)功(gong)(gong)(gong)益彰;二為(wei)(wei)(wei)(wei)(wei)(wei)麻(ma)(ma)(ma)(ma)(ma)(ma)、杏(xing)相(xiang)(xiang)(xiang)(xiang)使(shi),宣(xuan)(xuan)(xuan)降(jiang)相(xiang)(xiang)(xiang)(xiang)因,則(ze)宣(xuan)(xuan)(xuan)肺(fei)(fei)(fei)(fei)平(ping)(ping)(ping)(ping)喘(chuan)(chuan)(chuan)(chuan)(chuan)之(zhi)(zhi)(zhi)(zhi)效甚(shen)著。方(fang)(fang)(fang)(fang)(fang)(fang)劑(ji)(ji)(ji)比較(jiao):麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)加(jia)(jia)術(shu)(shu)(shu)湯(tang)(tang)(tang)(tang)(tang)與(yu)(yu)麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)杏(xing)仁(ren)薏苡(yi)甘(gan)(gan)草湯(tang)(tang)(tang)(tang)(tang)均由麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)湯(tang)(tang)(tang)(tang)(tang)加(jia)(jia)減而(er)(er)(er)(er)成(cheng)(cheng),都是(shi)(shi)(shi)治療外(wai)(wai)(wai)感風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han)夾(jia)濕(shi)的(de)(de)方(fang)(fang)(fang)(fang)(fang)(fang)劑(ji)(ji)(ji)。但前方(fang)(fang)(fang)(fang)(fang)(fang)證(zheng)(zheng)(zheng)(zheng)屬素體(ti)多(duo)溫(wen),又(you)(you)(you)(you)外(wai)(wai)(wai)感風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han),表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)寒(han)(han)(han)(han)(han)(han)及身(shen)疼(teng)(teng)較(jiao)后(hou)方(fang)(fang)(fang)(fang)(fang)(fang)為(wei)(wei)(wei)(wei)(wei)(wei)重,故(gu)用(yong)(yong)(yong)麻(ma)(ma)(ma)(ma)(ma)(ma)、桂(gui)(gui)與(yu)(yu)白(bai)(bai)術(shu)(shu)(shu)相(xiang)(xiang)(xiang)(xiang)配,以(yi)(yi)(yi)(yi)(yi)發(fa)(fa)(fa)(fa)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)解(jie)(jie)(jie)(jie)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)、散(san)(san)(san)寒(han)(han)(han)(han)(han)(han)祛(qu)(qu)(qu)濕(shi)。然(ran)發(fa)(fa)(fa)(fa)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)祛(qu)(qu)(qu)濕(shi)又(you)(you)(you)(you)不(bu)(bu)宜過(guo)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han),方(fang)(fang)(fang)(fang)(fang)(fang)中(zhong)麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)得(de)白(bai)(bai)術(shu)(shu)(shu)雖(sui)發(fa)(fa)(fa)(fa)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)而(er)(er)(er)(er)不(bu)(bu)致太過(guo),白(bai)(bai)術(shu)(shu)(shu)得(de)麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)則(ze)能(neng)(neng)(neng)盡去(qu)(qu)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)里之(zhi)(zhi)(zhi)(zhi)濕(shi),相(xiang)(xiang)(xiang)(xiang)輔相(xiang)(xiang)(xiang)(xiang)制,深得(de)配伍(wu)(wu)(wu)之(zhi)(zhi)(zhi)(zhi)妙。后(hou)方(fang)(fang)(fang)(fang)(fang)(fang)證(zheng)(zheng)(zheng)(zheng)不(bu)(bu)僅(jin)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)寒(han)(han)(han)(han)(han)(han)及身(shen)疼(teng)(teng)比較(jiao)輕,且(qie)日晡發(fa)(fa)(fa)(fa)熱(re)增(zeng)劇,有(you)化(hua)熱(re)之(zhi)(zhi)(zhi)(zhi)傾向,故(gu)而(er)(er)(er)(er)不(bu)(bu)用(yong)(yong)(yong)桂(gui)(gui)枝(zhi)(zhi)(zhi)、白(bai)(bai)術(shu)(shu)(shu),改用(yong)(yong)(yong)苡(yi)仁(ren)滲利清化(hua)。全方(fang)(fang)(fang)(fang)(fang)(fang)用(yong)(yong)(yong)量尤(you)輕,亦為(wei)(wei)(wei)(wei)(wei)(wei)微汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)之(zhi)(zhi)(zhi)(zhi)用(yong)(yong)(yong)。大(da)(da)青(qing)龍湯(tang)(tang)(tang)(tang)(tang)系(xi)由麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)湯(tang)(tang)(tang)(tang)(tang)重用(yong)(yong)(yong)麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang),再加(jia)(jia)石膏(gao)、生(sheng)姜(jiang)、大(da)(da)棗(zao)組(zu)成(cheng)(cheng)。主(zhu)(zhu)(zhu)治風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)實(shi)重證(zheng)(zheng)(zheng)(zheng)而(er)(er)(er)(er)兼里有(you)郁(yu)(yu)(yu)(yu)(yu)熱(re)者。方(fang)(fang)(fang)(fang)(fang)(fang)中(zhong)倍用(yong)(yong)(yong)麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang),故(gu)其發(fa)(fa)(fa)(fa)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)之(zhi)(zhi)(zhi)(zhi)力(li)尤(you)峻(jun)。其煩躁為(wei)(wei)(wei)(wei)(wei)(wei)郁(yu)(yu)(yu)(yu)(yu)熱(re)在(zai)里,故(gu)加(jia)(jia)石膏(gao)清熱(re)除煩。生(sheng)姜(jiang)合(he)(he)麻(ma)(ma)(ma)(ma)(ma)(ma)、桂(gui)(gui)則(ze)散(san)(san)(san)風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han),以(yi)(yi)(yi)(yi)(yi)解(jie)(jie)(jie)(jie)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)邪(xie),合(he)(he)棗(zao)、草則(ze)益脾胃以(yi)(yi)(yi)(yi)(yi)滋肝源,使(shi)汗(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)(han)出表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)解(jie)(jie)(jie)(jie),寒(han)(han)(han)(han)(han)(han)熱(re)煩躁并除。三(san)(san)拗(ao)湯(tang)(tang)(tang)(tang)(tang)與(yu)(yu)華(hua)(hua)蓋散(san)(san)(san)皆為(wei)(wei)(wei)(wei)(wei)(wei)麻(ma)(ma)(ma)(ma)(ma)(ma)黃(huang)(huang)(huang)湯(tang)(tang)(tang)(tang)(tang)去(qu)(qu)桂(gui)(gui)枝(zhi)(zhi)(zhi),故(gu)功(gong)(gong)(gong)用(yong)(yong)(yong)重在(zai)宣(xuan)(xuan)(xuan)散(san)(san)(san)肺(fei)(fei)(fei)(fei)中(zhong)風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han),主(zhu)(zhu)(zhu)治風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han)犯肺(fei)(fei)(fei)(fei)之(zhi)(zhi)(zhi)(zhi)咳喘(chuan)(chuan)(chuan)(chuan)(chuan)證(zheng)(zheng)(zheng)(zheng)。但為(wei)(wei)(wei)(wei)(wei)(wei)宣(xuan)(xuan)(xuan)肺(fei)(fei)(fei)(fei)解(jie)(jie)(jie)(jie)表(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)(biao)的(de)(de)基(ji)礎(chu)方(fang)(fang)(fang)(fang)(fang)(fang),主(zhu)(zhu)(zhu)治風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han)襲(xi)肺(fei)(fei)(fei)(fei)的(de)(de)咳喘(chuan)(chuan)(chuan)(chuan)(chuan)輕證(zheng)(zheng)(zheng)(zheng);華(hua)(hua)蓋散(san)(san)(san)主(zhu)(zhu)(zhu)治素體(ti)痰(tan)(tan)多(duo)而(er)(er)(er)(er)風(feng)(feng)(feng)(feng)(feng)寒(han)(han)(han)(han)(han)(han)襲(xi)肺(fei)(fei)(fei)(fei)證(zheng)(zheng)(zheng)(zheng),故(gu)加(jia)(jia)蘇子、陳(chen)皮、桑(sang)白(bai)(bai)皮、赤茯苓以(yi)(yi)(yi)(yi)(yi)降(jiang)氣(qi)(qi)(qi)(qi)(qi)(qi)(qi)(qi)祛(qu)(qu)(qu)痰(tan)(tan),加(jia)(jia)強化(hua)痰(tan)(tan)止咳的(de)(de)作(zuo)(zuo)用(yong)(yong)(yong)。
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